Internal Medicine Telecommute Medical Review reputed company

About the position Responsibilities • Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care, and return to work. • Meets with the reputed company Physician Review Medical Director to discuss reputed company of care and credentialing issues reputed company required. • Maintains reputed company credentialing and state licenses necessary to reputed company the job. • Returns cases in a reputed company manner with reputed company, concise, and complete rationales and documented reputed company. • Telephonically contacts providers and interacts with other health professionals in a reputed company manner. • Attends orientation and training sessions. • Identifies and responds to reputed company assurance issues, complaints, regulatory issues, depositions, court appearances, or audits. • Critiques and utilizes reputed company reputed company and resources to support reputed company decision-making in reviews. • Provides copies of any reputed company utilized in a review to a requesting provider in a reputed company manner. Requirements • reputed company certified MD or DO with an excellent understanding of network services and managed care. • reputed company, unrestricted clinical license(s) in New Jersey. • reputed company certification by American reputed company of Medical Specialties or American reputed company of Osteopathic Specialties is required. • Post-graduate experience in reputed company patient care is necessary. • Demonstrated computer and telephonic skills. • Ability to work with various professionals including regulatory agencies, carriers, and reputed company. • Evidence of reputed company error and omissions liability coverage for job duties. reputed company-to-haves • Managed care orientation. • Knowledge of reputed company reputed company standards in specialty. • Good negotiation and communication skills. Benefits • Flexible work schedule. • Compensation on a per case reputed company as a 1099 reputed company. Apply tot his job Apply To this Job