Neurological Surgery Physician Reviewer - Remote

Dane Street; United States; À distance; USD 11 000 - 33 000; Temps partiel

Avantages offerts par ce poste

Supplemental income

Flexible schedule

Advisory-only opinions

Industry expertise

Résumé du poste

Dane Street is seeking Physician Reviewers/Advisors for telework opportunities to provide expert medical reviews on a per-case basis. Independent contractor reviewers (1099) set their own schedules and workloads.

Preferred candidates hold a Nevada Medical License (M.D., D.O.) and can review clinical treatment guidelines to assess medical necessity under client policies and evidence-based standards.

Responsabilités

• Reviews all medical records and addresses each question posed utilizing client-specific criteria or other nationally recognized evidence-based criteria
• Ensures a clear rationale for determination that is concise and contains adequate supporting documentation to substantiate the decision
• Identifies and employs 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 a report and copies of any criteria utilized within the review promptly
• Returns cases on or before the due date and time specified
• Completes calls/call attempts as mandated by the state and/or client specifics
• Maintains proper credentialing, required licenses, and any special certifications and adheres to requirements necessary to perform in the role of Physician Reviewer/Advisor
• Attends required orientation and training
• Performs other duties as assigned including identifying and responding to potential quality assurance issues, complaints, and regulatory issues.

Description du poste

Dane Street is seeking Physician Reviewers/Advisors for telework opportunities to provide expert medical reviews on a per-case basis. Independent contractor reviewers (1099) set their own schedules and workloads.

Preferred candidates hold a Nevada Medical License (M.D., D.O.) and can review clinical treatment guidelines to assess medical necessity under client policies and evidence-based standards.