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Physical Medicine and Rehabilitation Physician Clinical Reviewer

Company: VirtualVocations
Location: Boca Raton
Posted on: September 20, 2023

Job Description:

A company is looking for a Physical Medicine and Rehabilitation Physician Clinical Reviewer.
Key Responsibilities:

Serve as the Clinical Reviewer for cases that do not initially meet the applicable medical necessity guidelines
Discuss determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request
Provide clinical rationale for standard and expedited appeals

Required Qualifications:

Board Certified by an American Certifying Board for Physical Medicine and Rehabilitation
Current, Unrestricted License in one or more states
5 years post residency experience
Must have practiced clinical medicine in the last 18 months

Keywords: VirtualVocations, Boca Raton , Physical Medicine and Rehabilitation Physician Clinical Reviewer, Healthcare , Boca Raton, Florida

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