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State Licensed Physician Reviewer

Company: VirtualVocations
Location: Chesapeake
Posted on: March 29, 2025

Job Description:

A company is looking for a Physician Utilization Reviewer (Medical Director).
Key Responsibilities

Evaluate and adjudicate clinical service requests based on healthcare plan criteria and medical guidelines
Engage in peer-to-peer outreach with treating providers as necessary
Ensure accurate and timely clinical determinations are produced for clients

Required Qualifications

MD or DO degree required
Current board certification in Family Medicine or Internal Medicine
At least 5 years of direct patient care experience post-residency
Current, unencumbered medical license as required for clinical practice
Ability to obtain additional state licenses as needed

Keywords: VirtualVocations, Chesapeake , State Licensed Physician Reviewer, Healthcare , Chesapeake, Virginia

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