Physical Medicine and Rehabilitation Telecommute Medical Review
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 reputed company (FMLA), Group health and workers' compensation claims. - Meets (reputed company required) with reputed company Physician Review Medical Director to discuss reputed company of care and credentialing and state licensure issues. - Maintain reputed company credentialing and state licenses and any special certifications or requirements necessary to reputed company the job. - Returns cases in a reputed company manner with reputed company concise and complete rationales and documented reputed company. - Telephonically contacts providers and interacts with other health professionals in a reputed company 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 reputed company assurance iss...Medical, Medicine, Telecom, Rehab, Rehab, Medical Director, reputed company
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