Illinois Licensed Orthopedic Reviewer

Job Summary

A company is looking for a Physician Reviewer - Orthopedic Spine Surgery (Utilization Review).

Key Responsibilities

• Conduct objective, evidence-based reviews of spinal treatment requests
• Provide medical necessity determinations and opinions on appealed cases
• Submit reviews through a secure, user-friendly online platform

Qualifications

• Current, unrestricted Illinois Medical License
• Board Certification in Orthopedic Surgery with fellowship training or extensive experience in Spine Surgery
• Active clinical practice