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Remote Utilization Review- General Surgeon

Expired Job

Healthcare Recruiters Dallas , TX 75201

Posted 2 months ago

Must Haves:

1. ABMS Board Certified (MD or DO)

2. Minimum of 5 years clinical experience (after fellowship)

3. Has seen patients in last 18 to 24 months

Tell Me About this Job:

1. Intake- cases come in and filtered through AI then reviewed by non-clinical support team

2. Nurse Review- cases then reviewed by nurse if outcome can't be determined by non- clinical support team

3. AMD Review- Cases are escalated to the AMD team if an outcome can't be determined by nurse review

4. AMD Review Process- cases are reviewed on portal or peer-to-peer calls to determine the appropriate evidence-based clinical decisionAMDs (Assistant Medical Directors) will typically spend 50% of the day reviewing cases within an online portal and 50% conducting peer-to-peer (P2P) telephone calls. These calls are usually with the requesting provider, focusing on reconsideration of a denied case.

Reasons to
Love This Job:

1. Work/ Life Balance- predictable work schedule, remote work opportunities, full and part- time opportunities available

2. Continued support and hands on training

3. Rewarding work in a highly collaborative and congenial environment

4. Bonus eligibility

Scheduling:

- M-W-F schedule

- Need to be able to have consistent schedule

- 20 hours a week is minimum hours that can be worked

- Cannot work less than 4 hours a day

- 20+ hours a week (able to determine how many hours you would like to work, and choose schedule)

See if you are a match!

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Remote Utilization Review- General Surgeon

Expired Job

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