Medical Reviewer, Physician Assistant
New
C
Cohere HealthHealth Tech
United StatesFull-TimeMiddle
Salary120,000 - 135,000 USD per year
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Job Details
- Experience
- 3+ years
Requirements
- Graduate of an accredited Physician Assistant program.
- Current NCCPA certification (PA-C).
- Active, unrestricted Physician Assistant license in at least one U.S. state.
- 3+ years of clinical experience supporting orthopedic spine surgeons and/or neurosurgeons treating spine conditions.
- Ability to travel (approximately 5% travel required).
- Experience managing spine conditions in an office setting.
- Experience assisting on spine cases in the operating room.
- Utilization management, prior authorization, or medical review experience preferred.
- Membership in organizations such as the AAPA or specialty spine organizations preferred.
Responsibilities
- Provide timely medical reviews that meet Cohere’s stringent quality parameters.
- Provide clinical determinations based on evidence-based criteria while utilizing clinical acumen.
- Clearly and accurately document all communication and decision-making in Cohere workflow tools.
- Use correct templates for documenting decisions during case review.
- Meet the appropriate turn-around times for clinical reviews.
- Demonstrate the highest level of professionalism, accountability, and service in your interactions with Cohere teammates and providers.
- Support projects specific to building the team's clinical expertise and efficiency.
- Support the team on operational improvements and member/provider experience involving clinical review tasks.
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