Occupational Medicine Physician
At a glance
Occupational Medicine Physician role posted by Physician Providers Mgmt. Corp., a recruiter. Florida · full-time.
Pay in listing
physicianroles summary, based on the recruiter's listing.
What you'll do
- Review requests before, during and after care to decide whether services meet medical necessity criteria
- Explain approval or denial decisions, including in urgent discussions and peer-to-peer reviews with providers
- Advise utilization management staff and consult with physicians in other specialties when needed
- Help educate providers, support the CMO and contribute to updates of clinical review criteria
- Follow utilization management rules and applicable regulatory and accreditation standards
What you bring
- An unrestricted Florida medical license as an MD or DO
- At least 3-5 years of clinical experience
Who this fits
This role suits a physician with a primary care background or experience in psychiatry, neurology, pain medicine or occupational medicine; physicians from all specialties may apply. Board certification is preferred. The position is in Daytona, Florida, and visa candidates cannot be accepted.
From the recruiter
Duties: Perform pre-authorization, concurrent, and post-service medical necessity reviews using evidence-based criteria (MCG, InterQual, CMS).
Render clear certification and non-certification determinations, including peer-to-peer and urgent case discussions with providers.
Serve as a clinical resource to UM staff and consult with physicians across specialties as needed.
Support provider education, assist the CMO, and participate in clinical criteria review and updates.
Ensure compliance with all utilization management, regulatory, and accreditation standards.
Requirements: MD/DO unrestricted Florida license, board certification preferred, 3-5 years of clinical experience.
Comp: 240K plus full benefits
Reference: PDmedsour-27-2/23/26-lp-af