Board-Certified Orthopedic IME Reviewer

Dane Street; Stewardson (IL); Vor Ort; USD 120.000 - 180.000; Vollzeit

Benefits dieser Stelle

Supplemental income

Flexible schedule

No patient relationship

Zusammenfassung

Dane Street is seeking a Physician Reviewer/Advisor for Independent Medical Exams (IME) to provide expert interpretation of medical necessity and to review insurance appeals and claims. The role focuses on advisory opinions based on client policies, established guidelines, and standards of care.

Primary duties include reviewing records, applying criteria, and documenting rationales, while maintaining credentialing and state licenses.

Qualifikationen

• Board certification and active practice are required.
• Experience performing independent medical exams (IME) and utilization review is preferred.

Aufgaben

• Review medical records and client criteria for medical necessity decisions.
• Ensure clarity and documentation to substantiate decisions.
• Utilize current guidelines and literature to support rationales.

Kenntnisse

Board certification

Active medical license

IME/medical review experience

Jobbeschreibung

Dane Street is seeking a Physician Reviewer/Advisor for Independent Medical Exams (IME) to provide expert interpretation of medical necessity and to review insurance appeals and claims. The role focuses on advisory opinions based on client policies, established guidelines, and standards of care.

Primary duties include reviewing records, applying criteria, and documenting rationales, while maintaining credentialing and state licenses.