Medical Doctor

The Judge Group; United States; Teletrabalho; USD 80 000 - 120 000; Tempo integral

Resumo da oferta

An established industry player is seeking a Remote Physician Reviewer for a 3-year contract role. This exciting opportunity involves evaluating clinical service requests, utilizing clinical judgment to adjudicate requests, and providing clinical leadership within the organization. You will play a crucial role in managing members' clinical situations through innovative problem-solving. If you are a Board Certified physician with a passion for improving healthcare delivery, this position offers a fantastic chance to make a significant impact in a supportive and dynamic environment.

Qualificações

• Minimum 8 years of clinical experience, including inpatient experience.
• Unrestricted and active license to practice medicine required.

Responsabilidades

• Evaluate clinical service requests from members and providers.
• Provide clinical leadership and manage members' clinical situations.

Conhecimentos

Clinical Judgment

Problem-Solving

Managed Care Principles

PC Proficiency

Formação académica

Board Certified (ABMS) M.D. or D.O.

Descrição da oferta de emprego

Our client is currently seeking a Remote Physician Reviewer!

This is a 3 year contract role, working Mon-Fri 9am-6pm CST.

This position does not involve direct patient care or medical diagnosis.

This job will have the following responsibilities:

• Evaluate clinical service requests from members and providers.
• Utilize clinical judgment and organizational criteria to adjudicate requests.
• Provide clinical leadership within the organization.
• Identify opportunities to manage members' clinical situations through creative problem-solving.
• Perform other duties as assigned by the Medical Director.

Qualifications & Requirements:

• Board Certified (ABMS) M.D. or D.O. required.
• Unrestricted and active license to practice medicine required.
• Minimum 8 years of clinical experience, including inpatient experience.
• Understanding of managed care principles.
• Demonstrated PC proficiency for computer-based file reviews.

Seniority level: Not Applicable

Employment type: Full-time

Job function: Health Care Provider

Industries: Hospitals and Health Care