Licensed Physician Reviewer - Remote - Endocrinology
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 (Utilization Management)
Builds
Utilization management decisions and care coordination for health plan members
Domain
Healthcare / Utilization Management
Required skills
Medical school graduate with valid unrestricted license, Internal Medicine or Family Practice residency, Board Certification, Analytical and deductive reasoning, Problem-solving, Communication, Organizational skills, Microsoft Office proficiency
Preferred skills
2+ years Hospital medicine experience, 1+ year Utilization review experience
Technologies
Microsoft Office (Outlook, Excel, Word, PowerPoint)