Remote Family Medicine Physician

AtWork•Phoenix, AZ

2d•Remote

About The Position

The Family Medicine Physician – Clinical Case Reviewer supports the Arizona Division of Developmental Disabilities (DDD) ECR process as a primary clinical reviewer. The physician evaluates clinical assessments and supporting documentation for children and adolescents ages 0–18, considering medical, developmental, behavioral, and functional needs, as well as information submitted by members and their authorized healthcare decision-makers. The role develops clear, evidence-based clinical recommendations with documented rationale and certifies assigned cases in accordance with the Division’s ECR process. The physician uses designated review templates and established documentation procedures, seeks discipline-specific consultation when needed, and completes assigned case reviews within 48 hours of assignment. Accurate, objective, confidential, and timely documentation is required. This is a remote, direct-hire position located 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.