Job Summary
A healthcare company is searching for a person to fill their position for a Telecommute Utilization Review Neurologist Physician in Ft Worth.
Individual must be able to fulfill the following responsibilities:
- Review medical files and provides recommendations for utilization review
- Maintain proper credentialing and state licenses
- Telephonically contact providers and interact with other health professionals in a professional manner
Skills and Requirements Include:
- Attending orientation and training
- Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services
- Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board)
- Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer
- Must be in active medical practice to perform appeals
- Post-graduate experience in direct patient care
