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State Licensed Physician Reviewer

Company: VirtualVocations
Location: Richmond
Posted on: February 4, 2025

Job Description:

A company is looking for a Physician Reviewer, Utilization Management.



Key Responsibilities

Provide timely medical reviews that meet quality parameters
Document communication and decision-making accurately in workflow tools
Conduct peer-to-peer discussions with treating providers regarding clinical information


Required Qualifications

Board certification as an MD or DO with an unrestricted license to practice medicine
6+ years of clinical practice experience
1+ years of utilization review experience in a managed care plan
Licensure in multiple states is a plus
Board Certification in Cardiology or Neurology is a bonus

Keywords: VirtualVocations, Washington DC , State Licensed Physician Reviewer, Healthcare , Richmond, DC

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