Board Certified Pathology Physician Advisor, Disability Peer Review

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

Job summary

Dane Street, a leading provider in disability peer review, seeks a Physician Advisor to leverage pathology expertise for reviewing cases and providing expert opinions on medical necessity. Enjoy flexible scheduling and a robust opportunity for supplemental income while ensuring adherence to recognized standards of care.

Benefits

Flexible Schedule

Supplemental Income

User-Friendly Work Portal

Transcription Services at No Cost

Qualifications

• Expertise in pathology required for case reviews.
• Maintain active licensure and certifications.

Responsibilities

• Conduct detailed reviews of medical records pertaining to pathology.
• Provide timely reports and ensure clarity in determinations.
• Engage in mandatory training and address quality assurance.

Skills

Pathology

Clinical Guidelines

Education

Board Certified in Pathology

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.

Job Requirements

• Board Certified in Pathology
• Active medical license

Job Summary

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

Major Duties and Responsibilities

1. Conduct detailed reviews of medical records pertaining to pathology to address client inquiries using appropriate criteria and guidelines.
2. Ensure that determinations are clear, concise, and supported by sufficient documentation.
3. Identify and apply current clinical guidelines, evidence-based resources, and peer-reviewed literature to support objective decision-making in assessments.
4. Provide timely reports that include any relevant criteria used during the review process.
5. Complete reviews and return cases by specified deadlines.
6. Perform follow-up communications as required based on case-specific needs.
7. Maintain active licensure and certifications essential for fulfilling the job requirements.
8. Engage in mandatory training and orientation sessions.
9. Address quality assurance issues and participate in audits or further reviews as necessary.

Additional Information

• In the interest of maintaining security, Dane Street will never conduct interviews via text or request checks from applicants, including for equipment purchases.
• Robust opportunity for supplemental income.
• Schedule flexibility and predictable work hours—choose services and case types, dictate volume, and conduct reviews based on your schedule.
• No doctor/patient relationship is established; these are advisory-only opinions.
• Enhance your industry expertise in medical necessity and utilization review/management.
• Expand credentials as an expert in Independent Medical Exams and physician advisor services.
• Enjoy fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal.

Dane Street supports all referral processes, scheduling, extensive case preparation, medical record management, client communication, and ensures the quality and timeliness of reports.