BrightSpring Health Services

REVIEW PHYSICIAN

Job Locations US-NY-BROOKLYN
ID
2022-77217
Line of Business
Equus Workforce Solutions
Position Type
Full-Time
Pay Min
USD $165,000.00/Yr.
Pay Max
USD $175,000.00/Yr.

Our Company

Equus Workforce Solutions

Equus Logo_VER_1250x667

Overview

Quality focuses on audits and reviews with a focus on providing reporting to operations on the compliance with State, Federal and company requirements. If your passion is ensuring service quality and fostering compliance, join our team and apply today!

Responsibilities

  • Conducts medical reviews as needed to support the clinical assessment process and to make functional capacity outcome determinations for customers
  • Reviews all applicable customer documentation, including the clinical assessment and all of its related documents 
    • The customer’s medical, mental health, and substance abuse assessments, treatments, and results (as provided by the customer and/or received from providers with customer consent)
    • Prior participation documents and updates, as applicable
    • The determination about the need for reasonable accommodations and/or language services 
    • The review of any bio psychosocial assessment
    • Noted discrepancies between the customer’s case record and documentation provided and the information they provided during the interview with the Qualified Health Professional 
    • The results of any mental health and/or substance abuse screenings conducted by the Qualified Health Professional
    • The results of the Social Security Administration five-step sequential evaluation 
    • The Functional Capacity Outcome decision-support matrix, Functional Capacity Outcome determination, and rationale for the determination
  • Makes Functional Capacity Outcome  determinations for customers and provides written justification of the Functional Capacity Outcome 
  • May order or request additional assessments to support diagnoses and Functional Capacity Outcome determination
  • Works collaboratively with service track staff to interpret any medical evaluation findings or documents that affect service planning and delivery
  • May conduct training for other team members in effective use of clinical assessment results in service planning
  • Participates in team meetings to evaluate and improve clinical assessment processes.
  • Participates in any required training related to the position and its responsibilities
  • Understands and adheres to Health Reimbursement Arrangement policies and procedures and Company standard operating procedures related to the clinical assessment process and physician review requirements, specifically

Qualifications

  • Must be a MD or DO who is board certified or at least, board eligible in Internal Medicine, Family Medicine or Physical Medicine and Rehabilitation, licensed to practice in the State of New York.
  • Five years’ of clinical experience. 
  • Experience in a fast-paced, team environment that is performance driven
  • Excellent organizational skills and strong attention to detail
  • Experience with publicly-funded programs; Temporary Assistance for Needy Families experience preferable
  • Knowledge of laws and regulatory requirements related to program responsibilities 
  • Ability to use various electronic systems to carry out duties and responsibilities

About our Line of Business

Equus Workforce Solutions, formerly ResCare Workforce Services, is the nation’s leading provider of workforce development services in North America. With a dedicated and passionate team, Equus puts the industry’s best practices to work nationwide by focusing on the development, design, and delivery of demand-driven workforce solutions. Assisting over a million job seekers and thousands of employers annually, Equus Workforce Solutions is the most comprehensive workforce development company in the United States. For more information visit https://equusworks.com.

Additional Job Information

We are looking to have the individual selected for this role to begin October/2022

Salary Range

USD $165,000.00 - $175,000.00 / Year

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