Top 39 Surgeon Jobs in Albuquerque Nm

Orthopedic Surgeon Telecommute Medical Review Stream Physician
Concentra —Albuquerque, NM
- Monday to Friday
- Medicine
- Surgery
- BC/BE
- Flexible schedule
General Dentists, Endodontists, & Oral Surgeons – Supporting Military Health Readiness
DOCS Health —Rio Rancho, NM
- Weekends as needed
- Background check
- CPR Certification
- Military
Quick Apply
Open Rank of Surgery, Division of Otolaryngology
University of New Mexico —Albuquerque, NM
- Full-time
- Surgery
- University
- Patient care
- Health insurance
- Dental insurance
Orthopedic Surgery- Sports Medicine Employment | Sunny Albuquerque, NM
Lovelace Health System —Albuquerque, NM
- Full-time
- Surgery
- BC/BE
- Outpatient experience
- Health insurance
- Retirement plan
Open Rank of Surgery, Division of Urology
University of New Mexico —Albuquerque, NM
- Medicine
- Surgery
- BC/BE
- Health insurance
- Dental insurance
Open Rank of Surgery, Division of Cardiothoracic Surgery
University of New Mexico —Albuquerque, NM
- Full-time
- Medicine
- Surgery
- University
- Health insurance
- Dental insurance
Open Rank of Surgery, Division Chief Plastic Surgery
University of New Mexico —Albuquerque, NM
- Medicine
- Surgery
- BC/BE
- Disability insurance
- Health insurance
Vitreoretinal Surgeon- Open Rank of Ophthalmology and Visual Sciences
University of New Mexico —Albuquerque, NM
- Full-time
- Medicine
- Surgery
- BC/BE
- Disability insurance
- Health insurance
Open Rank of General Surgery
University of New Mexico —Albuquerque, NM
- Medicine
- Surgery
- BC/BE
- Health insurance
- Dental insurance
Orthopedic Surgery Physician – Independent Practice Track (MedCBO Supported)
MedCBO —Albuquerque, NM
- $0 a year
- Hybrid work
- Private practice
- Medicine
- Surgery
Quick Apply
Pediatric Surgeon MD/DO - PRN
Presbyterian Healthcare Services —Albuquerque, NM
- PRN
- Medicine
- Surgery
- Surgery
- Wellness program
- 403(b) matching
Quick Apply
Oral Surgeon
Choice Healthcare Services —Albuquerque, NM
- $300,000 - $700,000 a year
- CPR Certification
- Dental office
- Surgery
General Surgery – Independent Practice Track (MedCBO Supported)
MedCBO —Albuquerque, NM
- $0 a year
- Hybrid work
- Private practice
- Medicine
- Surgery
Quick Apply
Organ Recovery Surgeon
DCI Donor Services —Albuquerque, NM
- Weekends as needed
- Medicine
- Surgery
- 5 years
- Wellness program
- 403(b) matching
Quick Apply
Open Rank of Surgery, Divison of Urology
University of New Mexico —Albuquerque, NM
- Medicine
- Surgery
- BC/BE
- Health insurance
- Dental insurance
Open Rank Clinician Educator in Surgical Pathology
University of New Mexico —Albuquerque, NM
- Medicine
- Surgery
- BC/BE
- Travel reimbursement
- Paid holidays
Oral Surgeon
Cottonwood Smiles Dentistry and Orthodontics —Albuquerque, NM
- $450,000 - $900,000 a year
- Part-time
- Dental office
- Surgery
- Senior level
Open Rank of Surgery, Division of Plastic Surgery
University of New Mexico —Albuquerque, NM
- Full-time
- Medicine
- Surgery
- University
- Loan repayment program
- Health insurance
Veterinary Surgeon
Route 66 Veterinary Emergency & Critical Care Center —Albuquerque, NM
- Full-time
- Surgery
- ER
- Senior level
- Wellness program
Breast Surgical Oncologist Needed in Albuquerque, New Mexico
Lovelace Health System —Albuquerque, NM
- Full-time
- Surgery
- Hospital
- BC/BE
- Health insurance
- Retirement plan

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surgeon jobs near albuquerque nm

Orthopedic Surgeon Telecommute Medical Review Stream Physician

Concentra -
Albuquerque, NM

Apply Now

Job Details

Benefits

Flexible schedule

Qualifications

Appeals
Direct patient care
Phone communication
BC/BE
Orthopedic surgery
Medical License
Orthopedics
Insurance claims appeal handling
Negotiation

Full Job Description

Overview:

Are you an accomplished Board Certified Orthopedic Surgeon physician? 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. Candidates must have a NM license.

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 care

JOB-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 skills

WORKING 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:

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

Apply Now

Refine Your Search

surgeon jobs in albuquerque nm

Orthopedic Surgeon Telecommute Medical Review Stream Physician

General Dentists, Endodontists, & Oral Surgeons – Supporting Military Health Readiness

Open Rank of Surgery, Division of Otolaryngology

Orthopedic Surgery- Sports Medicine Employment | Sunny Albuquerque, NM

Open Rank of Surgery, Division of Urology

Open Rank of Surgery, Division of Cardiothoracic Surgery

Open Rank of Surgery, Division Chief Plastic Surgery

Vitreoretinal Surgeon- Open Rank of Ophthalmology and Visual Sciences

Open Rank of General Surgery

Orthopedic Surgery Physician – Independent Practice Track (MedCBO Supported)

Pediatric Surgeon MD/DO - PRN

Oral Surgeon

General Surgery – Independent Practice Track (MedCBO Supported)

Organ Recovery Surgeon

Open Rank of Surgery, Divison of Urology

Open Rank Clinician Educator in Surgical Pathology

Oral Surgeon

Open Rank of Surgery, Division of Plastic Surgery

Veterinary Surgeon

Breast Surgical Oncologist Needed in Albuquerque, New Mexico

I want to receive the latest job alert for surgeon in albuquerque nm

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