Physician Reviewer - Diagnostic Imaging

HealthHelp; United States; Remote; USD 240,000 - 394,000; Full time

Job summary

HealthHelp is looking for Board Certified Diagnostic Radiologists to enhance patient care and healthcare efficiency by conducting case reviews and providing consultations. Candidates should hold an MD or DO, be licensed in specified states, and have strong communication skills. Join a leading company committed to utilizing technology for a streamlined review process.

Qualifications

• Must hold an active, unrestricted license to practice medicine.
• Experience in diagnostic radiology is essential.
• Proficient in using digital platforms for case review.

Responsibilities

• Conduct thorough reviews of complex diagnostic imaging cases.
• Provide peer-to-peer consultations with ordering physicians.
• Make evidence-based clinical decisions.

Skills

Negotiation

Leadership

Communication

Education

MD or DO degree from an accredited school of medicine

Board certification in Diagnostic Radiology

Tools

HIPAA-compliant portal

Physician App

Job description

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HealthHelp is seeking Board Certified Diagnostic Radiologists for case review roles, with particular interest in candidates licensed in Alaska, Arizona, Minnesota, and North Carolina.

Role Overview

As a Specialty Physician Reviewer in Diagnostic Imaging, you'll leverage your clinical expertise to make significant impact on patient care and healthcare efficiency. In this role, you will:

• Conduct thorough reviews of complex diagnostic imaging cases
• Provide valuable peer-to-peer consultations with ordering physicians, fostering collaborative relationships and knowledge sharing within the medical community
• Ensure adherence to evidence-based guidelines and best practices in diagnostic imaging
• Contribute to the continuous improvement of our utilization management processes
• Exercise your clinical judgment to render well-reasoned decisions, based on evidence-based clinical criteria

Requirements

• MD or DO degree from an accredited school of medicine
• Current, active, unrestricted license to practice medicine in a state or territory of the United States (special consideration for candidates licensed in AK, AZ, MN, or NC)
• Board certification in Diagnostic Radiology
• Active practice in diagnostic radiology in the United States
• Meets HealthHelp credentialing requirements
• Ability to make outbound calls to providers as part of the case review process
• Ability to collaborate with HealthHelp nursing and administration staff members
• Excellent negotiation, leadership, and communication skills
• Proficiency in using digital platforms for case review and communication

Preferred Qualifications

• Multi-state licensure, particularly in Alaska, Arizona, Minnesota, or North Carolina
• Academic affiliation
• Participation in Interstate Medical Licensure Compact
• Experience or familiarity with principles and procedures of utilization management in managed care
• Ability to support flexible working hours
• Experience and familiarity with government programs
• Demonstrated ability to follow evidence-based practices in reviewing cases for medical appropriateness
• Commitment to an educational model in discussing and sharing clinical evidence with peers

HealthHelp provides cutting-edge technology to streamline the review process, including our proprietary HIPAA – compliant portal and Physician App, ensuring efficiency and ease of use for our specialists.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Contract

Job function

• Job function

  Consulting and Health Care Provider

• Industries

  Hospitals and Health Care

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