Position: Physician Reviewer Location: Remote in Texas (must have Texas Medical Licensure) Schedule: M-F 7-8 hours per day for 39 hours per week. Flex Sat/Sun as needed. Pay: $110 per hour Job Description: The physicianreviewer evaluates clinical service requests based on company guidelines to make medical necessity determinations. 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 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. Required Education/Skills: Must be Board Certified, M.D. or D.O with an unrestricted physician license in Texas. Must demonstrate PC proficiency, as file review will be done via computer in most cases. 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background. (Note: Position does not provide direct patient care or medical diagnosis.) #J-18808-Ljbffr EPITEC
We are searching for a Physician Assistant who is motivated to work in an exciting pediatric setting! In this position, you will practice in an advanced role to provide developmentally appropriate and age-appropriate health maintenance for well children, episodic care...
...Seasonal-Retail Associate At Fanatics Commerce, we're more than just a leader in licensed sports merchandise we're a team united by a relentless passion for our fans and a commitment to innovation. We live by our BOLD Leadership principles: We Build Championship Teams...
Join to apply for the Work from Home Marketing Opportunity role at A Life Perfected1 day ago Be among the first 25 applicantsJoin to apply... ...strategiesCreate compelling content that resonates with your target audience across various channels.Measure campaign success and...
Worksite PAY is hiring an Account Executive - Sales Rep. In this position, you'll identify and cultivate new prospects from relationships built with Bankers, Accountants, existing clients, as well as direct prospecting efforts. In addition you will cross-sell solutions...
...interview. It is super easy; just move cars!! Perfect job for veterans, college... ...personnel to fill positions in a Top Rated Car Rental Company. EDS Service Solutions staffs for... ...be 25 years of age or older Have a driver's license Clean Driving Record in the...