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
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