Illinois Licensed Pediatric Reviewer

A company is looking for a Pediatric Physician Reviewer (PRN). Key Responsibilities Conduct peer-to-peer physician consultations and document findings Provide clinical expertise to improve clinical operations and represent the organization in state appeal processes Analyze healthcare regulations and represent the organization at professional meetings Required Qualifications Licensed Physician (MD/DO) in Illinois Board Certification in Pediatrics Active practice with admitting or staff privileges in Illinois hospitals Experience in Utilization Management and knowledge of Medicaid and Medicare programs Proficiency in Microsoft Office applications

Feb 24, 2025 - 18:36

A company is looking for a Pediatric Physician Reviewer (PRN). Key Responsibilities Conduct peer-to-peer physician consultations and document findings Provide clinical expertise to improve clinical operations and represent the organization in state appeal processes Analyze healthcare regulations and represent the organization at professional meetings Required Qualifications Licensed Physician (MD/DO) in Illinois Board Certification in Pediatrics Active practice with admitting or staff privileges in Illinois hospitals Experience in Utilization Management and knowledge of Medicaid and Medicare programs Proficiency in Microsoft Office applications