Board Certified Pulmonologist Physician Advisor, Disability Peer Review

Dane Street; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Dane Street is seeking a Board Certified Pulmonologist Physician Advisor for a telework opportunity. This role involves reviewing medical records to provide independent opinions on disability claims, ensuring evidence-based decision-making while working on a flexible schedule.

Benefits

Flexible Scheduling

Supplemental Income

User-Friendly Portal

Qualifications

• Board certification and active practice are required.

Responsibilities

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

Skills

Clinical Expertise

Evidence-Based Criteria

Education

Board Certification

Job description

Board Certified Pulmonologist Physician Advisor, Disability Peer Review

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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

• On a contract basis, accept cases as your schedule permits, review all medical records, and address each question posed using client-specific or nationally recognized evidence-based criteria, and opine on disability status.
• Ensure a clear rationale for determinations with adequate supporting documentation to substantiate decisions.
• Identify and employ current criteria and resources such as national, state, and professional guidelines, as well as peer-reviewed literature, supporting sound and objective decision-making. Refrain from using case studies or cohorts for decisions.
• Provide a report and copies of any criteria utilized within the review promptly.
• Return cases on or before the specified due date and time.
• Complete peer-to-peer calls as required to obtain additional information or clarification, following client-specific protocols.
• Perform other duties as assigned, including addressing clarifications, providing addenda (with additional compensation), and responding to quality assurance, complaints, or regulatory issues.
• Board certification and active practice are required.

Note: 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 at no cost, and a user-friendly portal.

Dane Street manages referral processes, case preparation, medical record handling, client communication, and report quality and timeliness.

Seniority level

• Mid-Senior level

Employment type

• Contract

Job function

• Health Care Provider

Industries

• IT Services and IT Consulting