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Pediatric Nephrologist- Independent Medial Reviewer

Managed Medical Review Organization, Inc.

Role overview

Qualifications

  • Current, non-restricted license to practice medicine in any U.S. state or territory
  • Maintained certification by a board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA)
  • Minimum of five (5) years full-time equivalent experience providing direct clinical care to patients
  • Current clinical experience within the past three (3) years

Responsibilities

  • Conduct comprehensive and objective medical chart reviews with honesty and integrity
  • Produce determinations that are clear, concise, and well-supported by evidence
  • Follow MMRO’s review templates, ensuring all required elements are complete and accurate
  • Communicate findings in a professional manner using appropriate language and grammar

Key facts

Hard skills

Nephrology Evidence-Based Practice Medical Licensing (Health Law) Chronic Care Process Improvement

Other skills

  • Communication
  • Honesty
  • Personal Integrity
  • Professionalism
  • Constructive Feedback

About the company

Managed Medical Review Organization, Inc. logo

Managed Medical Review Organization, Inc.

Audit & Assurance Services

MMRO is a leader in providing disability and medical review services to the public and private sectors. From disability carriers, to government agencies, to third-party employers, and group health plans, we’re here for you! At MMRO, we are adept at developing and implementing customized clinical and operational solutions that address the unique requirements of each client.

Company details

IndustryAudit & Assurance Services
Company size51 - 200

Links

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Job description

About MMRO
Managed Medical Review Organization (MMRO) is an established, URAC-accredited Independent Review Organization (IRO) that provides objective, evidence-based medical peer reviews nationwide. We are currently seeking Board-Certified Pediatric Nephrology Physicians to join our network of sub-contracted Physician Reviewers.
Responsibilities
  • Conduct comprehensive and objective medical chart reviews with honesty and integrity.
  • Produce determinations that are clear, concise, and well-supported by evidence.
  • Follow MMRO’s review templates, ensuring all required elements are complete and accurate.
  • Communicate findings in a professional manner using appropriate language and grammar.
  • Complete assigned reviews within the specified deadlines.
  • Respond promptly to communications from MMRO staff.
  • Review and comply with corporate training materials and review standards.
  • Be receptive to constructive feedback from MMRO’s Medical Director, Associate Medical Director, and Clinical Staff.
  • Contribute ideas for process improvement and quality enhancement.
Qualifications
  • Licensure: Current, non-restricted license to practice medicine in any U.S. state or territory.
  • Board Certification: Maintained certification by a board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA).
  • Experience:
    • Minimum of five (5) years full-time equivalent experience (37.5–40 hours per week) providing direct clinical care to patients.
    • Current clinical experience within the past three (3) years.
  • Location: Must be physically located within the United States or its territories while conducting reviews.
Why Partner with MMRO
  • Flexible, remote contract opportunity.
  • Set your own schedule and case volume.
  • Collaborate with an experienced and supportive clinical and operations team.
  • Contribute to fair, evidence-based determinations that support quality healthcare decisions.
Join MMRO’s network of expert physician reviewers and make an impact through clinical excellence and integrity.
 

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Marcus Rivera

Chief Revenue Officer

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linkedin.com/in/marcusrivera
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