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Internal Medicine Physician for Utilization Review - San Diego, California

Company: Integrity Healthcare
Location: San Diego
Posted on: January 15, 2021

Job Description:

Internal Medicine opening in San Diego, California. This and other physician jobs brought to you by DocCafe.com Looking for someone who has experience with weekly chart review and human resource evaluations and assessing untoward outcomes of medical decisions specifically for Medical groups/Healthplans. Looking at someone that could potentially transition to CMO/VP position in the next 3-5 yearsSummaryThe Physician Reviewer will perform all reasonably necessary functions to ensure quality of care and appropriate utilization in the most cost-effective, appropriate and professional manner, which meets the expressed needs of patients and professional colleagues.Physician Reviewer will be a part of the Health Services Department. This department is comprised of areas of Medical Management, Provider Relations/Network Support, Quality Improvement and Pharmacy. Award-winning network of hospitals, medical groups and physicians. We offer health insurance options for individuals, families, groups and businesses that combine affordability, choice, high-quality health care and personal service.Required Skills and Qualifications

M.D. DegreeLicense to practice in California must be in hand or in progress Five years experience as a practicing primary care physician with knowledge of managed care and the process for prior authorization reviewKnowledge of physician social and political behavior and managed care philosophyEffective communication skillsAbility to work collaboratively with medical leadership and administration, medical staff, nurses, and hospital administration.Board Certification in Internal Medicine or Family MedicineHours8-hour shift: 8:00 am – 5:00 pm, weekends as needed. Keyphrases: internal medicine jobs, internal emergency medicine jobs, internal medicine specialist jobs, internal medicine critical care jobs, internal medicine geriatrics jobs, internal medicine pediatrics jobs, pediatric internal medicine jobs

Keywords: Integrity Healthcare, San Diego , Internal Medicine Physician for Utilization Review - San Diego, California, Healthcare , San Diego, California

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