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Radiation Oncology - Senior Physician Case Review Opportunity
Dallas, Texas, United States

Job Summary

Occupation Physician
Specialty Oncology-Radiation
Degree Required MD/DO
Position Type Permanent/Full-Time Locums/Travel Part-Time/Contract
Work Environment Ambulatory Surgery Center (ASC) Academic/Training Program Hospital Clinic/Private Practice
Location California, United States
Visa Sponsorship No

Job Description

Last Update: 8/31/16
Job Category
Physicians
Profession
Radiology
Specialty
Radiation Oncology
Shift
GREATER LOS ANGELES OR GREATER CHICAGO – YOUR CHOICE
Duration

Start Date
ASAP
Pay Rate
Call for Details
Job Description & Requirements
Radiation Oncology - Senior Physician Case Review Opportunity
Unique Senior Physician Case Review Opportunity – Radiation Oncology
Greater Los Angeles or Greater Chicago – Your Choice
Banker's Hours Role – 100% Administrative – Quality of Life Balance

Opportunity to split time working from home after your first year of employment!

Our client is currently seeking a board-certified Radiation Oncologist to participate in pre-authorization and quality improvement solutions for sleep studies and high-tech diagnostic imaging. Physician Reviewers determine the medical necessity of outpatient requests using clinical appropriateness guidelines and health plan medical policy.
  • Perform physician-level case review of radiation therapy procedures and related radiology studies
  • Determine medical necessity of requests using Clinical Appropriateness Guidelines and client-specific health plan medical policy
  • Conduct peer-to-peer consultations with ordering physicians, PA'sand advanced practice nurses to provide education regarding established guidelines and accepted standards of care regarding studies and site of service
  • Suggest alternative studies and sites of careto ordering providers when appropriate
  • Provide support and educate clinical and non-clinical staff to foster understanding of the principles associated with appropriate use of covered modalities
  • Actively participate in physician team meetings
  • Demonstrate and maintain knowledge of relevant policies and regulations pertaining to radiation therapy and related radiology studies
  • Actively participate in groups that develop, revise and enhance clinical appropriateness guidelines
  • Perform first level provider appeals of coverage decisions
  • Adhere to all protocols, policies and procedures

Our client is a leading specialty benefits management company with more than 20 years of experience and a growing presence in the management of Sleep Medicine, Radiology, Cardiology, Oncology and specialty pharmacy benefits. Their mission is to make healthcare services more clinically appropriate, safer and more affordable. As such, they promote the most appropriate use of specialty care services through the application of widely accepted clinical guidelines delivered via an innovative platform of technologies and services. With over 38 million members covered across 50 states, our client ensures delivery of the right test at the right time in the right place.


Required Qualifications
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Preferred Qualifications
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About the Facility
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Job Benefits


About the Company
Merritt Hawkins Associates, an AMN Healthcare company, is a permanent physician placement service that fills more physician jobs than any other firm. In addition to being the nation’s leader in physician employment search and consulting services, Merritt Hawkins also recruits and places select allied health professionals. AMN Healthcare is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female applicants to apply.