We are looking for a 100% Remote, 1099, Supplemental Income, Thoracic and Cardiac Surgery MD/DO Reviewer
Description:
- Medical Expert Reviewer-Medical Expert Judgement Reviews determining final decision based off enrollees denial of treatment-coverage denied by the CA DMHC.
- Reviews-are based off Medical Necessity and Experimental/Investigational
- Specialty Driven-Expert within the Specialty Requested
Layman Terms:
This service involves getting a thorough and professional medical review from an expert provider. The review is done to make a final decision on whether a particular treatment should be covered by the CA DMHC (Department of Managed Health Care) or not. The reviews are based on two main factors: medical necessity (whether the treatment is necessary for the patient's health) and whether the treatment is experimental or investigational.
Systems and Tools:
Expert Reviewers must use their own personal computer to access a web-based portal
Training:
- Review Training -Trainer will work closely with reviewer for the first 3-5 cases
- Scheduled Training- based on reviewers schedule
Deliverables:
- No direct defined evidence standard or guidelines
- Templates will be used to complete reviews
P rovider Specialty
Thoracic and Cardiac Surgery
Minimum Qualifications:
- Active license
- 24 hours of direct patient care per week
- 5 years experience in appropriate specialty post training
- Board Certification
Rates per case
$150.00 per review to $400.00 per review per case
For more information about Maximus, please visit to learn more about our organization.
Keith Stewart
Clinical Recruiter
Thoracic and Cardiac Surgery MD/DO in remote at Unknown Company
This position is listed as full time and able to be worked remotely.