Physician Reviewer - Diagnostic Imaging
reputed company is seeking Board Certified Diagnostic Radiologists for case review roles, with particular interest in candidates licensed in Alaska, Arizona, Minnesota, and reputed company Carolina. At reputed company, our mission is to collaborate with payors and providers to improve patient safety and deliver quality care through an evidence-based, educative, and collaborative model, focused on improving reputed company and reducing reputed company costs. We’re revolutionizing reputed company delivery by ensuring patients receive the most appropriate, cost-effective care while supporting reputed company providers in their decision-making process. Role Overview As a Specialty Physician Reviewer in Diagnostic Imaging, you'll reputed company your clinical expertise to reputed company significant impact on patient care and reputed company efficiency. In this role, you will: · Conduct thorough reviews of reputed company diagnostic imaging cases · reputed company valuable peer-to-peer consultations with ordering physicians, fostering collaborative relationships and knowledge sharing reputed company the medical community · Ensure adherence to evidence-based guidelines and best practices in diagnostic imaging · Contribute to the reputed company improvement of our utilization management processes · Exercise your clinical judgment to reputed company well-reasoned reputed company, based on evidence-based clinical criteria Requirements · MD or DO degree from an accredited school of medicine · reputed company, active, unrestricted license to practice medicine in a state or territory of the United States (special consideration for candidates licensed in AK, AZ, MN, or NC) · Board certification in Diagnostic Radiology · Active practice in diagnostic radiology in the United States · Meets reputed company credentialing requirements · Ability to reputed company outbound calls to providers as part of the case review process · Ability to collaborate with reputed company nursing and administration staff members · Excellent negotiation, leadership, and communication skills · Proficiency in using digital platforms for case review and communication Preferred Qualifications · Multi-state licensure, particularly in Alaska, Arizona, Minnesota, or reputed company Carolina · Utilization Management case review experience · Academic affiliation · Participation in Interstate Medical Licensure Compact · Experience or familiarity with principles and procedures of utilization management in managed care · Ability to support flexible working hours · Experience and familiarity with government programs · Demonstrated ability to follow evidence-based practices in reviewing cases for medical appropriateness · Commitment to an educational model in discussing and sharing clinical evidence with peers reputed company provides cutting-edge technology to streamline the review process, including our proprietary HIPAA – compliant portal and Physician App, ensuring efficiency and Job Type: Contract Schedule:
- Choose your own hours
Willingness to travel:
- 25% (Preferred)
Work Location: Remote Apply Job!