
Pediatric Pulmonology Utilization Reviewer β Texas Licensed
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in Texas.
β’ Perform independent Utilization Reviews.
β’ Engage in peer-to-peer discussions during daytime hours.
β’ Evaluate patient records while adhering to HIPAA regulations and maintaining confidentiality, privacy, and security protocols.
β’ Possession of a Medical Degree, either MD or DO.
β’ Must hold a valid Texas medical license.
β’ Current Board Certification in Pediatrics is required.
β’ Fellowship training in Pulmonology is necessary.
β’ A minimum of 5 years of clinical experience, including residency, is needed.
β’ Availability during the day is essential for peer-to-peer discussions.
β’ Must comply with all relevant HIPAA regulations as well as company policies and procedures concerning the confidentiality, privacy, and security of sensitive health information.
β’ Flexible independent contractor (1099) arrangement.
β’ Opportunity for fully remote work.
β’ No minimum commitment required.
β’ Coverage under MRIoA's Errors and Omissions policy.
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