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Clinical Reviewer

2 months ago

Reston, Virginia, United States Nexus Full time

About Nexus:

Nexus is a leading national independent clinical review and utilization management organization. Our focus is on building long-term, value-added relationships with our clients by providing access to quality, outcome-focused clinical expertise and innovative solutions. We have established highly efficient administrative workflows and processes that allow our physician reviewers the ability to optimize their reviewing resources and focus on the core clinical decision-making process. It is possible to balance quality of care with cost-containment, while creating better outcomes for patients. Our vision enables best-in-class clinical reviews, with highly accurate, defensible determinations delivered quickly.

Job Summary:

As an independent contractor, you will apply your clinical expertise to provide objective recommendations on patient care based on standards of care. There is no patient contact and all work is conducted electronically.

As one of the largest clinical review panels in the nation, you will be connected with an extensive client portfolio of top carriers and third-party administrators, providing you with a steady stream of reviews. We enable our physicians to perform reviews quickly and accurately using our innovative technology-driven independent clinical review platform. Every aspect of our platform has been honed for efficiency.

Our effective review process was designed to optimize the reviewer's expertise and reduce the administrative burden from the decision process. This telework opportunity provides you with the ability to supplement your practice income by reviewing in between your practice schedule, nights, and/or weekends.

Minimum Requirements:

  • Board Certified in your area of specialty
  • Maintain active clinical or surgical practice
  • Minimum of 5 years of experience post-medical school
  • Active and unrestricted state license
  • Specialty: Physicians Licensed

Seniority Level:

Not Applicable

Job Function:

Consulting

Employment Time:

Part-Time (Remote)

Industries:

Insurance and Hospitals and Health Care