Concentra

Physical Medicine and Rehabilitation Telecommute Medical Review

Concentra · Other · 21 hours ago

Concentra

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The physician will perform medical reviews of health claims to provide interpretations and decisions regarding the appropriateness of services and care. They will also maintain quality standards, document rationales for decisions, and interact professionally with other healthcare providers.

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Orthopedic Surgeon Telecommute Medical Review Stream Physician

Concentra · Other · 5 days ago

Concentra

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The physician will perform medical reviews of health claims to determine the appropriateness of services, medical necessity, and return-to-work status. They will also interact with healthcare providers to discuss quality of care, appeal processes, and regulatory compliance.

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Physician Telemedicine with IMLC and 20+ active state licenses

Concentra · Full Time · 15 days ago

Concentra

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The physician is responsible for executing daily patient care management and ensuring the optimal execution of the clinical model. They must maintain accurate records and billing while complying with State Practice Acts and Workers' Compensation regulations.

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Remote Psychologist Telemedicine with California License

Concentra · Full Time · 19 days ago

Concentra

🌎 United States 💵 $150K - $170K per year ⭐ 5-10 yrs exp 💼 Healthcare

Diagnose and treat mental, emotional, and behavioral disorders using advanced diagnostic methods and evidence-based strategies. Collaborate with mental health team members to improve the overall psychological well-being of patients.

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Specialist, Payroll Systems

Concentra · Full Time · a month ago

Concentra

🌎 United States ⭐ 2-5 yrs exp 💼 Finance

The role is responsible for supporting, tracking, and auditing payroll technology systems, specifically UKG ProWorkforce Management and Oracle. It involves partnering with HR, IT, and Finance to ensure payroll tax accuracy and system integrity for approximately 14,000 employees.

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Hand Surgeon Medical Review Stream Physician

Concentra · Full Time · a month ago

Concentra

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Review health claims and medical files to provide interpretations on medical necessity, appropriateness of care, and disability claims. Ensure all decisions comply with company policies, URAAC guidelines, and state regulations.

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Psychologist Telecommute Medical Review Stream

Concentra · Full Time · 2 months ago

Concentra

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Review health claims and medical files to provide interpretations and decisions on the appropriateness of care and medical necessity. Ensure compliance with URAAC guidelines, state regulations, and company policies while documenting clear rationales for decisions.

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Physical Medicine & Rehabilitation Telecommute Medical Review Stream Physician

Concentra · Full Time · 2 months ago

Concentra

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The physician will review health claims and medical files to provide decisions on medical necessity, appropriateness of care, and disability claims. Responsibilities include documenting rationales based on professional guidelines and interacting with other healthcare providers telephonically.

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Orthopedic Surgeon Telecommute Medical Review Stream Physician

Concentra · Full Time · 2 months ago

Concentra

🌎 United States 💵 $30 - $90 per hour ⭐ 5-10 yrs exp 💼 Healthcare

Review medical files to provide recommendations on medical necessity, appropriateness of care, and disability claims. Ensure all decisions comply with company policies, URAAC guidelines, and state regulations while maintaining professional communication with providers.

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Spine Surgeon Telecommute Medical Review Stream Physician

Concentra · Full Time · 2 months ago

Concentra

🌎 United States ⭐ 10+ yrs exp 💼 Healthcare

The physician will review health claims and medical files to provide recommendations on medical necessity, appropriateness of care, and disability claims. They are responsible for delivering clear rationales and interacting professionally with other healthcare providers via telephone.

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Emergency Medicine Telecommute Medical Review Stream Physician

Concentra · Full Time · 2 months ago

Concentra

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Review health claims and medical files to provide interpretations on the appropriateness of care and medical necessity. Ensure compliance with URAAC guidelines and state regulations while providing clear rationales for decisions.

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Ophthalmologist Telecommute Medical Review Stream Physician

Concentra · Full Time · 2 months ago

Concentra

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Review health claims and medical files to provide interpretations on the appropriateness of care and medical necessity. Ensure compliance with URAAC guidelines and state regulations while providing clear rationales for decisions.

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Spine Surgeon Telecommute Medical Review

Concentra · Full Time · 2 months ago

Concentra

🌎 United States ⭐ 10+ yrs exp 💼 Healthcare

Perform medical reviews of health claims to determine the appropriateness of services and medical necessity in compliance with URAAC guidelines. Provide recommendations for utilization review, disability claims, and workers' compensation while maintaining professional communication with providers.

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Orthopedic Surgery Telecommute Medical Review

Concentra · Full Time · 2 months ago

Concentra

🌎 United States ⭐ 10+ yrs exp 💼 Healthcare

Perform medical reviews of health claims to determine the appropriateness of services and medical necessity in compliance with URAAC and state regulations. Provide recommendations for utilization reviews, disability claims, and FMLA while maintaining professional communication with other healthcare providers.

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Physical Medicine & Rehabilitation Telecommute Medical Review Stream Physician

Concentra · Full Time · 2 months ago

Concentra

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Perform medical reviews of health claims to determine the appropriateness of services and medical necessity in compliance with URAAC and state guidelines. Provide recommendations for utilization review, disability claims, and return-to-work status while maintaining professional communication with providers.

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Spine Telecommute Medical Review Stream Physician

Concentra · Full Time · 2 months ago

Concentra

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Perform medical reviews of health claims to determine the appropriateness of services and medical necessity in compliance with URAAC and state regulations. Provide documented rationales for utilization reviews, disability claims, and workers' compensation cases.

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Orthopedic Surgeon Telecommute Medical Review Stream Physician (MS License)

Concentra · Full Time · 2 months ago

Concentra

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Perform medical reviews of health claims to determine the appropriateness of services and medical necessity in compliance with URAAC and state guidelines. Provide documented rationales for utilization reviews, disability claims, and workers compensation cases.

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