Join our team as a Board-Certified Psychiatrist (MD or DO) with an unrestricted U.S. medical license , where you will play a key role in prior authorization reviews for medical services . This position involves assessing medical necessity through electronic case reviews and ensuring adherence to clinical guidelines and best practices.
As a part-time, contract-only role, this opportunity offers flexibility and professional collaboration , with responsibilities that include peer-to-peer reviews and participation in Fair Hearings as needed.
Work Site: Remote- Must be physically located in Nevada.
Contract Length: 2025-07-01 to 2026-06-30
Flexible schedule with remote work opportunities.
Professional support from a dedicated Medical Director and a team of peer physicians.
No direct patient care - all work is conducted electronically.
Paid sick leave based on state regulations after 90 days of employment
Medical, dental, and vision are offered after a waiting period (60% paid by Fortuna)
Free TeleMedicine and Mental Health for all employees and their families
Additional volunteer options such as Group Life Insurance, Accidental Insurance, Critical Care, Short Term Disability
Review prior authorization requests electronically to assess medical necessity.
Make clinical determinations based on medical guidelines and best practices.
Participate in peer-to-peer reviews when a prior authorization is denied and providers request further discussion.
Engage in Fair Hearings if a negative action is appealed, explaining the review process and decision-making rationale.
Collaborate with the Medical Director and physician team to ensure consistency and compliance in medical reviews.
Board-certified Psychiatrist (MD or DO).
Unrestricted U.S. medical license (active and in good standing).
Must reside within the state of Nevada, United States.
Strong clinical decision-making and analytical skills.
Experience with electronic medical review systems is preferred.
Ability to communicate medical decisions effectively, especially in peer-to-peer and Fair Hearing settings.
Fortuna is a staffing agency dedicated to connecting top talent with employment opportunities. Founded in 2012 by professionals with over 50 years of combined experience, we specialize in sourcing, screening, and presenting candidates for various industries.
Our headquarters is located in McClellan, California, with additional offices in Los Angeles, New York, the Philippines, and Israel. Fortuna is an active member of multiple California service agreements, including:
CMAS
ITMSA (Tier 2)
CalPERS SpringFed Pool
Various municipal and corporate vendor pools
For more information, visit our career site:
...Position: Technical Writer Location: ONSITE in Austin, TX 78758 Duration: 6-month contract (extensions/conversion highly possible... ...depending on experience) Must Haves: ~3-5+ years of technical writing experience, specifically within process and technical...
...Job Summary Aci Health is seeking a skilled and dedicated CT Technologist to join our medical imaging team. This role involves performing CT scans on patients, ensuring their safety and comfort while obtaining high-quality images for accurate diagnosis. Duties...
...group in resolving internal and external customer inquiries. ESSENTIAL DUTIES AND... ...the technical expert for all after sale service issues involving electronic components for... ...electronic components (i.e.: scales, weigh bars, virtual terminals, etc.). Maintain warranty...
...Requirements: ~ Bachelors Degree in Engineering (Ideally Civil Engineering)~6+ years of related Engineering experience (at least 4... ...role (some consideration given for hybrid / 1-2 days per week remote) Preferred Qualifications: 1. Experience with inspection...
...About the job Independent Contractor Furniture Delivery Driver/Installer Allegro Home Delivery is a fast-growing company beginning to disrupt the last mile home delivery market.Allegro Home Delivery is looking for an Owner Operator/Independent Service Provider Driving...