Board Certified Physician Reviewer - Occupational Medicine - Texas License

Dane Street; Washington (District of Columbia); Remote; USD 83,000 - 165,000; Full time

Benefits offered by this job

Independent consultant role with aflex

Flexible scheduling

No doctor-patient relationship; advise

Job summary

Dane Street is seeking physicians to join its independent contractor panel for medical necessity reviews conducted remotely. You will work on cases by schedule, becoming part of a national telework network with per-case compensation.

Training is provided and you can maintain your clinical practice while reviewing charts. Requirements include an unrestricted Texas Medical License, active practice, and board certification in Occupational Medicine.

Qualifications

• Current, unrestricted Texas Medical License.
• Active Practice.
• Board Certified in Occupational Medicine.

Responsibilities

• Provide medical necessity determinations for treatment requests.
• Evaluate medical necessity in appeals on denied services.
• Work as an independent consultant on a per-case basis.

Skills

Independent contractor

Schedule flexibility

Education

Texas Medical License (Current, unrestricted)

Board Certified in Occupational Medicine

Job description

Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings) and we are expanding our physician panel resulting in opportunities for non-traditional physician work and supplemental income. This is a telework opportunity 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.
We are looking for the specialties listed below with active Texas License to address the medical necessity of treatment requests and, in appeals, the medical necessity of previously denied services.

• Occupational Medicine

The average time spent on most reviews is 15-20 minutes so it is possible to complete several cases within an hour.
Training and onboarding can be completed in less than 1 week and you can start earning compensation for reviews while maintaining your active practice.

Requirements

• Current, unrestricted Texas Medical License
• Active Practice
• Board Certified in Occupational Medicine

Benefits

• Independent consultant role allows for schedule flexibility and predictable work hours. You choose services and case types, dictate volume, and conduct this work based on your scheduled availability
• No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions
• Typical TAT is 1-5 business days depending on the level of review. Same-day cases are rare but do occur. Dane Street keeps you apprised of required turn-around time and carefully coordinates all administrative tasks so your time is spent on clinical decision-making
• Dane Street offers a streamlined case flow and a user-friendly work portal. We facilitate all communication, organize and sort all medical records, support all administrative processes, prep cases extensively, and ensure the quality and timely delivery of all determinations/reports
• A chronological listing of medical records as well as all treatment guidelines used to make a determination are provided in an easy, click-to-view format
• In cases where peer-to-peer calls are necessary (adverse determinations), Dane Street’s peer coordinators secure provider availability
• Dane Street offers initial training as well as an ongoing point of contact should you have any questions about completing reviews