New Mexico Licensed Medical Reviewer
Company: VirtualVocations
Location: Vista
Posted on: May 7, 2025
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Job Description:
A company is looking for a Spine Telecommute Medical Review
Stream Physician.
Key Responsibilities
Reviews medical files and provides recommendations for utilization
review, medical necessity, and appropriateness of care
Maintains proper credentialing and state licenses, and interacts
professionally with healthcare providers
Identifies and critiques current criteria and resources to support
objective decision-making in reviews
Required Qualifications, Training, and Education
Board certified MD or DO with experience in network services and
managed care
Current, unrestricted clinical license(s) relevant to the
position
Active medical practice required to perform appeals
Post-graduate experience in direct patient care
Board certification by relevant medical specialties is
mandatory
Keywords: VirtualVocations, Rowland Heights , New Mexico Licensed Medical Reviewer, Healthcare , Vista, California
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