Remote Physician Reviewer at The Judge Group Inc. in Atlanta, Georgia

Job Description:

Location: REMOTE

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.

Responsibilities:

• 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

Qualifications:

• 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

Important Note: This position does not involve direct patient care or medical diagnosis.



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!

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Contact: jmaybrier@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com Apply Now