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Employer / Permanent / Independent Contractor Remote Physician Medical Reviewer Jobs
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Texas Licensed Medical Review Physician
A company is looking for a Telecommute Medical Review Stream Physician....Key Responsibilities Reviews medical files and provides recommendations for utilization review, medical necessity, and appropriateness of care Maintains proper credentialing and state licenses while returning cases with clear rationales TelephonicallyColorado Licensed Medical Review Physician
A company is looking for a Telecommute Medical Review Stream Physician....Key Responsibilities Review medical files and provide recommendations for utilization review and medical necessity Meet with the Medical Director to discuss quality of care and credentialing issues Maintain proper credentialing and state licenses,California Licensed Physician Reviewer
A company is looking for a Remote Flexible Physician Utilization Reviewer (1099 - Independent Contractor).California Licensed Physician Reviewer
A company is looking for a Board Certified Internal Medicine/Family Medicine Physician Reviewer with a California license....Review (IMR) process is preferred but not required Expertise in Medical Treatment Utilization Schedule (MTUS) and Official Disability Guidelines (ODG)California Licensed Physician Reviewer
A company is looking for a Physician Reviewer to provide clinical decision-making oversight and support in quality management....Key Responsibilities Support clinical decision-making and provide physician-level guidance in quality, utilization, and care management Perform medical review activities and determinations while communicating medical necessities Assist the MedicalCalifornia Licensed Physician Reviewer
A company is looking for Board Certified - California Licensed Physician Reviewers in multiple specialties....Key Responsibilities Review treatment requests and appeals for medical necessity Complete case reviews remotely based on a customizable schedule Provide advisory-only opinions without establishing a doctor/patient relationship Required QualificationsTexas Licensed PM&R Physician
A company is looking for a PM&R Telecommute Medical Review Stream physician....Key Responsibilities Review medical files and provide recommendations for utilization review and medical necessity Maintain proper credentialing and state licenses, and return cases with clear rationales Identify and utilize current criteria and resourcesNew Jersey Licensed PM&R Physician
A company is looking for a PM&R Telecommute Medical Review Stream physician....Key Responsibilities Review medical files and provide recommendations for utilization review, medical necessity, and appropriateness of care Maintain proper credentialing and state licenses while returning cases with clear rationales in a timely mannerRegistered Nurse Clinical Appeals
Key Responsibilities Conduct medical necessity reviews and secure pre-service approvals Perform denial root-cause analysis and retrospective medical record reviews Coordinate peer-to-peer reviews and construct warranted appeals Required QualificationsState Licensed Clinical Reviewer
Key Responsibilities Conduct comprehensive peer reviews of patient care for various case types Provide evidence-based medical reviews on medical necessity and quality of care Utilize a secure online portal to complete reviews without patient contact
