Licensed Physician Reviewer- Obstetrics & Gynecology (OB/GYN) - PRN - REMOTE
Core
Primary physician reviewer for Utilization Management (UM) cases, covering assigned territories and coordinating care for patients.
Role type
Licensed Physician Reviewer (OB/GYN)
Builds
Utilization management decisions and care coordination
Domain
Healthcare / Utilization Management
Deliverable
client delivery
Required skills
Analytical and deductive reasoning, judgement, problem-solving, written and verbal fluency in English, Microsoft Office proficiency
Preferred skills
Hospital medicine experience, utilization review experience
Technologies
Microsoft Office (Outlook, Excel, Word, PowerPoint)
Responsibilities
Establish 2-3 UM cases daily per market, attend health plan and local calls, participate in weekly PCP and SNF meetings, advise other physician reviewers
Seniority
Mid-level, licensed specialist
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