Offer summary
Qualifications:
Active, unrestricted physician licensure in CA, OH, or MI., Board Certified in Otolaryngology., Proficient understanding of utilization review processes., Strong analytical and critical assessment skills., Experience in similar roles is a plus..
Key responsabilities:
- Conduct thorough utilization reviews and medical assessments.
- Analyze appropriateness of care based on evidence-based practices.
- Review pre-authorizations, medications, and LTD/STD cases.
- Collaborate with other medical professionals for evaluations.