Hand Surgeon Medical Review Stream Physician

About the Role

Join Concentra as a Hand Surgeon Medical Review Stream Physician in United States. Overview Are you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a TX license.

Key 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), Group health and workers’ compensation claims.

• Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.

• Maintain proper credentialing and state licenses and any special certifications or

Requirements

• 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. Discusses the appropriate disclaimers and appeal process with the providers.

• Attends orientation and training

• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.

Benefits & Compensation

• Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.

• Maintain 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. Discusses the appropriate disclaimers and appeal process with the providers.

Work Schedule

• Full-time position.

• No explicit call, weekend, or night shift information provided.

Apply to join Concentra as a Hand Surgeon Medical Review Stream Physician.