To support a growing network of clinical reviewers, a Virginia Licensed Pediatric Neurologist will conduct independent, remote case reviews evaluating medical necessity and quality of care on a PRN basis. Key responsibilities Conduct independent case reviews to assess medical necessity, appropriateness, and quality of care Provide evidence-based assessments and written determinations following established clinical guidelines Support various case types, including utilization review, appeals, and quality of care concerns Required qualifications Active, unrestricted U.S. license/certification Board certified in specialty by an ABMS or AOA-recognized board Minimum of 5 years of clinical experience in specialty Currently practicing and seeing patients for at least 20 hours per week
Virginia Licensed Pediatric Neurologist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.