Job Summary

A healthcare company needs applicants for an opening for a Telecommuting Orthopedic Surgery Utilization Review Physician in Westminster.

Must be able to:

• Review medical files and provide recommendations for utilization review
• Telephonically contact providers and interact with other health professionals in a professional manner
• Return cases in a timely manner with clear, concise and complete rationales and documented criteria

Qualifications Include:

• Ability to attend orientation and training
• Board certification by ABMS or ABOSis required for MD or DO reviewer.
• Must be in active medical practice to perform appeals
• Post-graduate experience in direct patient care
• Must present evidence of current error and omissions liability coverage for job duties and activities performed