Internal Medicine Physician

We are looking for a physician currently board certified in Internal Medicine or Family Medicine, who has a specific interest in Utilization Management/Review Work. This position allows you the comfort of working from home. Utilizing a desktop computer provided for you.
The Physician Reviewer will use his/her clinical judgment in conjunction with healthcare plan criteria and nationally recognized medical guidelines to evaluate and adjudicate clinical services requests, engaging in peer-to-peer outreach with treating providers, as appropriate.
Using healthcare plan criteria and/or nationally recognized medical guidelines, reviewer will provide an informed, objective voice to the review of coverage decision, and provide recommendations for improving the quality of care, and help shape health plan coverage policy to be consistent with current literature and standard of practice.
This is a full time permanent position with a 2 month probation period. After probation period posi...