Board Certified Physician Reviewer - Occupational Medicine

D
Dane StreetHealthcare
United StatesContract
Salary not disclosed
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Job Details

Requirements

  • Current, unrestricted Texas Medical License.
  • Active clinical practice.
  • Board Certified in Occupational Medicine.
  • Ability to commit to flexible, independent consultant work hours.

Responsibilities

  • Conduct clinical reviews to determine medical necessity of treatment requests.
  • Evaluate appeals regarding the medical necessity of previously denied services.
  • Participate in peer-to-peer calls for adverse determinations as necessary.
  • Deliver clinical determinations and reports via a user-friendly work portal.
  • Manage case volume based on personal availability and schedule flexibility.
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