Telecommute Spine Surgeon | Utilization Review Specialist

Concentra, Inc; San Diego (CA); Remote; USD 120,000 - 180,000; Full time

Job summary

Concentra is seeking a board-certified spine surgeon (MD/DO) for its Medical Review Stream, a telecommute role designed for flexible, on-demand case reviews within business hours. You will review health claims, determine medical necessity, and provide clear rationales for utilization reviews while maintaining licensure and credentialing.

Independent contractor status (1099) is expected. Candidates must hold an unrestricted CA license and be in active clinical practice; the schedule is Monday to

Qualifications

• Board certified MD/DO with CA license and active practice.
• Unrestricted clinical license or active credentialing process.
• Ability to perform medical review and utilization decisions.

Responsibilities

• Reviews medical files and provides recommendations for utilization review and medical necessity.
• Discusses quality of care with the Medical Director and ensures licensure compliance.
• Maintains credentialing and state licenses and reports with clear rationales.
• Returns cases promptly with documented criteria and reports to providers.

Education

MD/DO board certified

Job description

Concentra is seeking a board-certified spine surgeon (MD/DO) for its Medical Review Stream, a telecommute role designed for flexible, on-demand case reviews within business hours. You will review health claims, determine medical necessity, and provide clear rationales for utilization reviews while maintaining licensure and credentialing.

Independent contractor status (1099) is expected. Candidates must hold an unrestricted CA license and be in active clinical practice; the schedule is Monday to