Talent.com
Physician Reviewer- Psychiatrist - South Carolina
Physician Reviewer- Psychiatrist - South CarolinaFederal Hearings And Appeals • Wilkes-Barre, PA, US
[error_messages.no_longer_accepting]
Physician Reviewer- Psychiatrist - South Carolina

Physician Reviewer- Psychiatrist - South Carolina

Federal Hearings And Appeals • Wilkes-Barre, PA, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Description

Job Description

Physician Peer Reviewer – Psychiatrist - South Carolina

Federal Hearings and Appeals Services (FHAS) is a URAC-accredited Independent Medical Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For the past 30 years, FHAS has provided external peer review services to healthcare organizations, government agencies, insurance companies, and legal entities.

FHAS is currently expanding its elite panel of physicians licensed to assist with independent review claims and appeals in any of the following specialties :

Addiction Medicine, Allergy & Immunology, Anesthesiology, Cardiovascular Disease, Child & Adolescent Psychiatry, Chiropractic Medicine, Dentist, Dermatology, Emergency Medicine, Endocrinology, Diabetes, & Metabolism, Family Medicine, Gastroenterology, Internal Medicine, Interventional Cardiology, Interventional Radiology & Diagnostic Radiology, Medical Genetics & Genomics, Medical Oncology, Nephrology, Neurological Surgery, Neurology, Obstetrics and Gynecology, Ophthalmology, Orthopedic Surgery, Pain Medicine, Pathology, Pediatrics, Pediatric Cardiology, Pediatric Critical Care Medicine, Developmental-Behavioral Pediatrics, Pediatric Emergency Medicine, Pediatric Gastroenterology, Pediatric Nephrology, Physical Medicine & Rehabilitation, Plastic Surgery, Psychiatry, Psychology

  • PhD, Radiation Oncology, Radiology, Rheumatology, Sleep Medicine, Thoracic & Cardiac Surgery, Transplant Hepatology, Undersea & Hyperbaric Medicine

Description

  • Responsible for reviewing medical case files and making medical determinations. Cases may include medical necessity and medical appropriateness, experimental or investigational treatment, administrative or legal issues, or a combination of these categories, which are filed with the Department of Human Services’ Bureau of Hearings and Appeals (BHA).
  • Reviews and analyzes Federal and State laws, regulations, and applicable policy guides
  • Completes and evaluates the review process in a regulatory timeframe.

    • Work Experience Requirements

  • Successful completion of a Residency or Fellowship Program
  • Must possess a current state license in a state of the United States / recognized in the relevant jurisdictions as a Doctor of Medicine or Doctor of Osteopathic Medicine and if required by contract, licensed in the state in which requests the review.
  • License is unrestricted and if there is a restriction that is allowed by a relevant jurisdiction, according to the medical director or clinical director, it is of the type that does not affect the health professional’s ability to fulfill the roles and responsibilities of a reviewer.
  • License is of the type and scope that permits applying clinical judgement in consideration of an individual members clinical needs to render a decision.
  • For either a Doctor of Medicine or Doctor of Osteopathic Medicine, possess the same license or certification as the ordering practitioner.
  • Must hold a current board certification issued by the American Board of Medical Specialties or American Osteopathic Association.
  • 5-years or more post graduate clinical experience in direct patient care
  • Experience providing direct patient care within the past 3 years, if performing external reviews

    • Job Type

    Contract

    Work Location

    Remote

    [job_alerts.create_a_job]

    Psychiatrist • Wilkes-Barre, PA, US

    [internal_linking.similar_jobs]
    Radiology Physician

    Radiology Physician

    Global Medical Staffing • Wilkes Barre, Pennsylvania, US
    [job_card.full_time]
    Radiology physician employment in Pennsylvania : Global Medical Staffing - Looking to reconnect and extend your personal and professional world? Just pick up the phone to get all the details of thi...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Physician / Psychiatry / Pennsylvania / Permanent / Outpatient Psychiatrist Job

    Physician / Psychiatry / Pennsylvania / Permanent / Outpatient Psychiatrist Job

    FCS - Psychiatric Recruitment • Wilkes-Barre, PA, United States
    [job_card.full_time] +1
    NEW Opening Outpatient Psychiatrist needed outside of Wilkes-Barre, PA.Call me today to set up your interview! $10,000 sign on bonus! Full time outpatient Psychiatrist needed in Nanticoke, PA just ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Psychiatrist Opportunity

    Psychiatrist Opportunity

    Department of Veteran Affairs • Wilkes-Barre, PA, US
    [job_card.full_time] +1
    Psychiatrist Needed - Wilkes-Barre, PA VAMC - Up to 55 Days off Annually.Caring for our nations Veterans is among the most noble of callings. How would you like to become a part of a team providing ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician

    Physician

    Pinnacle Treatment Centers • Wilkes-Barre, PA, United States
    [job_card.full_time]
    We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth.Must be able to travel to both Wilkes-Barre, PA and Hazleton, PA.Pinnacle Treatment Cent...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Pharmacy Relationship Manager

    Pharmacy Relationship Manager

    America's Pharmacy Group, LLC • Pardeesville, PA, US
    [job_card.full_time]
    Whether you are working in a Pharmacy looking for additional income, an established healthcare sales professional, or looking to break into Medical Sales, Healthcare Marketing Group, LLC is a great...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician / Psychiatry / Pennsylvania / Permanent / Outpatient Psychiatry Opening in Wilkes Barre, P

    Physician / Psychiatry / Pennsylvania / Permanent / Outpatient Psychiatry Opening in Wilkes Barre, P

    Britt Medical Search • Wilkes Barre, PA, US
    [job_card.permanent]
    Hospital is seeking a BC / BE Psychiatrist to provide outpatient consults in Wilkes-Barre, Pennsylvania.Employed opportunity in private psychiatric hospital. Professional and collegial environment.New...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician / Neurology / Pennsylvania / Permanent / Physician - Neurology Job in Pennsylvania Job

    Physician / Neurology / Pennsylvania / Permanent / Physician - Neurology Job in Pennsylvania Job

    Hayman Daugherty Associates, Inc • Wilkes Barre, PA, US
    [job_card.full_time] +1
    Neurologist Opportunity Near Wilkes-Barre, PA (Full-Time, Permanent).Board-Certified or Board-Eligible Neurologist.We are seeking a skilled Neurologist to join our growing practice in Northeastern ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Family Medicine Physician

    Family Medicine Physician

    Curare Group, Inc. • WILKES BARRE, Pennsylvania, US
    [job_card.full_time]
    Family Medicine physician employment in Pennsylvania : Join an established practice with a large patient base as a Medical Bariatrician / Primary Care physician. A combination of IM or FM is desired...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    ObGyn Physician

    ObGyn Physician

    Curare Group, Inc. • WILKES BARRE, Pennsylvania, US
    [job_card.full_time]
    ObGyn physician employment in Pennsylvania : Our client in eastern Pennsylvania is actively recruiting in this mid-size city about two hours from Philadelphia and NYC. This supportive cohesive team ...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Optometrist - Nanticoke, Pennsylvania

    Optometrist - Nanticoke, Pennsylvania

    Eyetastic Services • Nanticoke, PA, US
    [job_card.full_time]
    You'll love working at this multi-specialty ophthalmology practice.If you're an optometrist looking to grow your career, you'll fit right in with this team of innovative and accomplishe...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Physical Therapist (PT) - $1,760 to $2,000 per week in Wyoming, PA

    Travel Physical Therapist (PT) - $1,760 to $2,000 per week in Wyoming, PA

    AlliedTravelCareers • Wyoming, PA, US
    [job_card.full_time]
    AlliedTravelCareers is working with MEDSCoders to find a qualified Physical Therapist (PT) in Wyoming, Pennsylvania, 18644!. Physical Therapist Responsibilities.Consulting with patients to learn abo...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Cardiology Physician

    Cardiology Physician

    Global Medical Staffing • Wilkes Barre, Pennsylvania, US
    [job_card.full_time]
    Cardiology physician employment in Pennsylvania : Global Medical Staffing - Interested? There is more to tell.Feel free to request information, or just pick up the phone and give Global Medical Sta...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Physician (Psychiatrist) Floater - Outpatient and Inpatient

    Physician (Psychiatrist) Floater - Outpatient and Inpatient

    VETERANS HEALTH ADMINISTRATION • Wilkes-Barre, PA, United States
    [job_card.full_time] +2
    Education Debt Reduction Program (EDRP),.You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment.Program Approval, award am...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Physician (PRN)

    Physician (PRN)

    Altea Healthcare • Kingston, PA, US
    [job_card.full_time] +1
    Join our team and be part of a.Apply today to learn more about this rewarding opportunity!.Competitive compensation with balanced hours. NP / PA support at all locations, always.Your schedule, tailore...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Cardiology Interventional Physician

    Cardiology Interventional Physician

    Weatherby Healthcare • Wilkes Barre, Pennsylvania, US
    [job_card.full_time]
    Cardiology Interventional physician employment in Pennsylvania : Weatherby Healthcare is currently seeking a Cardiology Interventional Physician in PA. Interested? Give Weatherby a call today and sp...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Physician (Psychiatrist) Floater - Outpatient and Inpatient

    Physician (Psychiatrist) Floater - Outpatient and Inpatient

    Veterans Affairs, Veterans Health Administration • Wilkes-Barre, PA, United States
    [job_card.full_time] +1
    Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and su...[show_more]
    [last_updated.last_updated_30] • [promoted]
    PA459 - Psychiatrist

    PA459 - Psychiatrist

    Fcs Co • Kingston, PA, United States
    [job_card.full_time]
    Inpatient and Outpatient opportunities available.General and addiction psychiatry.If you are interested and would like more information, please contact Jordan Zenobi at 800-783-9152 ext.[show_more]
    [last_updated.last_updated_30] • [promoted]
    Radiology Physician

    Radiology Physician

    Weatherby Healthcare • Wilkes Barre, Pennsylvania, US
    [job_card.full_time]
    Radiology physician employment in Pennsylvania : Weatherby Healthcare is currently seeking a Radiology Physician in PA.Get in touch with a Weatherby consultant today to learn more about this and ot...[show_more]
    [last_updated.last_updated_1_day] • [promoted]