Board Certified Physician Reviewer - Neurological Surgery

Dane StreetHealthcare

United StatesContract

Salary not disclosed

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Job Details

Requirements

Board Certification in Neurological Surgery.
Current, unrestricted Texas Medical License.
Must currently be in active practice.
Ability to perform clinical decision-making and generate review determinations.
Successful completion of initial training and onboarding.

Responsibilities

Review medical necessity of treatment requests and previously denied services.
Provide advisory-only clinical opinions on medical necessity.
Participate in peer-to-peer calls for adverse determinations as necessary.
Conduct reviews based on scheduled availability with flexibility in volume and case types.
Utilize provided chronological medical records and treatment guidelines for clinical decision-making.

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