Board Certified Physician Reviewer - PM&R/Pain Management

Dane StreetHealthcare

United StatesContractMiddle

SalaryCompensated on a per-case basis.

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Job Details

Requirements

Current, unrestricted Connecticut Medical License.
Board Certified in Physical Medicine and Rehabilitation (PM&R) or Pain Management.
Must be currently engaged in active clinical practice.
Ability to perform clinical decision-making within specified turnaround times.
Comfort using web-based portals for case review and documentation.

Responsibilities

Assess medical necessity of treatment requests and previously denied services.
Issue advisory-only clinical opinions based on medical records and treatment guidelines.
Participate in peer-to-peer calls for adverse determinations as necessary.
Complete case reviews within defined turnaround times.
Utilize provided company portal to manage case flow and documentation.

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