Board Certified Physician Reviewer - Orthopedic Surgery

D
Dane StreetHealthcare
United StatesContract
SalaryCompensated on a per-case basis
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Job Details

Requirements

  • Board Certification in Orthopedic Surgery
  • Current, unrestricted Minnesota Medical License
  • Active medical practice

Responsibilities

  • Assess medical necessity for treatment requests and denied services
  • Conduct advisory-only clinical reviews based on provided medical records
  • Utilize established treatment guidelines to reach determinations
  • Participate in peer-to-peer calls for adverse determinations
  • Complete case determinations within specified turnaround times
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Compensated on a per-case basis
Apply Now