Job Summary
A company is looking for a Plastic Surgeon - Utilization Review Physician (Remote, LA Licensed).
Key Responsibilities
- Conduct Utilization Reviews to assess medical necessity of requested treatments or procedures
- Review prior authorizations and appealed cases using evidence-based clinical guidelines
- Provide well-documented, objective, and clinically sound determinations
Required Qualifications
- Board Certification in Plastic Surgery
- Active, unrestricted Louisiana Medical License
- Currently engaged in clinical practice
- Comfort working with electronic medical records and evidence-based guidelines
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