North Carolina - Physician Reviewer (Clinical/Medical Geneticist)

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Requirements:

• Clinical expertise as a Clinical/Medical Geneticist.
• Proper credentialing and state licenses are necessary.
• Completion of orientation and training is required.

Responsibilities:

• Reviews medical records and answers client questions using specific or nationally recognized criteria.
• Ensures rationale for decisions is clear and supported by adequate documentation.
• Identifies and utilizes current guidelines and resources for decision-making.
• Provides criteria copies with reports on time.
• Returns cases by due date, makes required calls, and maintains credentials.
• Attends orientation and training, and responds to quality assurance and regulatory issues.