Florida Licensed Physician Reviewer

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