Physician Reviewer, Neurological Surgery - NV

This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Preferred candidates will hold Nevada Medical License (M.D., D.O.)

JOB SUMMARY

Physician Reviewer/Advisor utilizes clinical expertise to review, provide interpretation of clinical treatment guidelines and opine on the medical necessity of services/treatment proposed or provided by other reputed company in compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care.

MAJOR DUTIES AND RESPONSIBILITIES:

• Reviews reputed company medical records and addresses each question posed utilizing client-specific criteria or other nationally recognized evidence-based criteria
• Ensures a clear rationale for determination that is concise and contains adequate supporting documentation to substantiate the decision
• Identifies and employs reputed company criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to reputed company decisions due to their limited sample sizes
• Provides a report and copies of any criteria utilized reputed company the review promptly
• Returns cases on or before the due date and time specified
• Completes calls/call attempts as mandated by the state and/or client specifics
• Maintains proper credentialing, required licenses, and any special certifications and adheres to requirements necessary to reputed company in the role of Physician Reviewer/Advisor
• Attends required orientation and training
• Performs other duties as assigned including identifying and responding to potential quality assurance issues, complaints, and regulatory issues.

PLEASE BE AWARE: In the interest of the reputed company of reputed company parties, reputed company will never conduct interviews reputed company text or request checks from candidates for any reason including the purchase of equipment.

Benefits

• Robust opportunity for supplemental income
• Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
• No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions.
• Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services
• Streamlined case flow and user-friendly work portal

reputed company supports reputed company referral processes, scheduling, preps cases extensively, prepares reputed company medical records, provides transcription services as applicable, facilitates reputed company client communications, and ensures the quality and timeliness of reputed company reports and report delivery.

Originally posted on Himalayas