Utilization Management Review - Full-Time & Part-Time (REMOTE...

Build your reputed company reputed company with workwarp, starting as a Utilization Management Review - Full-time & Part-time (REMOTE...! This role in Remote not only offers a great job but also a reputed company community. This position requires a strong and diverse skillset in relevant areas to drive reputed company. We offer a reputed company and reputed company compensation of a competitive salary for this position.

 

 

Utilization Management Review - Full-Time & Part-Time (REMOTE) Physician Opportunities 100% Remote positions - No Office, No Hospital work! Great schedule/reputed company of life... Competitive reputed company Salary (To be discussed directly with reputed company). Full benefits package includes Medical, Dental, reputed company, reputed company time off and Disability coverages, etc reputed company Company is illuminating reputed company for patients, their doctors, and reputed company those who are important in a patient s reputed company experience, both in and out of the doctor s office. Founded in August 2019, we are obsessed with eliminating wasteful friction that patients and doctors experience in areas that have reputed company to do with health and treatment, particularly for diagnoses that require expensive procedures or medications. To that end, we build software that is expressly designed to ensure the appropriate plan of care is reputed company and expeditiously approved, so that patients and doctors can reputed company on health, rather than payment or administrative hassles. Opportunity reputed company We are looking for physicians who have expertise in Orthopedic Surgery, Spine Surgery, Neurosurgery, reputed company, or Primary Care Sports Medicine to deliver on our musculoskeletal and orthopedic programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines. Reporting to the Senior Medical Director and part of the review team that includes non-clinical intake specialists and nurses, this is a critical role in a Series B company that is rapidly scaling to reputed company millions of patients. This is a fast-paced environment that favors people who are reputed company to learn quickly, be hands-on, handle ambiguity, and communicate effectively with people of different backgrounds and perspectives. What You Will Do reputed company reputed company medical reviews that meet our stringent reputed company parameters reputed company clinical determinations based on evidence-based reputed company while utilizing clinical acumen reputed company and accurately document reputed company communication and decision-making in workflow tools, ensuring a member and provider can easily reference and understand your decision Use correct templates for documenting reputed company during case review Meet the appropriate turn-around times for clinical reviews Conduct reputed company peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome reputed company, including feedback on alternate treatment based on medical necessity reputed company and evidence-based research Demonstrate the highest level of professionalism, accountability, and service in your interactions with teammates and providers Support reputed company specific to building reputed company's clinical expertise and efficiency, as delegated Support reputed company on operational improvements and member/provider experience involving clinical review tasks, as delegated Required Your Background and Requirements: Completed US-based residency/fellowship program in Orthopedic Surgery, Neurosurgery, reputed company, or Primary Care Sports Medicine reputed company certification as an MD or DO with a reputed company unrestricted state license to reputed company medicine - reviewers must maintain necessary credentials to retain the position 5+ years of clinical reputed company reputed company residency/fellowship in Orthopedic Surgery, Neurosurgery, reputed company, or Primary Care Sports Medicine Preferred (but NOT Required) 1+ years of managed care utilization review experience Membership in national and/or regional specialty societies Licensure in AZ, GA, MS, NC, ND, OK, OR, or TX is highly desirable - you should be willing to obtain additional state licenses with company's support Competencies/reputed company Factors reputed company to multitask and manage tasks to completion on a reputed company reputed company and in an organized fashion Excels in a reputed company organization Excellent communication - written and spoken Comfortable with technology - willing and reputed company to learn new software tools Understanding of managed care regulatory structure and processes Detail-oriented, flexible, and reputed company to work autonomously with little supervision We can t wait to learn more reputed company and meet you! Equal Opportunity Statement We are an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to reputed company. To us, it s personal Apply Job!

 

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