What are the responsibilities and job description for the Medical Director, UM - Orthopedic Surgery position at VirtualVocations?
A company is looking for a Medical Director, UM - Orthopedic Surgery, Spine Surgery and Therapy Reviews.Key ResponsibilitiesConduct coverage reviews for musculoskeletal surgical procedures and document findings in compliance with regulationsCoordinate with clinical staff on coverage reviews and engage in peer-to-peer discussions with providersParticipate in clinical conferences and ensure accurate benefit determinations through collaboration with providersRequired QualificationsCurrent, active, and unrestricted medical licenseBoard Certification in Orthopedic Surgery, Spine Surgery, or PM&R5 years of clinical practice experience post-residencySound understanding of Evidence Based Medicine (EBM)Proficient with MS Office applications
