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Licensed Physician Reviewer - Urologist , PRN (remote)
Posted 3 months ago
Job summary
The Physician Reviewer is responsible for primary review of Utilization Management cases for our organization, advising other reviewers, attending calls with health plan teams, and participating in process and quality improvements within the Delegated Utilization Management. Requires medical degree, Urology board certification, and experience in hospital medicine or utilization review.
Responsibilities
The Physician Reviewer manages Utilization Management cases and coordinates care for patients across assigned territories. They also participate in process and quality improvement for Delegated Utilization Management and advise other physician reviewers.
Qualifications
Requires a medical school degree, a valid unrestricted license, and board certification in Urology. Preference is given to candidates with two years of hospital medicine experience and one year of utilization review experience.
Benefits
- Comprehensive benefits
- Career development
- Advancement opportunities
Company
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