Experienced Clinical Reviewer for Physicians - Remote Opportunity with Nexus

Unlock a Rewarding Career as a Clinical Reviewer with Nexus

Nexus is a pioneering national independent clinical review and utilization management organization, dedicated to delivering high-quality, outcome-focused clinical expertise and innovative solutions to its clients. As a leader in the industry, we have established a reputation for building long-term, value-added relationships with top carriers and third-party administrators. Our cutting-edge technology-driven platform enables our physician reviewers to optimize their reviewing resources, focus on core clinical decision-making, and deliver highly accurate, defensible determinations quickly.

About the Role: Clinical Reviewer - Physicians

We are seeking experienced physicians to join our team as Clinical Reviewers, working remotely as independent contractors. As a Clinical Reviewer, you will leverage your clinical expertise to provide objective recommendations on patient care based on standards of care, without patient contact, using our innovative electronic review platform. This is an exciting opportunity to supplement your practice income, working on a part-time schedule that fits around your existing commitments.

Key Responsibilities:

• Apply clinical expertise to provide objective recommendations on patient care based on standards of care
• Conduct reviews electronically, using our innovative technology-driven independent clinical review platform
• Work with an extensive client portfolio of top carriers and third-party administrators, ensuring a steady stream of reviews
• Optimize reviewing resources, focusing on core clinical decision-making, and reducing administrative burden
• Maintain accurate and defensible determinations, delivered quickly and efficiently

Essential Qualifications:

• Board certification in your area of specialty
• Active clinical or surgical practice
• Minimum of 5 years of experience post-medical school
• Active and unrestricted state license
• Specialty: Physicians

Preferred Qualifications:

• Experience in utilization management or clinical review
• Familiarity with electronic review platforms
• Strong analytical and decision-making skills
• Excellent communication and interpersonal skills

Skills and Competencies:

To succeed as a Clinical Reviewer with Nexus, you will need to possess:

• Strong clinical expertise and knowledge of standards of care
• Excellent analytical and decision-making skills
• Ability to work independently, with minimal supervision
• Strong communication and interpersonal skills
• Proficiency in using electronic review platforms
• Ability to manage multiple reviews simultaneously, prioritizing tasks effectively

Career Growth Opportunities and Learning Benefits:

As a Clinical Reviewer with Nexus, you will have the opportunity to:

• Develop your skills in utilization management and clinical review
• Stay up-to-date with industry developments and best practices
• Expand your professional network, working with top carriers and third-party administrators
• Enhance your analytical and decision-making skills, using our innovative electronic review platform

Work Environment and Company Culture:

Nexus is committed to providing a supportive and flexible work environment, allowing you to work remotely as an independent contractor. Our culture values:

• Innovation and excellence in clinical review and utilization management
• Collaboration and teamwork, working with top carriers and third-party administrators
• Professional development and growth, staying up-to-date with industry developments and best practices
• Flexibility and work-life balance, allowing you to manage your schedule effectively

Compensation, Perks, and Benefits:

As a Clinical Reviewer with Nexus, you can expect a competitive compensation package, including:

• A reliable and steady income, supplementing your practice income
• Opportunities for professional growth and development
• A flexible work schedule, allowing you to manage your time effectively
• Access to our innovative electronic review platform, streamlining your work and enhancing your productivity

Join Our Team:

If you are a motivated and experienced physician looking for a new challenge, we encourage you to apply for this exciting opportunity as a Clinical Reviewer with Nexus. Don't worry if you don't meet every single requirement - we value a great attitude and a willingness to learn above all. Submit your application today and take the first step towards a rewarding career with Nexus!

License Location: Tennessee or New Jersey, United States

Employment Time: Part-Time (Remote)

Industries: Insurance and Hospitals and Health Care

Don't hesitate - Apply To This Job today and join our team of experienced Clinical Reviewers!