Board Certified Physician Reviewer - Plastic Surgery (Specializing in Lipedema)

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Requirements:

• Board Certified Physician in Plastic Surgery specializing in Lipedema.
• Maintains proper credentialing and state licenses.
• Holds any necessary special certifications.
• Participates in required orientation and training sessions.

Responsibilities:

• Reviews all medical records and addresses questions using client-specific and evidence-based criteria.
• Ensures that the rationale for determinations is clear and well-supported.
• Utilizes current guidelines and literature for objective decision-making.
• Provides copies of criteria used in reviews.
• Returns cases on or before due dates.
• Makes mandated telephone calls.
• Maintains proper credentialing and licenses.
• Attends required orientation and training.
• Handles quality assurance issues and other assigned duties.