Concentra View Company Profile
Are you an experienced chiropractor?xc2xa0 Are you passionate about your work/life balance? We are looking for an engaging and motivated chiropractor to support our Medical ReviewStream group, preferred candidates will have an active and unrestricted NJ licensexc2xa0JOB 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.MAJOR DUTIES AND RESPONSIBILITIES: xe2x80xa2 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 workersxe2x80x99 compensation claims. xe2x80xa2 Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.xe2x80xa2 Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.xe2x80xa2 Returns cases in a timely manner with clear concise and complete rationales and documented criteria. xe2x80xa2 Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.xe2x80xa2 Attends orientation and trainingxe2x80xa2 Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.xe2x80xa2 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.xe2x80xa2 Provides copies of any criteria utilized in a review to a requesting provider in a timely mannerxc2xa0EDUCATION/CREDENTIALS:-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); -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:- Three (3) years of Post-graduate experience in direct patient careJOB-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 skillsWORKING 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 conferencesThis job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.xc2xa0Concentra’s Data Protection Commitment*xc2xa0xc2xa0xc2xa0 Concentra is committed to protect patient data and to ensure privacy of personal and medical information.*xc2xa0xc2xa0xc2xa0 Every Concentra colleague has the responsibility to adhere to data protection principles.*xc2xa0xc2xa0xc2xa0 If a colleague’s role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.Concentra is an Equal Opportunity Employer,xc2xa0including disability/veterans