Licensed Physician Reviewer – Pain Management

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $204.8k - $292.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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ChenMed

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1970

⚕️ Healthcare Insurance

🏥 Healthcare

💊 Pharmaceuticals

Healthcare Insurance • Healthcare • Pharmaceuticals

ChenMed is America’s leading primary care provider focused on delivering preventive, VIP care for seniors. The company prioritizes the doctor-patient relationship, offering a personalized and intensive care model where physicians manage smaller patient panels, enhancing the quality of care. With around-the-clock access to doctors, on-site medications, and transportation assistance, ChenMed aims to improve health outcomes for vulnerable elderly populations, emphasizing prevention and relationship-building in healthcare.

📋 Description

• Serve as the primary physician reviewer for Utilization Management cases • Provide Delegated Utilization Management coverage for assigned territories • Establish 2–3 cases per day for each covered market, up to 6 markets • Attend all health plan and local calls • Participate in weekly Primary Care Provider and Skilled Nursing Facility meetings for assigned territories • Advise other physician reviewers • Coordinate care for patients with health plan teams and local teams • Participate in process and quality improvement for Delegated Utilization Management • Perform other duties as assigned or modified by the manager

🎯 Requirements

• Graduate from an accredited medical school with a valid, unrestricted license required • Completion of Internal Medicine or Family Practice residency • Board Certification in Pain Management • Two years’ experience in hospital medicine preferred • At least one year of utilization review experience preferred • Excellent analytical and deductive reasoning skills • Good judgment and problem-solving skills • Professional and effective communication skills • Strong organizational skills • Written and verbal fluency in English • Proficient in Microsoft Office products including Outlook, Excel, Word, and PowerPoint

🏖️ Benefits

• Great compensation • Comprehensive benefits • Career development and advancement opportunities • Great work-life balance • Opportunities to grow