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Job Description Overview Are you an accomplished Board Certified Spine Surgeon or Board Certified Neurosurgeon? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a NJ license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND 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 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., • 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., • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews., • Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: -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. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE: Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills -Demonstrated ability to perform review services. -Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed -Managed care orientation -Knowledge of current practice standards in specialty -Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews -Ability to complete cases accompanied by a typed report in specified time frames -Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment • Concentra is committed to protect patient data and to ensure privacy of personal and medical information., • Every Concentra colleague has the responsibility to adhere to data protection principles., • If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

Medical Reviewers are the gatekeepers of medical information, ensuring that all materials meet high standards of accuracy and integrity. Industry Trends: Medical Reviewers must stay abreast of evolving regulations, digital health innovations, and data privacy laws to uphold best practices in medical

Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education. One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U. State licensed in New York, obtained by yo

Evaluating and treating patients with emergent medical conditions, illnesses, or injuries. Participate in medical staff educational programs and meetings as needed. Comfortable with Electronic Medical Record (EMR) system and Microsoft Office.

This well-established hospitalist program features strong support, modern facilities, and an excellent collaborative environment.Join a team of 12 physicians and 6 APPs.Night team includes one nocturnist and 1 APP.Average 4?6 admissions per night per APP.Cross-coverage for a census of ~100 patients.

Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education. Competitive Medical, Dental and Vision plans. Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%.

Active New York medical license. Comprehensive medical, dental, and vision coverage.

Job Description Job Description Apple Pediatrics-Bodhi Medical Care LLC is seeking a Pediatric Physician's Assistant to become a part of our team! You will focus on providing high quality patient care as part our stellar healthcare team.

Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Physician Assistant to join our team! As a Physician Assistant, you will be examining patients, collecting patient medical history, and making

Collaborate closely with physicians, medical assistants, and care coordinators. Medical, dental, vision, and life insurance. Dedicated medical assistant and scribe.

Conduct thorough patient assessments, including medical history reviews and physical examinations. Maintain accurate and detailed medical documentation in compliance with regulatory standards. Proficiency in medical documentation systems and electronic health records.

Title: Physician Assistant - NE Location: Upper East Side Org Unit: Clinical Operations Work Days: Monday-Friday Weekly Hours: 35.Exemption Status: Non-Exempt Salary Range: $80.As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices Position Summa

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.

Medical, dental, vision, and life insurance. Dedicated medical assistant and scribe support. Collaborate with physicians, medical assistants, and fellow Nurse Practitioners to deliver coordinated care.

MDS PC is experienced in providing medical services in an SNF setting with an understanding of how to give effective medical care in an SNF as well as an understanding of the survey process. Assesses patient health by interviewing patients; performing physical examinations; obtaining, updating, and

The ideal candidate will work collaboratively with physicians and other medical professionals to provide high-quality patient care. Work effectively within a hospital setting, collaborating with medical staff to ensure optimal patient outcomes.

Job Description Job Description RDMEDICALDOCTORS currently hiring a Physician Assistant to work in the Manhattan and Bronx area. General Responsibilities: Conduct patient examinations, including taking medical histories, performing physical exams, and ordering diagnostic tests.

We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under fede

Physician Assistant ? Cardiothoracic Surgery ? Step Down Unit ? Rotating Shifts - Columbia Campus - New Grads Apply Here!.Step into a high-achieving hospital, where premier clinicians deliver personalized care.As one of the world's leading heart centers, we are at the cutting edge of new therap

Flexible spending account(Medical Expense and Dependant Care),. Health Insurances(Medical, Dental and Vision),.

Four Season Medical PLLC is seeking a Certified Cardiologist Physician Assistant to join our Family Practice teams at various clinics throughout New York City. Take medical histories and record vital signs.

Army Physician Assistants serve as versatile medical specialists across the full spectrum of Army medicine If you are a professional in the physician assistant field and want to combine your passions with a desire to serve the U.

Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education. Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance. Competitive Medical, Dental and Vision plans.

Physician Assistant ? Family Medicine.Brooklyn, NY | Full-Time or Part-Time.We are a busy, well-established.Brooklyn, NY seeking a skilled and compassionate.Must be available for some evenings and some weekends.Provide comprehensive primary and urgent care to patients of all ages.Perform physical ex

Maintain accurate medical records and documentation in EMR systems.

RWJBarnabas Health, in partnership with Montgomery Medical Associates, is seeking an Physician Assistant to join a collaborative practice serving Somerset County, NJ. Perform comprehensive patient evaluations including medical histories and physical exams.

We are seeking an Associate Construction Project Manager I for our client to support Capital Design & Construction projects during the design and construction phases.This role provides oversight to ensure projects are delivered consistently, meet quality standards, and remain in compliance with cont

We’re looking for Data Entry Specialists for Customer Products across the US to work from home and help top brands improve their products before they hit the market.

Review medical bills related to MVA injuries sustained for NJ and or NY covered insureds. Conduct reviews of medical bills and supporting documentation to ensure proper codes assigned.

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

Medical coding in an acute care setting; must possess proficient computer skills (e. Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-re

We're looking for a professional, detail-oriented medical receptionist to be the welcoming face of our practice and support our patient-focused team. Maintain accurate patient records in electronic medical records (EMR) system. Medical office or healthcare administrative experience.

The Opportunity: The One Medical Virtual Medical Team (VMT) is a leading provider of virtual clinical care, providing world-class, convenient, evidence-based virtual medical care to One Medical patients in concert with their primary care providers. UpToDate Subscription - An evidence-based clinical

Amazing Outpatient Surgery Organization is Looking to Hire a Hybrid Outpatient Medical Coder (Surgical Coding)! This Jobot Consulting Job is hosted by: Joshua Tacke Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Do you have 3+ years of medical coding exp

Assignments in Navy hospitals and clinics, aboard aircraft carriers and other ships, with Marine units in garrison and field environments, and occasionally on submarines; work in exam rooms, wards, operating rooms, emergency departments, aid stations, and field medical sites; close integration with

Benefits Information: Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility.

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual