Louisiana Licensed Orthopedic Spine Reviewer

Job Summary

A company is looking for an Orthopedic Spine Surgeon - Utilization Review Physician (Remote, LA Licensed).

Key Responsibilities

• Conduct Utilization Reviews to assess medical necessity of requested treatments and procedures
• Review prior authorization and appeal cases based on clinical guidelines and standards of care
• Deliver clear, evidence-based, and impartial written determinations

Qualifications

• Board Certification in Orthopedic Surgery (Spine subspecialty preferred)
• Active, unrestricted Louisiana Medical License
• Active engagement in clinical practice
• Familiarity with evidence-based guidelines and digital medical records