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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 organization. Our mission is to foster enduring, value-driven partnerships with our clients by delivering access to superior, outcome-oriented clinical expertise and pioneering solutions. We have developed highly effective administrative workflows and processes that empower our physician reviewers to maximize their reviewing capabilities and concentrate on essential clinical decision-making. We strive to harmonize quality of care with cost efficiency, ultimately enhancing patient outcomes. Our vision facilitates top-tier clinical reviews, ensuring precise, defensible determinations are provided promptly.

Role Overview:

As a remote independent contractor, you will leverage your clinical knowledge to offer unbiased recommendations regarding patient care in accordance with established standards. This role involves no direct patient interaction, as all tasks are conducted electronically.

Being part of one of the largest clinical review panels nationwide, you will engage with a broad client base of leading carriers and third-party administrators, ensuring a consistent flow of reviews. Our innovative technology-driven independent clinical review platform enables our physicians to execute reviews swiftly and accurately. Every component of our platform is meticulously designed for optimal efficiency.

Our streamlined review process is crafted to enhance the reviewer’s expertise while alleviating the administrative load from the decision-making process. This telecommuting opportunity allows you to augment your practice income by conducting reviews during your available hours, including evenings and weekends.

Essential Qualifications:

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

Experience Level:

Not Applicable

Job Function:

Consulting

Employment Type:

Part-Time (Remote)

Industries:

Insurance, Hospitals, and Health Care