Board Certified Oncology/Hematology Physician Advisor, Disability Peer Review

Dane Street; United States; Remote; USD 150,000 - 200,000; Full time

Job summary

Dane Street is seeking Board Certified Oncology/Hematology Physician Advisors for a telework opportunity. This role involves reviewing medical records and providing independent opinions on disability claims, offering flexible scheduling and supplemental income without a doctor/patient relationship.

Benefits

Flexible scheduling

Supplemental income

No doctor/patient relationship involved

Enhance industry expertise

User-friendly portal

Qualifications

• Board certification and active practice required.
• Ability to review medical records and provide independent opinions.
• Experience in medical necessity and utilization review.

Responsibilities

• Review medical records and provide opinions on disability status.
• Ensure clear rationale for determinations with supporting documentation.
• Perform peer-to-peer calls as required.

Skills

Clinical expertise

Analytical skills

Attention to detail

Education

Board certification in Oncology/Hematology

Job description

Board Certified Oncology/Hematology Physician Advisor, Disability Peer Review

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.

Job Summary

As Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review medical records provided and return an independent, professional opinion on the claimant's functionality and restrictions or limitations as it relates to an application for disability benefits or the current status of disability. Determinations are based on the clinical evidence within the medical records provided.

Major Duties and Responsibilities:

1. On a contract basis, as individual schedule permits, accept cases, review all medical records, and address each question posed using client-specific or other nationally recognized evidence-based criteria, and opine on disability status.
2. Ensure a clear rationale for determinations, concise, with adequate supporting documentation to substantiate decisions.
3. Identify and employ current criteria and resources such as national, state, and professional guidelines and peer-reviewed literature to support sound and objective decision-making. Refrain from using case studies or cohorts for decisions.
4. Provide a report and copies of any criteria used within the review promptly.
5. Return cases on or before the specified due date and time.
6. Perform peer-to-peer calls or attempts as required based on client protocol to obtain missing information or clarifications.
7. Perform other duties as assigned, including providing addenda with additional compensation, addressing quality assurance issues, complaints, and regulatory concerns.
8. Board certification and active practice are required.

Additional Information:

In the interest of security, Dane Street will never conduct interviews via text or request checks from candidates, including for equipment purchases.

Benefits:

• Supplemental income with flexible scheduling and predictable hours.
• No doctor/patient relationship or treatment involved; these are advisory opinions.
• Enhance industry expertise in medical necessity and utilization review/management.
• Expand credentials in Independent Medical Exams and physician advisory services.
• Streamlined case flow, prepped cases, transcription services, and a user-friendly portal.