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Benefits offered by this job
Work remotely
Secure online portal
Paperless workflow
Job summary
A healthcare services company is seeking a full-time remote Utilization Management Physician Reviewer. The role requires a board-certified physician to perform thorough reviews of utilization management cases ensuring high standards of patient care. Responsibilities include collaboration with the Medical Director and senior management, communication with clients, and quality assurance processes. Candidates must possess an MD, DO, or DPM degree, along with an active board certification and medical licensure in the United States.
Qualifications
5+ years of clinical practice experience, including residency.
Ability to provide clinical guidance regarding reviews.
Strong knowledge of utilization reviews and compliance.
Responsibilities
Perform utilization management reviews efficiently and accurately.
Collaborate with Medical Director and senior management.
Audit cases and provide quality feedback.
Skills
Clinical guidance
Medical terminology
Quality assurance
Communication
Education
MD, DO, or DPM degree
Active board certification
Active, unrestricted medical licensure in the USA
Job description
A healthcare services company is seeking a full-time remote Utilization Management Physician Reviewer. The role requires a board-certified physician to perform thorough reviews of utilization management cases ensuring high standards of patient care. Responsibilities include collaboration with the Medical Director and senior management, communication with clients, and quality assurance processes. Candidates must possess an MD, DO, or DPM degree, along with an active board certification and medical licensure in the United States.