Upvote
Downvote
Physician Clinical Reviewer - Interventional Pain Management
Share Job
- Suggest Revision
- Physician Clinical Reviewer-Interventional Pain Management
- As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the utilization management team.
- Serve as the Physician Clinical Reviewer for Interventional Pain Management, reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert.
- Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines.
- Participates in on-going training per inter-rater reliability process.
Active Job
Updated TodaySimilar Job
Relevance
Active