Remote Spine Review Physician - Board-Certified

Concentra, Inc.; Albuquerque (NM); On-site; USD 120,000 - 180,000; Full time

Job summary

Concentra is seeking an experienced Board Certified physician for our Spine Telecommute Medical Review stream. This 1099 independent contractor role offers a flexible, Monday–Friday schedule within business hours, reviewing health claims and making medical necessity determinations for spine-related cases, with an NM medical license required.

Candidates must maintain state licenses, perform chart reviews, and follow Concentra policies and URAAC guidelines.

Qualifications

• Board certified MD/DO with NM license in good standing.
• Active medical license and ability to perform appeals.
• Post-graduate experience in direct patient care.

Responsibilities

• Review medical files and provide recommendations for utilization review and medical necessity.
• Meet with Medical Director to discuss quality of care and licensure issues.
• Maintain credentialing and state licenses; ensure documentation and rationales are complete.
• Provide timely case conclusions with clear, concise reasoning and criteria.

Skills

Board certified physician

Clinical reviewer

Education

MD/DO with NM license

Board-certified by ABMS/AOA

Tools

None

Job description

Concentra is seeking an experienced Board Certified physician for our Spine Telecommute Medical Review stream. This 1099 independent contractor role offers a flexible, Monday–Friday schedule within business hours, reviewing health claims and making medical necessity determinations for spine-related cases, with an NM medical license required.

Candidates must maintain state licenses, perform chart reviews, and follow Concentra policies and URAAC guidelines.