Job Summary
A company is looking for a Physician Reviewer - Orthopedic Surgery (Utilization Review).
Key Responsibilities
- Evaluate medical records to determine the medical necessity of proposed orthopedic treatments and surgeries
- Review appealed cases and provide objective, evidence-based recommendations
- Submit clear, concise reports using a secure online portal
Required Qualifications
- Active, unrestricted Louisiana medical license
- Board Certification in Orthopedic Surgery
- Current clinical or surgical practice
- Comfortable working independently in a digital, remote setting
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