New Jersey Licensed Physician Reviewer

Job Summary

A company is looking for New Jersey Licensed Physician Reviewers - PM&R - Full Time.

Key Responsibilities

• Review pre-authorization cases according to MCG guidelines
• Participate in peer-to-peer calls as needed
• Produce an expected 40 cases per day based on medical criteria

Required Qualifications

• Active New Jersey medical license
• Current or prior experience with Utilization Management (UM) and Prior Authorization
• Board Certified
• Ability to work remotely and manage a flexible schedule
• Willingness to undergo training and onboarding in less than 1 week