Job Summary
A company is looking for an Orthopedic Surgery Specialist for a remote Utilization Review opportunity.
Key Responsibilities:
- Review medical records and treatment plans for medical necessity
- Apply state-specific workers' compensation guidelines and national evidence-based criteria
- Deliver clear, concise, and well-supported determinations within assigned timeframes
Required Qualifications:
- Board Certification in Orthopedic Surgery (Spine experience preferred)
- Active, unrestricted medical license in Mississippi
- Experience with Workers' Compensation cases is a plus
- Must be actively practicing in a clinical setting
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