Board Certified Hematology Physician Advisor, Disability Peer Review

Dane Street; United States; Remote; USD 155,000 - 225,000; Full time

Job summary

Dane Street is seeking a Board Certified Hematology Physician Advisor for a telework opportunity. This role involves reviewing cases and providing expert opinions on medical necessity, offering flexible scheduling and supplemental income. Ideal candidates will have an active medical license and a commitment to quality assurance.

Benefits

Schedule flexibility

Predictable work hours

Robust opportunity for supplemental income

Transcription services at no cost

User-friendly work portal

Qualifications

• Active medical license required.
• Participation in mandatory training and orientation programs.
• Experience in quality assurance and audits is beneficial.

Responsibilities

• Review and assess medical records related to Hematology.
• Provide expert opinions on medical necessity of treatments.
• Ensure compliance with client-specific policies.

Skills

Medical necessity assessment

Documentation clarity

Evidence-based decision making

Education

Board Certified in Hematology

Job description

Board Certified Hematology Physician Advisor, Disability Peer Review

1 month ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Dane Street is expanding our physician panel! 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.

The ideal candidate will be Board Certified in Hematology with an active medical license.

Requirements

JOB SUMMARY

As a Physician Advisor for Disability Peer Review, your specialization in Hematology will be utilized to review cases and provide expert opinions on the medical necessity of treatments and claims. The Physician Reviewer will ensure that all reviews comply with client-specific policies and adhere to nationally recognized standards of care.

Major Duties and Responsibilities:

1. Thoroughly review and assess medical records related to Hematology to address client queries using appropriate criteria and guidelines.
2. Ensure the clarity and conciseness of determinations through well-supported documentation.
3. Utilize current medical guidelines, evidence-based resources, and peer-reviewed literature to support sound decision-making.
4. Provide timely reports along with any relevant criteria used in the review.
5. Adhere to specified deadlines for case completion and submission.
6. Conduct follow-up communication as required based on individual case needs.
7. Maintain necessary licensure and certifications to perform the required duties effectively.
8. Participate in mandatory training and orientation programs.
9. Handle quality assurance matters and participate in audits or other reviews as necessary.
10. Board certification in Hematology and active practice are mandatory for this role.

PLEASE NOTE: In the interest of maintaining the security of all involved parties, Dane Street never conducts interviews through text or requests checks from applicants for any purpose, including equipment purchases.

Benefits

• Robust opportunity for supplemental income
• Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability.
• No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions.
• Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise.
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services.
• Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal.

Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.

Additional Information

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Health Care Provider
• Industries: IT Services and IT Consulting

Referrals increase your chances of interviewing at Dane Street by 2x.

Set up job alerts for similar roles.

Oregon, United States $155.00-$165.00 2 months ago

Healthcare Follow Up – Physician’s Office (Remote)

United States $200,000.00-$225,000.00 5 days ago