Physician Advisor: Peer-to-Peer Medical Reviewer

Job description

HJ STAFFING is seeking two experienced Physician Advisors – Peer-to-Peer Medical Reviewers to conduct clinical discussions with treating providers regarding utilization management determinations.

You will apply Medicare/CMS requirements, applicable medical necessity criteria, health plan policies, and clinical judgment to determine the appropriate level of care and/or medical necessity of requested services.

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Who can apply

Review the original listing for work authorization, qualifications and employer requirements.