Hours: Monday - Friday 8 AM - 5 PM | 1 Day Per Week 10 AM - 7 PM | 1 Saturday a Month with Additional Income
Employed
Degrees Accepted: MD/DO
Loan Repayment
Compensation: - Salary up to $225K plus Performance Bonus Incentive up to $26K
- Loan Repayment Potential Through NHSC and the State of California
Benefits: - Health, Dental, and Vision
- Malpractice included with Tail Coverage
- 5 Days of CME with $3K Annual Allowance
- 17 PTO Days
- Retirement - 403b, 457b, 457f - Organization Will Invest $20K Every Fiscal Year
Additional Information:
- Can live anywhere in the states but must be licensed in CA
- 3+ years of Health Plan or IPA experience doing UM Authorization Reviews
- 3+ years of experience decisioning cases using Medi-Cal and Medicare guidelines
- 3+ years of experience using InterQual or MCG
- The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective national/state, health plan, nationally recognized guidelines where appropriate to provide guidance for processing of referrals to Medical Director staff and to UM staff.
