Physician Telecommute Medical ReviewStream TN – Remote | WFH

  • Full Time
  • remote

Are you an accomplished physician with Board Certification in one of the specialties listed below? Do you value a healthy work-life balance? We’re searching for adaptable and experienced physicians to join our Medical Reviewstream division. This remote position offers the flexibility to tailor your schedule and workload within a Monday to Friday framework and during standard business hours. Craft your own work timetable and receive compensation on a per-case basis as a 1099 independent contractor. Applicants must possess a valid NM license.

Specialties

Anesthesiology

Neurosurgery

Orthopedic Surgery

Pain Medicine

Job Summary

Leveraging your clinical expertise, you’ll assess health claims, offering medical insights and decisions regarding the appropriateness of services rendered by fellow healthcare professionals. This role operates in accordance with Concentra Physician Review policies, procedures, performance standards, URAAC guidelines, and state regulations.

Responsibilities

Major Duties and Responsibilities:

Review medical records and make recommendations for utilization review, chart evaluations, medical necessity, appropriateness of care and return-to-work assessments, short and long-term disability assessments, Family and Medical Leave Act (FMLA) cases, group health and workers’ compensation claims.

Meet (as required) with Concentra Physician Review Medical Director to discuss quality of care, credentialing, and state licensure matters.

Maintain appropriate credentialing, state licenses, and any necessary special certifications or requirements for the role.

Provide timely feedback on cases with clear, concise, and comprehensive rationales, along with documented criteria.

Communicate with providers via telephone and interact with other healthcare professionals in a courteous and professional manner. Discuss relevant disclaimers and the appeal process with providers.

Attend orientation and training sessions.

Perform additional duties as assigned, including identifying and addressing quality assurance issues, complaints, regulatory matters, depositions, court appearances, or audits.

Identify, evaluate, and utilize current criteria and resources, such as national, state, and professional association guidelines, as well as peer-reviewed literature, to support informed decision-making and rationales in reviews.

Provide requesting providers with copies of any criteria used in a review promptly.

Employment Type: Full-Time

To apply for this job please visit www.linkedin.com.

Scroll to Top