Licensed Physician Reviewer- Pulmonology - PRN - Remote
Remote · from United States
Core
Primary physician reviewer for Utilization Management (UM) cases, covering specified territories and coordinating care for patients.
Role type
Licensed Physician Reviewer (Pulmonology)
Builds
Utilization Management decisions and care coordination for health plan members
Domain
Healthcare / Utilization Management
Required skills
Pulmonology board certification, Internal Medicine or Family Practice residency, Medical School graduate, Valid unrestricted medical license, Analytical and deductive reasoning, Problem-solving, Written and verbal fluency in English
Preferred skills
Hospital medicine experience, Utilization review experience
Technologies
Microsoft Office (Outlook, Excel, Word, PowerPoint)