Physician Reviewer - Chicago
1 day ago

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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Job description
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