PM&R / Pain Management - Utilization Review - Remote - 1099 Independent Contract

BlueSnap, Inc; Dallas (TX); Remote; USD 100,000 - 140,000; Part time

Job summary

An established industry player is seeking qualified medical professionals to review treatment authorizations remotely. This role offers the flexibility to work as little as 1-2 hours per week, making it ideal for those looking to balance other commitments. As a key contributor, you'll apply your expertise in patient care and compliance to ensure that treatment decisions meet national standards. Join a diverse and inclusive team that values your skills and offers a supportive work environment.

Qualifications

• Must be Board Certified in PM&R and Pain Management.
• 5 years of patient care experience required.

Responsibilities

• Review Prior Authorizations for treatment based on medical guidelines.
• Provide expert assessments ensuring compliance with regulations.

Skills

Patient Care Experience

Medical Review

Compliance Knowledge

Education

MD or DO

Board Certification in PM&R

Tools

PC

Telephone

Job description

Description

MRIoA is a national Independent Review Organization that facilitates the review of medical claims to determine treatment appropriateness.

THE OPPORTUNITY:

Any state medical license required.

• Review Prior Authorizations for treatment by applying nationally accepted medical and healthcare plan guidelines. Provide expert, unbiased assessments while ensuring compliance with ERISA/DOL and state regulations.
• Flexibility – work as little as 1-2 hours per week (with no minimum requirement). Most cases take 30-60 minutes to complete.

ADDITIONAL INFORMATION:

• Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US.)
• Covered under MRIoA’s Errors and Omissions policy.

Requirements

• Must be an MD or DO.
• Must be Board Certified in PM&R and Pain Management.
• Must have 5 years of patient care experience in PM&R.
• Must have an unrestricted state medical license.
• Must be a US Citizen or hold a Green Card.

Additional Information

California Consumer Privacy Act (CCPA) Information (California Residents Only):

• Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.
• Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at [e-mail].

Ability to sit at a desk, utilize a PC, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agree to all necessary Compliance Regulations on their first day of employment.