Physician Reviewer - Chicago

Only for registered members Chicago, United States

1 day ago

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Job Summary

This role provides medical necessity reviews for pre-service clinical requests on a remote,
weekend-only schedule. Physicians work 8-hour shifts on Saturdays and/or Sundays,
with a productivity expectation of 32 cases per day.

Responsibilities

  • Conduct pre-service medical necessity reviews based on established company guidelines
  • Evaluate clinical service requests to determine appropriateness and alignment with evidence-based criteria
  • Document determinations accurately within internal systems
  • Maintain compliance with all regulatory, clinical, and organizational standards

    Skills


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