Texas Licensed PM&R Physician

Job Summary

A company is looking for a PM&R Telecommute Medical Review Stream Physician.

Key Responsibilities

• Reviews medical files and provides recommendations for utilization review and medical necessity
• Maintains proper credentialing and state licenses, and interacts with healthcare professionals
• Identifies and critiques current criteria and resources to support objective decision-making in reviews

Required Qualifications, Training, and Education

• Board certified MD or DO with an understanding of managed care and utilization of services
• Current, unrestricted clinical license(s) or compliant with state board restrictions
• Board certification by American Board of Medical Specialties or American Board of Osteopathic Specialties
• Active medical practice required to perform appeals
• Post-graduate experience in direct patient care