Physician Reviewer Job at Crowdplum Global Services, California

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  • Crowdplum Global Services
  • California

Job Description

Job Title: Physican Reviewer

Job Location: California, United States

Job Type: Part time/Free lancer

Job Description:

  1. Have experience in utilization review with health plan populations - At least one year of experience is preferred.
  2. Experience and understanding in the use of both InterQual and Milliman Care Guidelines
  3. An active and unrestricted license to practice medicine in particular states based on the requirements.
  4. Board certification in an ABMS category
  5. Availability to conduct peer to peer reviews of clinical documentation for medical necessity
  6. Ability to review medical records for medical necessity

Job Tags

Freelance,

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