Physician Reviewer, Neurological Surgery - NV - Remote

Overview

This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule.

In Short

• Independent contract reviewers compensated on a per-case basis.
• Utilizes clinical expertise to review and interpret clinical treatment guidelines.
• Opines on the medical necessity of services/treatment proposed by other healthcare professionals.
• Ensures compliance with client-specific policies and standards of care.
• Maintains proper credentialing and required licenses.
• Attends required orientation and training.
• Identifies and responds to potential quality assurance issues.
• Returns cases on or before the due date.
• Completes calls as mandated by state/client specifics.
• Performs other duties as assigned.

Requirements

• Must hold a Nevada Medical License (M.D., D.O.).
• Experience in reviewing medical records.
• Ability to provide clear rationale for determinations.
• Knowledge of national, state, and professional association guidelines.
• Strong decision-making skills based on evidence-based criteria.
• Ability to maintain confidentiality and security.
• Excellent communication skills.
• Attention to detail.
• Ability to work independently.
• Commitment to quality assurance standards.

Benefits

• Flexible schedule tailored to your availability.
• Supplemental income opportunity.
• Work from home.
• Engagement with a professional panel of physicians.
• Opportunity to contribute to healthcare quality assurance.