Title: Physician Reviewer - Remote
Mandatory skills:
clinical service, clinical judgment,
practice medicine, inpatient, managed care,
file review, patient care, medical diagnosis,
anticipatory case management
Description:
Evaluates clinical service requests made by an organization''s members and providers. Uses clinical judgment in conjunction with organization''s criteria to adjudicate these requests. May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members'' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member. Participates in the process to evaluate clinical service requests. Practices anticipatory case management for members whose cases come for review, in partnership with case managers. Participates in the Physician Review Units'' appeal process of service denials. Participates in the development of Physician Review Units'' policies and procedures. Actively participates in all unit continuous quality improvement activities. Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does not provide direct patient care or medical diagnosis.)
Required Qualification(s)
Board Certification in a Medical Specialty, active medical license. TX and NM license within 6 months
Preferred Qualification(s)
Orthopedics, Genetics, PMR, Allergy Immuniology, Rheumatology, plastic surgery, transplant
Notes:
schedule is M-F, but may need to work 3-4 weekends per year
remote, but must reside within one of our plan states
Contract to Hire
VIVA USA is an equal opportunity employer and is committed to maintaining a professional working environment that is free from discrimination and unlawful harassment. The Management, contractors, and staff of VIVA USA shall respect others without regard to race, sex, religion, age, color, creed, national or ethnic origin, physical, mental or sensory disability, marital status, sexual orientation, or status as a Vietnam-era, recently separated veteran, Active war time or campaign badge veteran, Armed forces service medal veteran, or disabled veteran. Please contact us at for any complaints, comments and suggestions.
Contact Details :
Account co-ordinator: Keerthana Bathrappan
VIVA USA INC.
3601 Algonquin Road, Suite 425
Rolling Meadows, IL 60008
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