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Optum Farmington, United States Full timeProHealth Physicians, part of the Optum family of businesses, is seeking an experienced **Adult** **Acute Care Advanced Practice Clinician** **\[Nurse Practitioner\]**to join our team at **Middlesex Family Physicians** in**Middletown, Connecticu**t. Optum is a clinician-led care ...
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Neurosurgery Full-Time position in Bloomfield, Connecticut - The Cigna Group
Description
How you'll make a difference:
\* You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
\* Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore's case management software.
\* Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence–based medical necessity and appropriateness of the requested service or treatment.
\* Leverage your clinical expertise to recommend alternative services or treatments as necessary.
\* Work collaboratively with over 500 eviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.
Requirements:
\* M.D. or D.O. with a current, active, U.S. state medical license and board certified in Spine Neurosurgery, recognized by the American Board of Medical Specialties, or American Osteopathic Association
\* Eligible to acquire additional state licensure as required
\* 5 years of relevant clinical experience post residency/fellowship
\* Knowledge of applicable state federal laws
\* Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
\* Ability to commit to a set, weekly work schedule (Monday through Friday)
\* Strong computer skills:
ability to work autonomously with automated processes, computer applications, and systems
\* Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time
\* In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router. Wireless connection is not permitted.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
Do not email for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.
These states include:
Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
