Telecommuting Utilization Review Physician in Hartford

Job ID: Available for Members

Location: Connecticut

Compensation: To Be Discussed

Posted: Wednesday, March 07, 2018

This job expires in 14 days

Job Category: Healthcare, Quality Assurance

Telecommute Level: Majority

Travel Requirements: Onsite Required, Some Travel

Education Level: Doctorate

Employer Type: Employer

Career Level: Experienced

Job Details

A healthcare company is filling a position for a Telecommuting Utilization Review Physician in Hartfordrgeon in San Francisco.

Individual must be able to fulfill the following responsibilities:

  • Reviewing medical files and providing recommendations
  • Identifying and responding to quality assurance issues
  • Identifying critiquing, and utilizing current criteria and resources

Qualifications Include:

  • Attend orientation and training and meet with Physician Review Medical Director in occasion
  • 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
  • Current, unrestricted clinical license(s)
  • Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required
  • Must be in active medical practice to perform appeals
  • Post-graduate experience in direct patient care