California Licensed Neurologist

A company is looking for a Board Certified Neurologist for a telecommute medical review position. Key Responsibilities Review medical files and provide recommendations for utilization review, medical necessity, and appropriateness of care Meet with the Medical Director to discuss quality of care and credentialing issues Return cases in a timely manner with complete rationales and maintain proper credentialing and licenses Required Qualifications, Training, and Education Board certified MD or DO with expertise in network services and managed care Current, unrestricted clinical license(s) Board certification by American Board of Medical Specialties or American Board of Osteopathic Specialties Active medical practice experience is required for performing appeals Post-graduate experience in direct patient care

Apr 9, 2025 - 08:22

A company is looking for a Board Certified Neurologist for a telecommute medical review position. Key Responsibilities Review medical files and provide recommendations for utilization review, medical necessity, and appropriateness of care Meet with the Medical Director to discuss quality of care and credentialing issues Return cases in a timely manner with complete rationales and maintain proper credentialing and licenses Required Qualifications, Training, and Education Board certified MD or DO with expertise in network services and managed care Current, unrestricted clinical license(s) Board certification by American Board of Medical Specialties or American Board of Osteopathic Specialties Active medical practice experience is required for performing appeals Post-graduate experience in direct patient care