Illinois Licensed Family Practice Physician

A company is looking for a Family Practice Telecommute Medical Reviewer. Key Responsibilities Reviews medical files and provides recommendations for utilization review and appropriateness of care Maintains proper credentialing and state licenses while returning cases with clear rationales Interacts with healthcare professionals and addresses quality assurance issues as needed Required Qualifications Board certified MD or DO with an understanding of managed care and utilization of services Current, unrestricted clinical license(s) required Board certification by American Board of Medical Specialties or American Board of Osteopathic Specialties Must be in active medical practice to perform appeals Post-graduate experience in direct patient care is necessary

Mar 28, 2025 - 02:30

A company is looking for a Family Practice Telecommute Medical Reviewer. Key Responsibilities Reviews medical files and provides recommendations for utilization review and appropriateness of care Maintains proper credentialing and state licenses while returning cases with clear rationales Interacts with healthcare professionals and addresses quality assurance issues as needed Required Qualifications Board certified MD or DO with an understanding of managed care and utilization of services Current, unrestricted clinical license(s) required Board certification by American Board of Medical Specialties or American Board of Osteopathic Specialties Must be in active medical practice to perform appeals Post-graduate experience in direct patient care is necessary