We are looking for hrs per week aggregate from the two positions. If we find a strong candidate that is available to work hrs per week consistently, we can do away with one position.
Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's Utilization Management criteria to adjudicate these requests.
Performs peer to peer discussions. Actively participates in all unit continuous quality improvement activities. Other duties as assigned by the Medical Director.
Board Certified (ABMS) or , unrestricted and active license to practice medicine requested and years clinical experience to include inpatient experience, or any combination of education / experience that would provide an equivalent background.
Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases.
Note : Position does not provide direct patient care or medical diagnosis.)
EEO :
Physician Reviewer - Hospitalist
A company is looking for a Physician Reviewer - Hospitalist (remote). ...
OBGYN Physician Reviewer (PRN, Remote within Illinois)
Acentra seeks an OBGYN Physician Reviewer (PRN, Remote within Illinois) to join our growing team. The OB/GYN Physician Reviewer will provide principal leadership and clinical expertise to operations relating to the peer review process, utilization review activities, and other activities requiring cl...
Physician Reviewer - Geriatrics
A company is looking for a Physician Reviewer - Geriatrics (remote). ...
Internal Medicine or Family Practice Physician Reviewer (Illinois Remote, PRN)
Acentra seeks an Internal Medicine or Family Practice Physician Reviewer (Illinois Remote, PRN) to join our growing team. The Internal Medicine or Family Practice Physician Reviewer will provide principal leadership and clinical expertise to operations relating to the peer review process, utilizatio...
Physician Reviewer - Nuclear Medicine
A company is looking for a Physician Reviewer in Nuclear Medicine. ...
Physician Reviewer - Internal Medicine
Dane Street, a certified "Great Place to Work" company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. Our reviewers are compensated on a per-case basis as a 1099 independent contractor. Physicians Located in the following a...
Physician Reviewer 29864
Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. ...
Physician Reviewer
Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. ...
Physician Reviewer - Internal Medicine
Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. Our reviewers are compensated on a per-case basis as a 1099 independent contractor. Physicians Located in the following ...
OBGYN Physician Reviewer (PRN, Remote within Illinois)
Acentra seeks an OBGYN Physician Reviewer (PRN, Remote within Illinois) to join our growing team. The OB/GYN Physician Reviewer will provide principal leadership and clinical expertise to operations relating to the peer review process, utilization review activities, and other activities requiring cl...