Virginia Licensed Pediatric Neurologist
Job Summary
To support a growing network of clinical reviewers, a Virginia Licensed Pediatric Neurologist will conduct independent, remote case reviews evaluating medical necessity and quality of care on a PRN basis.
Key responsibilities
- Conduct independent case reviews to assess medical necessity, appropriateness, and quality of care
- Provide evidence-based assessments and written determinations following established clinical guidelines
- Support various case types, including utilization review, appeals, and quality of care concerns
Required qualifications
- Active, unrestricted U.S. license/certification
- Board certified in specialty by an ABMS or AOA-recognized board
- Minimum of 5 years of clinical experience in specialty
- Currently practicing and seeing patients for at least 20 hours per week
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