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Illinois Licensed Physician Reviewer
A company is looking for a Remote Physician Reviewer. Key Responsibilities Evaluate clinical service requests from members and providers Utilize clinical judgment and organizational criteria to adjudicate requests Provide clinical leadership within the organization Qualifications & Requirements Board Certified (ABMS) M.D. or D.O. required Unrestricted and active license to practice medicine required Minimum 8 years of clinical experience, including inpatient experience Utilization Review experience with an understanding of managed care principles Demonstrated PC proficiency for computer-based file reviews
A company is looking for a Remote Physician Reviewer.
Key Responsibilities
Evaluate clinical service requests from members and providers
Utilize clinical judgment and organizational criteria to adjudicate requests
Provide clinical leadership within the organization
Qualifications & Requirements
Board Certified (ABMS) M.D. or D.O. required
Unrestricted and active license to practice medicine required
Minimum 8 years of clinical experience, including inpatient experience
Utilization Review experience with an understanding of managed care principles
Demonstrated PC proficiency for computer-based file reviews