Greetings,

Hot ASAP Need MD-PC Medical Review for remote opportunity in CA

*****Start date 9/18 (4 months) unless converted to perm

MD-PC Medical Review

Below is the Utilization Management Medical Director my understanding is provider is working primarily CA cases and Medicaid requires the CA license.

***Can work in Cerritos, CA or Remote with CA license..

• Remote role responsible for the administration of medical services, to ensure the appropriate and most cost effective medical care is received.

• May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations and a resource to clinical staff

• Supports clinicians to ensure timely and consistent responses to members and providers.

• May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations

• Interprets medical policies and clinical guidelines.

• Requires MD or DO and current Board certification

• Must possess an active unrestricted medical license to practice medicine in CA

• Standard hours are 8 AM – 5 PM PT M-F

• Available to work weekends and holiday’s on a rotation assignment for call coverage

• Ensures timely review of all case work to meet business turnaround times

• Reports to Managing Medical Director and works with a staff of 3 other MD reviewers

Best regards,

Troy

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Troy Bentley

Maxim Staffing

Sr. National Recruitment Manager

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