Concentra

Physician

• Review health claims and provide medical interpretation and decisions about appropriateness of services provided by healthcare professionals
• Review medical files and provide recommendations for utilization review, chart reviews, medical necessity, appropriateness of care, return to work, short- and long-term disability, FMLA, group health, and workers’ compensation claims
• Meet with the Concentra Physician Review Medical Director regarding quality of care, credentialing, and state licensure issues when required
• Maintain proper credentialing, state licenses, certifications, and other requirements
• Return cases promptly with clear, concise, complete rationales and documented criteria
• Contact providers by telephone and discuss disclaimers and appeal processes
• Attend orientation and training
• Identify and respond to quality assurance issues, complaints, regulatory issues, depositions, court appearances, and audits
• Identify, critique, and use current criteria, national and state guidelines, professional association guidelines, and peer-reviewed literature
• Provide requested review criteria copies to providers in a timely manner

Explore Anesthesiologist, Telecommute, Medical Review Stream Physician at Concentra. Review requirements and application details.

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Anesthesiologist, Telecommute, Medical Review Stream Physician