A company is looking for a Physician Reviewer - Utilization Management.
Key Responsibilities
Provide timely medical reviews that meet quality parameters
Document communication and decision-making accurately in workflow tools
Conduct peer-to-peer discussions with treating providers regarding clinical information and review outcomes
Required Qualifications
Board certification as an MD or DO
Licensed in FL or NC and / or eligible for Interstate Medical Licensure Compact (IMLCC)
6+ years of clinical practice experience
1+ years of utilization review experience in a managed care plan
Physician Physician • Scottsdale, Arizona, United States