Georgia Licensed Orthopedic Spine Reviewer

Job Summary

A company is looking for a Board-Certified Orthopedic Spine Surgeon - Utilization Reviewer licensed in Georgia.

Key Responsibilities

• Review medical records and treatment requests for medical necessity
• Evaluate appealed claims and issue evidence-based, impartial decisions
• Submit clear, written reports without direct patient care involved

Required Qualifications

• Board Certification in Orthopedic Surgery (Spine specialization preferred)
• Active and unrestricted Georgia Medical License
• Active involvement in clinical practice
• Familiarity with applying clinical guidelines and utilization criteria