Job Description

Job Description

Concentra is seeking a local contract nurse RN Med Surg / Telemetry for a local contract nursing job in Newark, New Jersey.

Job Description & Requirements

• Specialty: Med Surg / Telemetry
• Discipline: RN
• Duration: 13 weeks
• Employment Type: Local Contract

\nOverview:\n

Are you an accomplished Board Certified Spine Surgeon or Board Certified Neurosurgeon ? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor.  Candidates must have a NJ license.  

 

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.

\n\nResponsibilities:\n

MAJOR DUTIES AND RESPONSIBILITIES:

• 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 workers’ compensation claims.
• Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.
• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.
• Returns cases in a timely manner with clear concise and complete rationales and documented criteria.
• Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.
• Attends orientation and training
• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.
• 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.
• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner

 

\n\nQualifications:\n

EDUCATION/CREDENTIALS:

-Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services.
-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);
-Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer.
-Must be in active medical practice to perform appeals

JOB-RELATED EXPERIENCE:
Post-graduate experience in direct patient care

JOB-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 skills

WORKING 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 conferences

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
* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.
* Every Concentra colleague has the responsibility to adhere to data protection principles.
* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.

\n\nAdditional Data:\n

This position is an independent contractor role for Concentra.

 

Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.

Concentra Job ID #298059. Posted job title: Spine Non-Healthcare Telecommute Medical Review

About Concentra

As one of the largest healthcare companies in the nation, Concentra isn’t just part of the future of American healthcare: we’re creating it. Our career opportunities span 40 states and a variety of specialties, including occupational medicine, urgent care, primary care, physical and occupational therapy, and non-patient facing administrative opportunities.

 

Lead a culture of health.

 

We’re taking early intervention a step further and making it easier than ever before for workers to get and stay healthy. Our integrated health and wellness centers bring the resources of a medical center directly into the workplace, enabling you to treat patients immediately after injury and to work with them on preventive care. Integrated health means you’ll have the opportunity to deliver primary care, urgent care, and occupational medicine - all with the support of onsite or integrated wellness services, pharmacy services, and physical therapy.

 

The support you need to succeed, right from the very start.

 

Starting in a new clinic shouldn’t be harder than it has to be. At Concentra, we support our new clinicians with a structured, comprehensive orientation program that gives you the time you need to get to know your clinic, your colleagues, and Concentra before you get started in full-time patient care. During your orientation, you’ll be partnered with another clinician to get an in-depth look at your clinic’s operations, easing into patient care with your clinician partner at your side. You’ll also receive additional support from your team to make your transition as easy and stress-free as possible.

The career you want, with a team you’ll love!

Job Tags

Full time, Contract work, Temporary work, For contractors, Local area, Remote work, Flexible hours, Monday to Friday,

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