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Spine Telecommute Medical Review Stream Physician

Concentra · Santa Fe, New Mexico, US

Overview Are you an accomplished Board Certified physician in one of the below specialties? Are you passionate about your work/life balance? We are seeking f...

Job description

Overview Are you an accomplished Board Certified physician in one of the below specialties? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a NM license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations - Anesthesiology - Neurosurgeon - Orthopedic Surgeon - Pain Medicine Responsibilities: MAJOR DUTIES AND RESPONSIBILITIES: - Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA)...