Hand Surgeon Medical Review Stream Physician - Houston
1 month ago

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.
- Reviews medical files and provides recommendations for utilization review chart reviews medical necessity appropriateness of care return to work short long-term disability Family Medical Leave Act FMLA Group Health Workers Compensation Claims.
Job description
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