California Licensed Physician Reviewer

Job Summary

A company is looking for a Board Certified Internal Medicine/Family Medicine Physician Reviewer with a California license.

Key Responsibilities

• Evaluate medical necessity for treatment requests in the California workers' compensation system
• Provide written determinations based on evidence-based guidelines and established standards
• Conduct reviews with flexibility in scheduling, outside standard work hours

Required Qualifications

• Current, unrestricted California Medical License
• Board Certified in Internal Medicine or Family Medicine
• Active practice in the medical field
• Experience with the California Independent Medical Review (IMR) process is preferred but not required
• Expertise in Medical Treatment Utilization Schedule (MTUS) and Official Disability Guidelines (ODG)