Urgently Hiring - Board Certified Pediatrician Clinical Case Reviewer

AtWork•Phoenix, AZ

19d•Remote

About The Position

The Board-Certified Pediatrician or Family Medicine Physician will support the Arizona Division of Developmental Disabilities (DDD) ECR process as a primary clinical reviewer. The role evaluates clinical assessments and supporting documentation for children and adolescents ages 0–18. Physicians synthesize information from multiple sources, develop clear clinical recommendations, and certify assigned cases within required timelines. The position is remote and based in Phoenix, Arizona.

Requirements

MD or DO degree from an accredited medical school.
Current, unrestricted Arizona medical license, or ability to obtain the required license before beginning work.
Board certification in Pediatrics or Family Medicine.
Strong knowledge of pediatric and adolescent development.
Excellent clinical reasoning, analytical, and written communication skills.
Ability to review complex medical documentation and provide clear clinical recommendations.
Ability to meet strict deadlines and manage assigned cases independently.

Nice To Haves

Experience working with individuals with intellectual or developmental disabilities.
Experience with complex pediatric medical, developmental, or behavioral needs.
Background in clinical case review, utilization review, eligibility review, or medical necessity assessment.
Experience with interdisciplinary clinical teams.
Familiarity with Arizona DDD programs, policies, and documentation requirements.

Responsibilities

Review clinical assessments, medical records, and supporting documentation for assigned cases.
Evaluate the medical, developmental, behavioral, and functional needs of children and adolescents ages 0–18.
Consider information submitted by members and their authorized healthcare decision-makers.
Develop clear, evidence-based clinical recommendations supported by documented rationale.
Serve as the primary clinical reviewer and certify assigned cases in accordance with the Division’s ECR process.
Use designated review templates and follow established documentation procedures.
Seek discipline-specific consultation when necessary.
Complete assigned case reviews within 48 hours of case assignment.
Maintain accurate, objective, confidential, and timely documentation.
Apply sound clinical judgment when reviewing complex cases and reconciling information from multiple sources.