PRN Medical Consultant Reviewer Family Medicine
Remote · from United States
Core
Provide expert clinical assessments and medical necessity reviews across Medicaid, Workers' Compensation, and private healthcare programs.
Role type
Medical Consultant Reviewer (Family Medicine)
Builds
Evidence-based healthcare decisions and utilization management support
Domain
Healthcare / Utilization Management
Required skills
Board certification in Family/Internal/Emergency Medicine, Clinical judgment, Evidence-based guidelines application, Regulatory compliance, Physician-to-physician consultation, Fair hearing representation, Inter-Rater Reliability audits
Preferred skills
7+ years clinical practice, Prior utilization management or peer review experience
Technologies
Virtual communication tools, Computer systems