Role Description
The Internal Medicine/Internist MEC shall provide meaningful, prompt, reliable case services which require the assessment of initial disability evidence and assessment of evidence during the reconsideration process as well as non-case services where answers or opinions are provided regarding specific medical topics.
Responsibilities
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Conduct medical case reviews in accordance with Social Security Administration (SSA) policies and procedures.
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Perform all reviews within a timely manner β preferably within one business day of assignment but not to exceed two business days for review.
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Review all medical and non-medical evidence of record, including any prior file information.
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Identify and interpret all medical evidence, applying all current SSA disability policies and procedures.
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Request additional evidence when the evidence in the file is insufficient to assess in accordance with current SSA disability policies and procedures.
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Compose medical assessments in a professional manner, in a formal tone (third person), free of jokes, personal anecdotes, emotion, biases, prejudices or colloquial expressions.
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Write a narrative to convey their individualized review in a clear and concise manner.
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Complete case reviews within time frames established by the COR.
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Consult with staff and others as needed for the review of the case.
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Record findings in the agency electronic processing systems specified by SSA case review policies and procedures.
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Attend required meetings, briefings, and workgroups necessary to perform case reviews.
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Respond to all communications including instant message or email within 48 hours of logging on to their laptop.
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Provide a satisfactory written assessment, free of spelling and grammatical errors.
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Make required corrections to medical assessments when returned from the Office of Quality Review (OQR).
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Report suspected fraud identified in the course of the medical assessment.
Non-Case Services
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Participate in presentations related to the employeeβs medical specialty and the application of disability policies.
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Provide consultation and expertise on policy development issues including written and/or oral summarizations.
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Participate in workgroups, visits, and meetings as requested by SSA to discuss issues related to the disability process.
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Participate in mentoring or training activities with other MECs.
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Comply with company policies and procedures.
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Complete required annual training.
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Maintain security, privacy, and HIPAA/SSA compliance requirements.
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Participate in performance reviews and quality assurance activities.
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Other duties as assigned by management.
Qualifications
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Doctorate of Medicine or Osteopathy from an accredited college approved by the Council of Medical Education and Hospitals of the American Medical Association or Doctor of Osteopathy from a college accredited by the American Osteopathic Association.
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Completion of a residency and/or fellowship.
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Possess and maintain a valid unrestricted license to practice medicine within one of the 50 states, the District of Columbia, Puerto Rico, or the U.S. Virgin Islands.
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Minimum one (1) year experience practicing as an Internist.
Requirements
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Knowledge of and ability to work in DCPS/NCPS, Disability Case Processing System, IMAGEN, eView/DMA.
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Proficiency in the English Language.
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Basic Computer Skills.
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Knowledge of the required education, training, experience, and documented current competence in the required specialty position description.
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Possess sufficient initiative, interpersonal relationship skills and social sensitivity.
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Ability to write in a clear, concise, grammatically correct manner.
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Knowledge and excellent computer skills including the use of computer software applications for drafting documents, data management, and tracking.
Physical Demands
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Regularly required to sit and talk or hear.
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May use repeated motions that include the arms, wrists, hands and/or fingers.
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Occasionally required to walk, stand, climb, balance, stoop, kneel, crouch, or crawl.
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Must occasionally lift and/or move up to 25 pounds.
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Specific vision abilities required include close vision.
Teleworking Details
100% Remote