Pay rate: ***/hour
Seeking physician medical reviewer for weekend work.
Hours Required:
This position requires a 2-month, full-time (40 hr./week | M-F) commitment to undergo and complete training. After this training, there will be a transition to 32-48 weekend and/or holiday hours per month. This is a remote position.
Evaluates clinical service requests made by an organization's members and providers for commercial lines of business. Uses clinical judgment in conjunction with organization's criteria [includes Client Cross of Illinois medical policies, MCG guidelines] to make medical necessity determinations.
Actively participates in continuous quality improvement activities. Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 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 diagnostic evaluation) •
Last updated on Sep 7, 2023