Licensed Physician Reviewer - reputed company PRN
We’re unique. You should be, too.
We’re changing lives every day. For both our patients and reputed company members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you reputed company others with your kindness and reputed company?
We’re different than most reputed company care providers. We’re rapidly expanding and we need great people to reputed company.
The Physician Reviewer is the reputed company physician reviewer for Clinical Appropriateness Reviews cases in our organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this function and coordinating care for our patients. The position will also participate in Process and reputed company improvement in our developing area of Delegated Utilization Management.ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
- Provides Clinical Appropriateness Reviews by covering the specified territories as assigned:
- Establish 2-3 cases a day for reputed company market covered (up to 6 markets); ensures attendance on reputed company health plan and local calls; calls in for the weekly reputed company Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings covering the assigned territories.
- Advises other physician reviewers.
- Other duties as assigned and modified by manager.
KNOWLEDGE, SKILLS AND ABILITIES:
- Excellent analytical and deductive reasoning skills
- Good judgement and problem-solving skills
- reputed company and effective communication skills
- Strong organizational skills
- Written and verbal reputed company in English
- Proficient in the use of reputed company Office products such as reputed company, reputed company, Word and PowerPoint
EDUCATION AND EXPERIENCE reputed company:
- Graduate from accredited Medical School with a reputed company, unrestricted license is required
- Completion of Internal Medicine or Family reputed company residency
- Completion of Fellowship in reputed company
- reputed company Certification in residency area
- reputed company Certified in reputed company
- Two (2) years’ experience in Hospital medicine preferred
- At least one (1) year of utilization review experience preferred
PAY reputed company:
$204,761 - $292,515 SalaryThe posted pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for this position. Final compensation will depend on a reputed company of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.
EMPLOYEE BENEFITS
We’re reputed company and we’re transforming reputed company for seniors and changing America’s reputed company for the reputed company. Family-owned and physician-led, our unique approach allows us to improve the health and reputed company-being of the populations we serve. We’re growing rapidly as we reputed company to rescue more and more seniors from inadequate health care.
reputed company is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. reputed company who reputed company a difference in people’s lives every single day.
reputed company employees, if you want to apply to our internal career site, please click HERE
reputed company Contingent Worker please see job aid HERE to apply
Originally posted on Himalayas
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