What are the responsibilities and job description for the Remote Physician Reviewer position at The Judge Group?
Location: Richardson, TX, USA
Salary: $100.00 USD Hourly - $105.00 USD Hourly
Description
Join Our Team as a Physician Reviewer (Remote) and Make a Difference!
Are you a dedicated and experienced physician looking to leverage your clinical expertise in a dynamic and impactful role? We are seeking a Physician Reviewer to join our team and contribute to our mission of providing exceptional healthcare services. This fully remote position offers flexibility and the opportunity to work from any state while making a significant impact on patient care.
Job Title: Physician Reviewer (Remote)
Pay Rate: $105/hour
Location: Fully Remote - Can reside in any state
Required Hours
Why Join Us?
By joining our team, you will be part of a forward-thinking organization that values innovation, collaboration, and excellence. We offer a supportive work environment, competitive pay, and the chance to make a real difference in the lives of our members. If you are passionate about healthcare and eager to contribute your skills to a meaningful cause, we encourage you to apply!
By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help.
Contact: jmaybrier@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
Salary: $100.00 USD Hourly - $105.00 USD Hourly
Description
Join Our Team as a Physician Reviewer (Remote) and Make a Difference!
Are you a dedicated and experienced physician looking to leverage your clinical expertise in a dynamic and impactful role? We are seeking a Physician Reviewer to join our team and contribute to our mission of providing exceptional healthcare services. This fully remote position offers flexibility and the opportunity to work from any state while making a significant impact on patient care.
Job Title: Physician Reviewer (Remote)
Pay Rate: $105/hour
Location: Fully Remote - Can reside in any state
Required Hours
- Will work at least two weekends per month - every Saturday and Sunday, 9am-5pm/8am-4pm (8 hours each day)
- Must be available Monday to Friday, 8am-5pm CST for training 3 to 4 days per week for approximately 4 weeks. Will move to weekends after training.
- Pre-service Reviews only
- Evaluate clinical service requests from members and providers
- Utilize clinical judgment and organizational criteria to adjudicate requests
- Provide clinical leadership within the organization
- Identify opportunities to manage members' clinical situations through creative problem-solving
- Practice anticipatory case management in partnership with case managers
- Participate in the Physician Review Units' appeal process for service denials
- Contribute to the development of Physician Review Units' policies and procedures
- Actively participate in unit continuous quality improvement activities
- Perform other duties as assigned by the Medical Director
- Board Certified (ABMS) M.D. or D.O. required
- Unrestricted and active license to practice medicine required
- Minimum 5 years of clinical experience, including inpatient experience
- Utilization Review experience
- Understanding of managed care principles
- Demonstrated PC proficiency for computer-based file reviews
Why Join Us?
By joining our team, you will be part of a forward-thinking organization that values innovation, collaboration, and excellence. We offer a supportive work environment, competitive pay, and the chance to make a real difference in the lives of our members. If you are passionate about healthcare and eager to contribute your skills to a meaningful cause, we encourage you to apply!
By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help.
Contact: jmaybrier@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
Salary : $100 - $105
