Texas Licensed Emergency Medicine Physician

A company is looking for an Emergency Medicine Telecommute Medical Review Stream Physician. 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 with clear rationales and interact professionally with healthcare providers Required Qualifications Board certified MD or DO with knowledge of network services and managed care Current, unrestricted clinical license(s) relevant to the position Active medical practice required for performing appeals Post-graduate experience in direct patient care Board certification by relevant medical specialties is required

Apr 9, 2025 - 08:22

A company is looking for an Emergency Medicine Telecommute Medical Review Stream Physician. 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 with clear rationales and interact professionally with healthcare providers Required Qualifications Board certified MD or DO with knowledge of network services and managed care Current, unrestricted clinical license(s) relevant to the position Active medical practice required for performing appeals Post-graduate experience in direct patient care Board certification by relevant medical specialties is required