Board Certified Hematology Physician Advisor, Disability Peer Review

Dane Street, LLC; United States; Remote; USD 80,000 - 120,000; Full time

Job summary

An established industry player is seeking a Physician Advisor specializing in Hematology for a telework opportunity. This role offers flexibility and the chance to provide expert opinions on medical necessity for various cases. As part of an independent contract reviewer panel, you will assess medical records and ensure adherence to national standards while enjoying the freedom to dictate your schedule. With robust support for case management and a focus on quality assurance, this position promises a rewarding supplemental income opportunity for qualified physicians looking to enhance their expertise in medical review and advisory services.

Benefits

Flexible schedule

Supplemental income

Transcription services at no cost

User-friendly work portal

Qualifications

• Board Certified in Hematology with an active medical license required.
• Experience in reviewing medical records and making evidence-based decisions.

Responsibilities

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

Skills

Hematology expertise

Medical record assessment

Evidence-based decision making

Quality assurance

Education

Board Certification in Hematology

Active medical license

Job description

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.

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:

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

Board certification in Hematology and active practice are mandatory for this role.

ADDITIONAL INFORMATION

• 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.