Physician Reviewer, Neurological Surgery - NV in Nevada

This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Preferred candidates will hold Nevada Medical License (M.D., D.O.)

JOB SUMMARY

Physician Reviewer/Advisor utilizes clinical expertise to review, provide interpretation of clinical treatment guidelines and opine on the medical necessity of services/treatment proposed or provided by other healthcare professionals in compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care.

MAJOR DUTIES AND RESPONSIBILITIES:

• Reviews all medical records and addresses each question posed utilizing client-specific criteria or other nationally recognized evidence-based criteria
• Ensures a clear rationale for determination that is...