Board Certified Toxicology Physician Advisor, Disability Peer Review

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

Job summary

An established industry player is seeking a Board Certified Toxicology Physician Advisor for a telework opportunity. This role allows physicians to provide advisory opinions on medical necessity for treatments and claims while maintaining a flexible schedule. As part of a dedicated team, you will review cases, ensure compliance with industry standards, and contribute to quality assurance processes. This position offers a robust opportunity for supplemental income, allowing you to dictate your workload and enhance your expertise in medical necessity and utilization review. If you are passionate about making a difference in the healthcare field, this opportunity is perfect for you.

Benefits

Schedule Flexibility

Supplemental Income Opportunity

User-Friendly Work Portal

Transcription Services at No Cost

Qualifications

• Must be Board Certified in Toxicology and have an active medical license.
• Experience in medical record evaluation and clinical guidelines is essential.

Responsibilities

• Review and evaluate medical records related to toxicity and adverse effects.
• Provide timely reports and ensure compliance with standards of care.
• Participate in audits and address quality assurance issues.

Skills

Toxicology Expertise

Medical Record Evaluation

Clinical Guidelines Utilization

Evidence-Based Decision Making

Education

Board Certification in Toxicology

Active Medical License

Job description

Board Certified Toxicology Physician Advisor, Disability Peer Review

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.

Candidates must be Board Certified in Toxicology, with an active medical license.

Requirements

JOB SUMMARY

As a Physician Advisor for Disability Peer Review, you will utilize your expertise in toxicology to review cases and provide insights on the medical necessity of treatments and claims. The Physician Reviewer will ensure compliance with client-specific policies and nationally recognized standards of care.

MAJOR DUTIES AND RESPONSIBILITIES:

• Reviews and evaluates medical records related to toxicity and adverse effects of substances to address each question posed by the client using relevant criteria and standards.
• Ensures that determinations made are clear, concise, and supported by adequate documentation.
• Identifies and utilizes current clinical guidelines, evidence-based resources, and peer-reviewed literature to ensure objective decision-making.
• Provides timely reports along with any criteria utilized in the review.
• Returns cases by the specified due date and time.
• Performs follow-up calls as needed based on specific case requirements.
• Maintains proper licensure and certification, ensuring that all requirements necessary to perform the job are met.
• Participates in required orientations and training sessions.
• Addresses any quality assurance issues and participates in audits or additional required reviews as needed.
• Board certification in Toxicology and active practice required.

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.

Seniority level

Entry level

Employment type

Full-time

Job function

Health Care Provider

Industries

IT Services and IT Consulting