Board Certified OB/GYN-Obstetrics and Gynecology Physician Advisor, Disability

Dane Street, LLC; United States; Remote; USD 100,000 - 140,000; Full time

Job summary

An established industry player is seeking skilled Physician Reviewers for Disability reviews. This telework opportunity allows physicians to customize their caseloads and schedules while providing expert interpretations of medical necessity in disability claims. As part of an independent panel, you will leverage your clinical expertise to review cases, ensuring compliance with evidence-based guidelines and client-specific policies. Enjoy the flexibility of choosing your services and case types, along with a robust opportunity for supplemental income. This role is ideal for those looking to enhance their medical practice while contributing to quality assurance in healthcare.

Benefits

Schedule flexibility

Predictable work hours

Robust opportunity for supplemental income

Transcription services at no cost

User-friendly work portal

Qualifications

• Must hold a California State Medical license and be Board Certified in Obstetrics and Gynecology.
• Ability to review and interpret medical records and disability claims.

Responsibilities

• Review medical records and provide interpretations based on client-specific criteria.
• Ensure clear rationale and documentation for decisions made.

Skills

Clinical expertise

Medical necessity interpretation

Disability claim review

Documentation skills

Knowledge of evidence-based guidelines

Education

California State Medical license

Board Certification in Obstetrics and Gynecology

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.

Candidate will hold a California State Medical license and be Board Certified in Obstetrics and Gynecology.

This position is for Disability reviews.

As a Physician Reviewer/Advisor for Disability reviews, you will utilize clinical expertise and review disability 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 contains adequate supporting documentation to substantiate the decision.
• Identifies, 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 sizes.
• Provides copies of any criteria utilized in a review with the report in a timely manner.
• Returns cases on or before the due date and time.
• Makes telephone calls as mandated by the state and/or client specifics.
• Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.
• Attends all required orientation and training.
• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.

Minimum Requirements:

• Board certification required, active practice required.

PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment.

• 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.