Hand Surgeon Medical Review Stream Physician - Houston

Only for registered members Houston, United States

1 month ago

Default job background
Freelance
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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.

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