Job Summary
A company is looking for a Board-Certified Dental Specialist for a remote advisory review position.
Key Responsibilities
- Conduct Utilization Reviews to evaluate the medical necessity of requested dental treatments and procedures
- Review prior authorization and appeal cases based on clinical guidelines and standards of care
- Provide objective, evidence-based written determinations
Qualifications
- Board Certification in a dental specialty (e.g., Oral Surgery, Endodontics, etc.)
- Active, unrestricted New York Dental License
- Current or recent engagement in clinical practice
- Familiarity with evidence-based guidelines and electronic dental records
Comments