Dane Street
Physician Reviewer -Physician Medicine & Rehab, Occupational Medicine, Neurology
Dane Street, New York, New York, United States,
Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Physical Medicine & Rehabilitation, Occupational Medicine, and Neurology physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload within a standard Monday - Friday work week while maintaining client-mandated turnaround times. We will reach out when we have an IME or Peer Review in your jurisdiction/area to schedule or assign a case. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.Physician Specialties:
Physical Medicine & Rehabilitation, Occupational Medicine, NeurologyPhysicians Located in the following areas:
Kansas City AreaJOB SUMMARY:Utilizes clinical expertise, and reviews disability claims by providing an interpretation of the medical appropriateness of services provided by other healthcare professionals in compliance with state regulations and guidelines, nationally recognized evidence-based guidelines, client-specifics, policies, procedures, performance standards, and URAC guidelines.MAJOR DUTIES AND RESPONSIBILITIES:Reviews all medical records and addresses each question posed by the client utilizing state-mandated or other nationally recognized evidence-based criteriaEnsures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decisionReturns cases on or before the due date and timeMaintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the jobAttends all required orientation and trainingPerforms other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or auditsIdentifies, 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; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizesProvides copies of any criteria utilized in a review with the report in a timely mannerConducts Independent Medical Exams in a clean, safe, professional manner and settingPLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.
Physical Medicine & Rehabilitation, Occupational Medicine, NeurologyPhysicians Located in the following areas:
Kansas City AreaJOB SUMMARY:Utilizes clinical expertise, and reviews disability claims by providing an interpretation of the medical appropriateness of services provided by other healthcare professionals in compliance with state regulations and guidelines, nationally recognized evidence-based guidelines, client-specifics, policies, procedures, performance standards, and URAC guidelines.MAJOR DUTIES AND RESPONSIBILITIES:Reviews all medical records and addresses each question posed by the client utilizing state-mandated or other nationally recognized evidence-based criteriaEnsures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decisionReturns cases on or before the due date and timeMaintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the jobAttends all required orientation and trainingPerforms other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or auditsIdentifies, 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; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizesProvides copies of any criteria utilized in a review with the report in a timely mannerConducts Independent Medical Exams in a clean, safe, professional manner and settingPLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.