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Clinical Evaluation Specialist

2 months ago

California, United States Nexus Full time

Position Title:

Clinical Reviewer - General Surgeon

Location:

Remote

About Nexus:

Nexus stands as a premier national independent clinical review and utilization management entity. Our mission revolves around fostering enduring, value-driven partnerships with our clients by delivering access to superior, outcome-oriented clinical expertise and innovative solutions. We have developed streamlined administrative workflows and processes that empower our physician reviewers to maximize their reviewing capabilities and concentrate on essential clinical decision-making. Our approach harmonizes quality of care with cost-effectiveness, ultimately enhancing patient outcomes. Our vision supports top-tier clinical reviews, characterized by precise, defensible determinations provided promptly.

Role Overview:

In this remote role as an independent contractor, you will leverage your clinical knowledge to deliver impartial recommendations regarding patient care in accordance with established standards. This position involves no direct patient interaction, as all tasks are conducted electronically.

As part of one of the largest clinical review networks nationwide, you will have access to a diverse client base comprising leading carriers and third-party administrators, ensuring a consistent flow of reviews. Our innovative technology-driven independent clinical review platform facilitates swift and accurate evaluations. Every component of our platform is meticulously designed for efficiency.

Our effective review methodology aims to enhance the reviewer’s expertise while minimizing the administrative workload associated with the decision-making process. This telecommuting opportunity allows you to augment your practice income by conducting reviews during gaps in your schedule, including evenings and weekends.

Essential Qualifications:

  • Board Certification in your specialty area
  • Active engagement in clinical or surgical practice
  • A minimum of 5 years of experience following medical school
  • Possession of an active and unrestricted state license
  • Specialty: General Surgery

Experience Level:

Not Applicable

Job Function:

Consulting

Employment Type:

Part-Time (Remote)

Industries:

Insurance, Hospitals, and Healthcare