Clinical Psychologist Utilization Reviewer, TX or MN Licensed

Job not on LinkedIn

🔥 4 minutes ago

❄️ Minnesota, Texas – Remote

infoinfo

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

Where this job comes from

Posted on Medical Review Institute of America, LLC's careers page, not through a job board

First seen by Remote Rocketship 4 minutes ago

Logo of Medical Review Institute of America, LLC

Medical Review Institute of America, LLC

501 - 1000 employees

Founded 1983

🛡️ Insurance

💼 Consulting

⚖️ Legal

Insurance • Consulting • Legal

Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.

📋 Description

• Conduct independent utilization reviews • Participate in peer-to-peer conversations during daytime availability • Perform clinical medical review work as part of MRIoA’s utilization management and independent review services • Maintain confidentiality, privacy, and security of sensitive health information in accordance with HIPAA and company policies

🎯 Requirements

• Must have a PhD Degree in Psychology • Must have a current Texas or Minnesota license • Must have 5 years of clinical experience; training can be included • Daytime availability is required for peer-to-peer conversations • Must adhere to all applicable HIPAA regulations and company policies and procedures regarding confidentiality, privacy, and security of sensitive health information

🏖️ Benefits

• Flexible independent contractor (1099) remote opportunity • Work remotely from anywhere in the US • Covered under MRIoA's Errors and Omissions policy • Flexible commitment of 1–2 hours per week with no minimum commitment

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