Physician Reviewer - Neurology

Dane Street is looking for individuals to conduct Group Health reviews.  This review will include a clinical summary, potential calls to the treating providers, and responses to questions posed. 

Physician Specialty:  Neurology

Dane Street is also looking for individuals who would also be interested in participating in Panel Hearing calls.  These calls require the physician to dedicate 1 hour of time.  The calls are scheduled and set up for the physician(s).  Panel Hearing calls are typically scheduled at least 2 weeks in advance to provide the physicians with plenty of notice.  

Panel Appeal Hearings are a component of the referral assignment from one of our clients.  Dane Street and its clients expect that reviewers will make a good-faith effort to assist in these panel hearings.  These panel hearings are a required component of some of our specific referrals, and for Dane Street to assist, we need good...

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, Neurology

Physicians Located in the following areas:  Kansas City Area

JOB SUMMARY:

Utilizes clinical expertise, and reviews disability claims by providing an interpretation of the medical appropriateness of services provided by other...

This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Preferred candidates will hold Nevada Medical License (M.D., D.O.)

JOB SUMMARY

Physician Reviewer/Advisor utilizes clinical expertise to review, provide interpretation of clinical treatment guidelines and opine on the medical necessity of services/treatment proposed or provided by other healthcare professionals in compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care.

MAJOR DUTIES AND RESPONSIBILITIES:

• Reviews all medical records and addresses each question posed utilizing client-specific criteria or other nationally recognized evidence-based criteria
• Ensures a clear rationale for determination that is...

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.

Preferred candidates will hold a NY License, and be NY WC Board Certified.

JOB SUMMARY

Utilizes clinical expertise, and reviews insurance appeals, prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care.

MAJOR DUTIES AND RESPONSIBILITIES:

• Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria
• Ensures that the rationale for the determination is clear, concise, and...