Texas Licensed Pediatric Pulmonology Reviewer
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Job Summary
Offering a flexible, fully remote opportunity, the Texas Licensed Pediatric Pulmonology Reviewer will conduct independent Utilization Reviews for a contract position requiring 1-2 hours per week, ensuring compliance with HIPAA regulations.
Key responsibilities
- Conduct independent Utilization Reviews for pediatric pulmonology cases
- Adhere to HIPAA regulations and company policies regarding patient confidentiality and security
- Engage in peer-to-peer conversations during daytime hours as needed
Required qualifications
- Medical Degree (MD or DO) with a current Texas medical license
- Current Board Certification in Pediatrics and Fellowship training in Pulmonology
- Minimum of 5 years of clinical experience, including residency
- Availability for daytime peer-to-peer conversations
Complete Job Description
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