Reviewer Application Process

 

If you are interested in applying to become a member of the Physician Review program, please fill out the following information and submit it to the Concentra Physician Review program. If we have a need for a reviewer with your specific qualifications, we will contact you for more information and to discuss next steps in the application process.

Your Information





Current state license(s):
Select your specialties

Please list each of your specialties with current and active Board certification (if you are Board eligible, please contact us after you have verification of active board certification):

Your experience

Number of hours per week in active practice (defined as direct patient contact):

Number of years performing Utilization Review:

Nature of current practice:

Nature of past experience performing utilization review:

Other questions for us or comments about yourself: