Board-Certified Physicians for IME Cases- Oregon

Dane Street

Portland (OR)

On-site

USD 10,000 - 20,000

Full time

11 days ago
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Benefits offered by this job

Schedule flexibility
Supplemental income
In-person work

Job summary

Dane Street is expanding our physician panel in Oregon. This in-person opportunity offers supplemental income for physicians who can manage a flexible caseload and provide expert reviews. Independent contractors review insurance appeals and medical necessity explanations, with responsibility for timely, well-documented reports.

Ideal candidates hold a CA license and board certification in one of the listed specialties, and are willing to perform advisory-only reviews across the state.

Qualifications

  • Active CA license to practice medicine.
  • Board certification in one of the specified specialties.
  • Independent contractor (1099) relationship.

Responsibilities

  • Review medical records using client criteria or guidelines.
  • Provide clear rationale with supporting documentation.
  • Apply current guidelines and peer‑reviewed literature.
  • Return cases by due date and time.
  • Maintain credentialing and state licenses as required.
  • Attend orientation and training sessions.
  • Handle QA issues, complaints, regulatory matters, or audits as needed.

Skills

Clinical reviews
Evidence-based criteria
Medical necessity interpretation

Education

CA license
Board certification (listed specialties)

Job description

Dane Street is expanding our physician panel! This is an in-person 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.

The ideal candidates will hold a CA license and be Board Certified in Physical Medicine and Rehabilitation, Internal Medicine, Orthopedic Surgery, Occupational Medicine, Neurology, or Psychiatry. We are searching for providers throughout the state of Oregon.

Requirements

As Physician Reviewer/Advisor, you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective 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
  • 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.

Benefits

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.

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