Greetings,
Hot ASAP Need MD-PC Medical Review for remote opportunity in CA
Start date 9/18 (4 months) unless converted to perm
MD-PC Medical Review
Below is the Utilization Management Medical Director my understanding is provider is working primarily CA cases and Medicaid requires the CA license.
Can work in Cerritos, CA or Remote with CA license
- Remote role responsible for the administration of medical services, to ensure the appropriate and most cost effective medical care is received.
- May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations and a resource to clinical staff
- Supports clinicians to ensure timely and consistent responses to members and providers.
- May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations
- Interprets medical policies and clinical guidelines.
- Requires MD or DO and current Board certification
- Must possess an active unrestricted medical license to practice medicine in CA
- Standard hours are 8 AM 5 PM PT M-F
- Available to work weekends and holiday s on a rotation assignment for call coverage
- Ensures timely review of all case work to meet business turnaround times
- Reports to Managing Medical Director and works with a staff of 3 other MD reviewers
Best regards,
Troy
Maybe not for you? Share with a friend. I want to find the work you seek National PRN/Locums, Contract, PT/FT most all with extensions/permanent opportunities.
or reply for immediate consideration
Troy Bentley
Maxim Staffing
Sr. National Recruitment Manager
Office:
Cell:
Fax:
5001 LBJ Freeway Suite 200
Dallas, TX 75244