Neurologist Medical Review Specialist
1 week ago
Concentra is seeking a skilled Neurologist Medical Review Specialist to join our team. As a Medical Review Specialist, you will be responsible for reviewing medical files and providing recommendations for utilization review, chart reviews, medical necessity, and appropriateness of care.
Responsibilities:- Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, and appropriateness of care
- Meets with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues
- Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
- Returns cases in a timely manner with clear concise and complete rationales and documented criteria
- Telephonically contacts providers and interacts with other health professionals in a professional manner
- Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services
- Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board)
- Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer
- Phone accessibility
- Access to a computer to complete reviews
- Ability to complete cases accompanied by a typed report in specified time frames
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Neurologist- Stroke Specialist
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Neurologist - Stroke Specialist
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Medical Review Specialist
4 weeks ago
Dallas, Texas, United States Concentra Full timeJob Title: Medical Review SpecialistConcentra is seeking a Medical Review Specialist to join our team. As a Medical Review Specialist, you will be responsible for reviewing medical files and providing recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family...
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Neurologist - Stroke Specialist
1 month ago
Dallas, Texas, United States UT Southwestern Medical Center Full timeStroke Neurologist Opportunity at UT Southwestern Medical CenterWe are seeking an academic Stroke Neurologist to join our team at the University of Texas Southwestern Medical Center. Our Department of Neurology is ranked No. 1 in the Dallas-Fort Worth area and No. 2 in Texas by U.S. News and World Report.About the PositionThis is an exciting opportunity to...
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Neurologist - Sleep Specialist
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Neurologist Position in Dallas
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Medical Review Specialist
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Neurologist Position
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Academic Neurologist
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Academic Neurologist Position
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Veterinarian Neurologist
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