Texas Licensed PM&R Physician
A company is looking for a PM&R Telecommute Medical Review Stream Physician.
Key Responsibilities
Reviews medical files and provides recommendations for utilization review and medical necessity
Maintains proper credentialing and state licenses, and interacts with healthcare professionals
Identifies and critiques current criteria and resources to support objective decision-making in reviews
Required Qualifications, Training, and Education
Board certified MD or DO with an understanding of managed care and utilization of services
Current, unrestricted clinical license(s) or compliant with state board restrictions
Board certification by American Board of Medical Specialties or American Board of Osteopathic Specialties
Active medical practice required to perform appeals
Post-graduate experience in direct patient care
A company is looking for a PM&R Telecommute Medical Review Stream Physician.
Key Responsibilities
Reviews medical files and provides recommendations for utilization review and medical necessity
Maintains proper credentialing and state licenses, and interacts with healthcare professionals
Identifies and critiques current criteria and resources to support objective decision-making in reviews
Required Qualifications, Training, and Education
Board certified MD or DO with an understanding of managed care and utilization of services
Current, unrestricted clinical license(s) or compliant with state board restrictions
Board certification by American Board of Medical Specialties or American Board of Osteopathic Specialties
Active medical practice required to perform appeals
Post-graduate experience in direct patient care