Board Certified Pulmonology Physician Reviewer - California License

Dane Street; California (MO); Remote; USD 100,000 - 200,000; Full time

Job summary

Dane Street seeks a Board Certified Pulmonology Physician Reviewer for a telework role tailored to your schedule. This independent contract position offers flexibility in case volume with compensation based on reviews, requiring expertise in IMR processes and a current California medical license. Join our physician panel today to support effective utilization reviews while continuing your practice.

Benefits

Schedule flexibility

Predictable work hours

Onboarding and training provided

Access to user-friendly work portal

Qualifications

• Board Certified in Pulmonology with active California license.
• Experienced in California Independent Medical Review process.
• Proficient in evidence-based guidelines and medicolegal documentation.

Responsibilities

• Assess medical necessity based on established standards.
• Conduct telehealth case reviews as independent contractor.
• Provide advisory opinions without establishing a doctor/patient relationship.

Skills

Expertise in IMR process

Evidence-based guidelines

Medicolegal writing

Education

Board Certification in Pulmonology

Current, unrestricted California Medical License

Job description

Join to apply for the Board Certified Pulmonology Physician Reviewer - California License role at Dane Street

6 days ago Be among the first 25 applicants

Join to apply for the Board Certified Pulmonology Physician Reviewer - California License role at Dane Street

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 physicians who are board certified in Pulmonology/Pulmonary Disease with active California licenses with experience in the California Independent Medical Review (IMR) process. IMR serves as a binding appeals process for disputes arising from the denial or modification of workers’ compensation treatment requests. Since July 1, 2013, all medical treatment disputes—regardless of the date of injury—are resolved through IMR rather than the traditional court system, streamlining the process significantly.

In California’s workers’ compensation system, all treatment requests undergo utilization review (UR) to determine medical necessity. If a request is denied, delayed, or modified due to lack of medical necessity, the injured worker has the right to appeal the decision through IMR. This review is conducted by physicians who assess the case using evidence-based guidelines.

IMR physicians must be experts in the Medical Treatment Utilization Schedule (MTUS), Official Disability Guidelines (ODG), and medicolegal writing, as they are responsible for evaluating medical necessity based on established standards and clearly articulating their rationale in written determinations.

Preferred But Not Required

• California IMR experience
  
  

Highlights

• Consistent volume
• Good reimbursement
• The work can be done any time (outside standard work hours)
• No calls are required
• Provided the IMR reviewer training manual to review and assist in making your experience with this work even more efficient
  
  

Training and onboarding can be completed in less than 1 week and you can start earning compensation for reviews while maintaining your active practice. Contact us today about joining our panel of specialty reviewers!

Requirements

• Current, unrestricted California Medical License
• Active Practice
• Board Certified
  
  

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 7 business days depending on the level of review. 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
• Dane Street offers initial training as well as an ongoing point of contact should you have any questions about completing reviews

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Business Development and Sales

• Industries

  Insurance

Referrals increase your chances of interviewing at Dane Street by 2x

Sign in to set job alerts for “Board Member” roles.

Clinical Supervisor- Board Certified Behavior Analyst (BCBA) Spanish Bilingual Required-($80,000K-$90,000K)- $5,000K Sign-On

Material Review Board (MRB) Mission Assurance Manager 1 - R10196042

Palmdale, CA $118,000.00-$177,000.00 3 weeks ago

Volunteer: Lead the Future of Healthcare Advocacy - NAHAC Board President

Sacramento, CA $82,000.00-$87,000.00 2 weeks ago

BCBA - Board Certified Behavior Analyst - Antelope Valley

Palmdale, CA $80,000.00-$90,000.00 1 day ago

Ventura, CA $82,000.00-$87,000.00 2 weeks ago

Board Certified Behavior Analyst, BCBA - Hybrid

Contractor Board Certified Behavior Analyst

Clinical Supervisor- Board Certified Behavior Analyst (BCBA)- Hybrid- ($80,000K-$90,000K)

Contractor Board Certified Behavior Analyst - BCBA Inland Empire

California, United States $70.00-$75.00 3 weeks ago

Clinical Director | Board Certified Behavior Analyst | BCBA

Torrance, CA $90,000.00-$100,000.00 2 days ago

Hybrid Board Certified Behavior Analyst (BCBA)

San Diego, CA $80,000.00-$95,000.00 19 hours ago

Modesto, CA $60,000.00-$70,000.00 1 week ago

Printed Circuit Board ECAD Design Checker III

Elk Grove, CA $75,000.00-$85,000.00 1 month ago

Hybrid BCBA Board Certified Behavior Analyst (Yuba)

Volunteer: Board of Directors: Creative Writing Nonprofit

Rocklin, CA $75,000.00-$85,000.00 1 month ago

Riverside, CA $82,000.00-$87,000.00 2 weeks ago

Board Certified Behavior Analyst - BCBA Inland Empire

Victorville, CA $87,000.00-$92,000.00 4 days ago

Volunteer: Board Member, Board of Director, Corporate and General Law Expertise

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.