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:
Qualifications:
EDUCATION/CREDENTIALS:
JOB-RELATED EXPERIENCE:
Post-graduate experience in direct patient care
JOB-RELATED SKILLS/COMPETENCIES:
WORKING CONDITIONS/PHYSICAL DEMANDS:
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
Additional Data:
Concentra is an Equal Opportunity Employer, including disability/veterans