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Oncologist Utilization Management (Remote)
Job Summary
Occupation
Physician
Specialty
Gynecology-Oncology
Degree Required
MD/DO
Position Type
Permanent/Full-Time
Work Environment
Hospital
Clinic/Private Practice
Location
33441, Deerfield Beach, Florida, United States
Visa Sponsorship
No
Job Description
Last Update:
12/04/20
Oncologist Utilization Management (Remote)
We are seeking a Oncologist physician to conduct utilization management, chart reviews for a leading CLIA certified laboratory. The laboratory's testing includes Toxicology, Blood, RPP, UTI, and Molecular Genetics. This is a part-time or full-time, remote position and can start quickly.
Oncologist Utilization Benefits
- Competitive compensation
- Flexibility to be part-time or full-time
- Remote position. Work from the comfort of your home
- Flexible hours and work schedule
- Malpractice insurance covered
Oncologist Utilization Responsibilities
- Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria
- Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies
- Documents all actions related to clinical review sessions and attests to appeal review qualifications as required
- Maintains files of all reviews as required by law and Health Plans to retrieve reportable data
Oncologist Utilization Requirements
- Board certified in Oncology
- Current and active medical license with no restrictions
- Knowledge of applicable state and federal laws
- Familiarity with automated processes and computer applications and systems is required
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