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  3. Emergency Medicine Telecommute Medical Review Stream Physician
CO

Emergency Medicine Telecommute Medical Review Stream Physician

Concentra·Newark, New Jersey

Other·On Site·2-5 yrs·Posted 1 month ago
Practice for this role

About the role

Provide rehabilitative services and direct patient care, including evaluations and the implementation of physical therapy treatment programs. Coordinate with physicians and multidisciplinary teams to ensure high-quality recovery and optimal patient outcomes.

Overview Are you an accomplished Board Certified physician in one of the below specialties?

Candidates must have a New Jersey license.

Emergency Medicine Telecommute 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.

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.

Responsibilities

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

Qualifications

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 careJOB-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 skillsWORKING 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. Additional Data This position is an independent contractor role for Concentra. Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws

Requirements

Requires a Bachelor's degree from an accredited Physical Therapy program, with a Master's degree and ortho-outpatient experience preferred. Candidates must demonstrate strong clinical competency, professionalism, and the ability to maintain sensitive patient records.

  • bachelor degree
  • postgraduate degree
  • Quality Assurance
  • Customer Service
  • Time Management
  • Documentation
  • Problem Solving
  • HIPAA Compliance
  • Patient Education
  • Conflict Resolution
  • Therapeutic Exercises
  • Patient Evaluation
  • Gait Training
  • Hydrotherapy
  • Rehabilitative Services
  • Multidisciplinary Coordination
  • Neurological Assessment
  • Muscle Skeletal Assessment

Benefits

  • Life Insurance
  • Paid Holidays
  • Paid Time Off
  • Tuition Reimbursement
  • Competitive Salary
  • Short-term Disability
  • Commuter Benefits
  • 401(k) With Employer Match
  • Relocation Assistance
  • Colleague Referral Bonus Program
  • Company-funded HSA
  • Dental And Vision Plans
  • Malpractice Insurance
  • Pre-tax Spending Accounts
  • Company-paid Long-term Disability
  • Identity Theft Services
  • Supplemental Health Benefits
  • Colleague Discount Program
  • Paid Sick/EID Days
  • CEU Courses
  • Incentive/RVU Bonus
  • Yearly CEU Stipend
  • LifeWorks Employee Assistance Program
  • Medical And Prescription Plans

Posting details

Employment type
Other
Work arrangement
On Site
Experience
2-5 yrs
Location
Newark, New Jersey
Posted
Jun 25, 2026
Closes
Jul 9, 2027
Application
Employer website
CO

Hiring organization

Concentra

WHO WE ARE: Concentra is the leader in occupational health with 40+ years of improving the health of America's workforce, one patient at a time. More than 11,000 Concentra colleagues provide occupational medicine, onsite health care, physical therapy, and telemedicine services...

Salary listed on 195 jobs
IndustryHospitals and Health Care
TypePrivately Held
Size10,001+ employees
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New Jersey continues to show steady demand for allied health professionals in imaging and cardiac care settings, especially for nuclear medicine roles that support diagnostic testing and patient throughput. These positions are competitive because employers often require a relevant degree, recent nuclear medicine and cardiology experience, ARRT or CNMT certification, a New Jersey State Radiology License, and CPR certification. Review the AI-summarized requirements and benefits here to save time, then confirm your credentials and recent experience match the posting before applying.

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