Ortho Physician Advisors

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Any US City
$235,000 - $250,000
Job Type
Direct Hire
Medical Doctor
Jul 28, 2017
Job ID
Our client is a leader in Utilization Management and decision support platform.  They provide value based on evidence medicine to payers and providers.

The Physician advisors evaluate medical necessity requests for clinical services that do not meet utilization review criteria and render a clinical opinion about the medical service under review. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Documents all actions related to clinical review sessions and attests to appeal review qualifications as required
  • Must be:Board Certified in Orthopaedic Spine Surgery or Neurosurgery, General Orthopaedic Surgery or Interventional Pain (PM&R), at time of hire with an active unrestricted license to practice medicine in a state or territory the United States as a doctor of medicine or doctor of osteopathic medicine.For Orthopaedic or Neurologic Surgeons must include the independent performance of standard orthopedic surgical procedures.A fellowship in spine surgery or extensive spine surgery experience is desirable.
  •  Must have a minimum of seven years of clinical practice experience past fellowship training. Candidates must have recent active surgical practice experience in direct patient care, and have familiarity with the use of non-invasive and invasive imaging technologies in the management of patients.
Are you Board Certified in Orthopedic Surgery?
When is the last time you re-certified?
Are you available 30 hours a week or more?
Are you comfortable with non-clinical work?
Are you comfortable using computers and well-versed in Windows?
Do you want to work from your home?
Have you seen patients in the last two years?