Physician Reviewer - Internal Medicine

Dane Street; Chicago (IL); On-site; USD 100,000 - 150,000; Full time

Benefits offered by this job

1099 contractor

Job summary

Dane Street is seeking Board Certified Internal Medicine physicians to perform Independent Medical Exams and peer reviews. This role offers a flexible schedule and caseload, within a standard Monday–Friday work week, with cases assigned in your jurisdiction.

Reviewers are compensated on a per-case basis as a 1099 independent contractor. Physicians in Alsip/South Chicago Area may be reached to schedule or assign a case.

Qualifications

• Board-certified internist with current license in practicing state.
• Experience performing IMEs and peer reviews.
• Ability to interpret disability claims and apply guidelines.

Responsibilities

• Review medical records and answer client questions using state or nationally recognized criteria.
• Provide clear, well-documented rationales to support decisions.
• Submit reports and responses by due dates.
• Maintain proper credentialing and licenses; stay updated on requirements.
• Participate in orientation and training sessions.
• Assist with quality assurance issues, regulatory matters, or audits.
• Conduct Independent Medical Examinations in a professional setting.

Skills

Independent Medical Exams

Peer Reviews

Clinical expertise

Disability claim interpretation

Timely reporting

Education

Board Certification in Internal Medicine

Medical License (Illinois or applicable state)

Job description

Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload within a standard Monday - Friday work week while maintaining client-mandated turnaround times. We will reach out when we have an IME or Peer Review in your jurisdiction/area to schedule or assign a case. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.

Physician Specialties

Internal Medicine

Physicians Located in the following areas

Alsip/South Chicago Area

JOB SUMMARY

Utilizes clinical expertise, and reviews disability claims by providing an interpretation of the medical appropriateness of services provided by other healthcare professionals in compliance with state regulations and guidelines, nationally recognized evidence-based guidelines, client-specifics, policies, procedures, performance standards, and URAC guidelines.

MAJOR DUTIES AND RESPONSIBILITIES

• Reviews all medical records and addresses each question posed by the client utilizing state-mandated or other nationally recognized evidence-based criteria
• Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
• Returns cases on or before the due date and time
• Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
• Attends all required orientation and training
• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits
• Identifies, critiques, and utilizes 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 copies of any criteria utilized in a review with the report in a timely manner
• Conducts Independent Medical Exams in a clean, safe, professional manner and setting

PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.