New Jersey Licensed Dentist

A company is looking for a Dentist Telecommute Medical Review Stream. 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 clear rationales and maintain proper credentialing and state licenses Required Qualifications, Training, and Education Board certified MD or DO with an understanding of managed care and quality assurance Current, unrestricted clinical license(s) with compliance to state regulations Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties Active medical practice experience required for performing appeals Post-graduate experience in direct patient care

Apr 7, 2025 - 22:53

A company is looking for a Dentist Telecommute Medical Review Stream. 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 clear rationales and maintain proper credentialing and state licenses Required Qualifications, Training, and Education Board certified MD or DO with an understanding of managed care and quality assurance Current, unrestricted clinical license(s) with compliance to state regulations Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties Active medical practice experience required for performing appeals Post-graduate experience in direct patient care