Pediatric Pulmonology Utilization Reviewer – Texas Licensed

Posted 2 days ago

This is a fully remote position, open to applicants in Texas.

πŸ“‹ Description

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.


⛳️ Requirements

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.


🏝️ Benefits

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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