Physician Reviewer - Orthopedic Spine (Utilization Review)
Company:Dane Street, LLC
Location:Texas, United States
Languages:English
Skills:
Communication SkillsAnalytical SkillsCritical thinking
Requirements:
- Board Certification in Orthopedic Surgery
- Active, unrestricted Texas medical license
- Active clinical practice
Responsibilities:
- Review medical records to determine the medical necessity of services
- Utilize state-specific workers’ compensation guidelines and nationally recognized criteria
- Submit clear, concise, and well-supported determinations
- Complete reviews within required timeframes (typically 1–5 business days)
- Participate in peer-to-peer calls as needed
- Complete addenda when new information is provided
Similar Jobs:
Physician Reviewer - Utilization Management
Company:Oscar Health
211200 - 277200 USD per year
View details
New York-Licensed Physician Reviewers (M.D., D.O.)- Orthopedic Surgery-Spine
Company:Dane Street, LLC
RN Utilization Management Reviewer
38 - 47 USD per hour
View details