Licensed Physician Reviewer
VirtualVocationsSanta Clara, California, United Statesjob_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Physician Reviewer - Utilization Review.
Key Responsibilities
Conduct timely medical reviews to ensure compliance with quality parameters
Make clinical determinations based on evidence-based criteria and document decisions accurately
Engage in peer-to-peer discussions with providers to clarify clinical information and review outcomes
Required Qualifications
Board certification
MD or DO with a current unrestricted license to practice medicine
6+ years of clinical practice experience
1+ years of utilization review experience in a managed care plan
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Physician Reviewer • Santa Clara, California, United States
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