Texas Licensed Pediatric Utilization Reviewer
A company is looking for a Remote Utilization Review - Pediatric Physician. Key Responsibilities Conduct Utilization Reviews in the Utilization Management/Peer Review process Review medical claims to determine treatment appropriateness Complete cases typically within 30-60 minutes, averaging 1-2 hours per week Required Qualifications Must be an MD or DO, Board Certified in Pediatrics Must have 5 years of patient care experience in Pediatrics Must have solid computer navigation skills Must have an unrestricted TEXAS state medical license Must be a US Citizen or hold a Green Card
