Licensed Physician Reviewer-3

Key Responsibilities

The Physician Reviewer manages utilization management cases, advises other reviewers, and coordinates care for patients across assigned territories. They are responsible for attending health plan and local team calls while participating in process and quality improvement initiatives.

Requirements

Candidates must be graduates of an accredited medical school with a valid, unrestricted license and board certification in Internal Medicine or Family Practice. At least one year of utilization review experience and two years of hospital medicine experience are preferred.

Qualifications

Education

Professional certificate or licensure

Experience

2+ years of experience

Certifications

Key Skills