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Managed Medical Review Organization

Pediatric Rheumatology- Independent Medial Reviewer

Posted 10 months ago
5-10 years experience
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AI Summary

The role involves conducting comprehensive and objective medical chart reviews and producing clear, evidence-supported determinations. Reviewers must communicate findings professionally and complete reviews within specified deadlines.

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 Rheumatology 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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