Nephrologist Utilization Review

VirtualVocations; Modesto (CA); Remote; USD 120,000 - 200,000; Full time

Job summary

A leading company seeks a Remote Nephrologist for Utilization Review as an Independent Contractor. Responsibilities include conducting prior authorization reviews and assessing compliance with medical guidelines. Successful candidates must hold an MD or DO, board certification, and significant patient care experience.

Qualifications

• 5 years of patient care experience including residency.
• Unrestricted medical license in states: MN, MD, NM, TX, or VA.
• Must be a US Citizen or hold a Green Card.

Responsibilities

• Conduct prior authorization reviews for treatment.
• Provide expert, unbiased assessments.
• Ensure compliance with ERISA / DOL and state regulations.

Skills

Patient care experience

Expert assessment skills

Compliance with regulations

Education

MD or DO degree

Board Certified in Nephrology

Job description

A company is looking for a Remote Nephrologist for Utilization Review as an Independent Contractor (1099). Key Responsibilities Conduct prior authorization reviews for treatment using nationally accepted medical guidelines Provide expert, unbiased assessments while ensuring compliance with ERISA / DOL and state regulations Work flexibly, completing cases that typically take 30-60 minutes, with a commitment of 1-2 hours per week Required Qualifications Must be an MD or DO Must be Board Certified in Nephrology Must have 5 years of patient care experience, including residency Must hold an unrestricted state medical license in Minnesota, Maryland, New Mexico, Texas, or Virginia Must be a US Citizen or hold a Green Card

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