Magellan Health
Physician Clinical Reviewer- Remote Hawaii (Finance)
Candidates who are currently living in and actively licensed in the state of Hawaii are strongly preferred. Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required.
Directs daily involvement in the following utilization management functions:
General Job Information
Title
Physician Clinical Reviewer- Remote Hawaii
Grade
33
Job Family
Clinical Services Group
Country
United States of America
FLSA Status
United States of America (Non-Exempt)
Recruiting Start Date
12/13/2019
Date Requisition Created
12/13/2019
Work Experience
Clinical
Education
MD (Required)
License and Certifications - Required
DO - Physician, State Licensure and Board Certified (ABMS or Specialty Board) - Physician, MD - Physician, State Licensure and Board Certified (ABMS or Specialty Board) - Physician
License and Certifications - Preferred
Other Job Requirements
Responsibilities
Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.