Pediatric Rheumatology- Independent Medial Reviewer
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Managed Medical Review Organization
US
Summary
Conduct comprehensive and objective medical chart reviews while ensuring determinations are well-supported by evidence. Maintain professional communication with staff and adhere to corporate training standards and deadlines.
Job Description
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.
MMRO is a leader in providing disability and medical review services to the public and private sectors. From disability carriers, to government agencies, to third-party employers, and group health plans, we’re here for you! At MMRO, we are adept at developing and implementing customized clinical and operational solutions that address the unique requirements of each client.
Founded
2007
Company size
51-200 employees
Industry
Government Administration
Org type
Privately Held
Headquarters
Novi, MI
MMRO is a leader in providing disability and medical review services to the public and private sectors. From disability carriers, to government agencies, to third-party employers, and group health plans, we’re here for you! At MMRO, we are adept at developing and implementing customized clinical and operational solutions that address the unique requirements of each client.
Founded
2007
Company size
51-200 employees
Industry
Government Administration
Org type
Privately Held
Headquarters
Novi, MI
