Physical Medicine and Rehabilitation Physician

Key Responsibilities: Serve as a primary clinical reviewer and certify assigned cases in accordance with the ECR process. - Review clinical assessments, medical records, and other available supporting documentation. - Consider information submitted by the member or their healthcare decision-maker. - Evaluate members' functional abilities, rehabilitation needs, medical complexity, and relevant developmental considerations. - Develop and document clear clinical recommendations and supporting rationales using the Division's ECR process and designated templates. - Integrate information from multiple sources to support appropriate, objective, and well-supported clinical decisions. - Complete assigned reviews within the required 48-hour turnaround time from case assignment. - Maintain accurate, thorough, and timely clinical documentation in accordance with established guidelines. Required

Qualifications: Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO). - Appropriate, current medical licensure and credentials for the applicable jurisdiction. - Specialty training or clinical experience in Physical Medicine and Rehabilitation. - Strong knowledge of physical functioning, disability, rehabilitation, and complex medical needs. - Ability to interpret clinical assessments and medical records and synthesize information from multiple sources. - Excellent clinical reasoning, written communication, and documentation skills. - Ability to complete assigned reviews within required timelines.