Nephrologist (Pediatric) 100% REMOTE

We are looking for a 100% Remote, 1099, Supplemental Income, Pediatric Nephrology MD/DO Reviewer

Description:

• Medical Expert Reviewer-Medical Expert Judgement Reviews determining final decision based off enrollee’s denial of treatment-coverage denied by the DMHC (Department of Managed Health Care). 
• Reviews-are based off Medical Necessity and Experimental/Investigational 
• Specialty Driven-Expert within the Specialty Requested

Layman Terms: 

This service involves getting a thorough and professional medical review from an expert provider. The review is done to make a final decision on whether a particular treatment should be covered by the DMHC (Department of Managed Health Care) or not. The reviews are based on two main factors: medical necessity (whether the treatment is necessary for the patient's health) and whether the treatment is experimental or investigational.

Provider Specialty

Pediatric/Nephrology

Minimum Qualifications:

• Active license
• 24 hours of direct patient care per week in current role
• Board Certification
• 5 years’ experience in appropriate specialty post training

Rate Description of Service per case$

• 150/case to $400/case$
• 300 Training Bonus

For more information about Maximus, please visit https://maximus.com/ to learn more about our organization.

Andrea Cota
Senior Clinical Recruiter
E: AndreaCota@maximus.com

As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs. For more information, visit maximus.com.