Florida Licensed Physician ReviewerVirtualVocations • Raleigh, North Carolina, United States
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Florida Licensed Physician Reviewer
VirtualVocations • Raleigh, North Carolina, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
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
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