Oncology - Medical Oncology Physician

Dane Street; Town of Vermont (WI); Remote; USD 150,000 - 200,000; Part time

Job summary

A telehealth company is seeking independent contractor physician reviewers. This telework opportunity offers flexible scheduling while ensuring client-mandated turnaround times. Responsibilities include reviewing medical records, utilizing specific criteria, and maintaining proper credentialing. Ideal candidates will have experience in clinical review and a strong understanding of evidence-based guidelines.

Qualifications

• Certification and credentialing maintenance as required.
• Ability to work remotely with a flexible schedule.
• Experience in medical necessity interpretation.

Responsibilities

• Review medical records using client-specific criteria.
• Ensure documentation supports medical determinations.
• Maintain required state licenses and certifications.

Skills

Medical records review

Client-specific criteria application

Evidence-based decision making

Clinical review experience

Job description

Overview

This telework opportunity allows you to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.

Responsibilities

• All physician reviewers are contractors with Dane Street.
• Provide reviews of medical records and address each client question using client-specific criteria or other nationally recognized evidence-based criteria.
• Ensure that the rationale for the determination is clear, concise, and supported by adequate documentation.
• Identify, critique, and utilize current criteria and resources such as national, state, and professional guidelines and peer-reviewed literature to support sound, objective decision-making; avoid overreliance on studies with limited sample sizes.
• Provide copies of any criteria utilized in a review with the report promptly.
• Make telephone calls as mandated by the state and/or client specifics; Peer to Peer calls may be required (Dane Street can help arrange).
• Average review time per case is typically 15-30 minutes; cases are prepared before review.
• Some cases may require a short turnaround time and may need to be reviewed the same day; return cases on or before the due date and time.
• Maintain proper credentialing, state licenses, and any special certifications required to perform the job; attend all required orientation and training.
• Perform other duties as assigned, including addressing quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.

Qualifications and Requirements

• Certification and credentialing maintenance as required by the role.
• Ability to work remotely with a flexible schedule and meet client turnaround times.
• Experience in clinical review, medical necessity interpretation, and adherence to client-specific policies and general evidence-based guidelines.

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