Pain Medicine Telecommute Medical Review Specialist
4 weeks ago
We are seeking a skilled Pain Medicine physician to join our medical review team as a telecommute medical review specialist. This role provides the flexibility to work from home and customize your schedule within a Monday - Friday work week.
Key Responsibilities:
- Review medical files and provide recommendations for utilization review, chart reviews, medical necessity, and appropriateness of care.
- Meet with the Concentra Physician Review Medical Director to discuss quality of care and credentialing issues.
- Maintain proper credentialing and state licenses, and any special certifications or requirements necessary to perform the job.
- Return cases in a timely manner with clear, concise, and complete rationales and documented criteria.
- Telephonically contact providers and interact with other health professionals in a professional manner.
Requirements:
- Board certified MD or DO with an excellent understanding of network services and managed care.
- Current, unrestricted clinical license(s) and board certification by American Board of Medical specialties or American Board of Osteopathic Specialties.
- Post-graduate experience in direct patient care and demonstrated computer skills, telephonic skills, and ability to perform review services.
Working Conditions:
- Phone accessibility and access to a computer to complete reviews.
- Ability to complete cases accompanied by a typed report in specified time frames.
This is an independent contractor role for Concentra. Concentra is an Equal Opportunity Employer, including disability/veterans. We are committed to protecting patient data and ensuring the privacy of personal and medical information.
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