Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)

Dane Street; United States; Remote; USD 25 - 45; Vollzeit

Benefits dieser Stelle

Independent contractor (1099)

Fully remote

Control volume and availability

Flat per‑case rate

Zusammenfassung

Dane Street is seeking Board-Certified Orthopedic Spine Surgeons with an active New York medical license and Workers’ Compensation Board Certification to conduct utilization reviews. This fully remote, non-clinical role offers supplemental income and flexible scheduling.

No patient contact and no doctor-patient relationship. Responsibilities include reviewing medical records for medical necessity, following state workers’ comp guidelines, and providing concise determinations within 1–5 business

Qualifikationen

• Board Certification in Orthopedic Surgery (Spine focus preferred)
• Active, unrestricted New York medical license
• Workers’ Compensation Board Certification (New York)
• Active clinical practice

Aufgaben

• Review medical records to determine the medical necessity of services
• Utilize state-specific workers’ compensation guidelines and nationally recognized criteria
• Submit clear, concise, and well-supported determinations
• Complete reviews within required timeframes (typically 1–5 business days)
• Participate in peer-to-peer calls as needed
• Complete addenda when new information is provided

Jobbeschreibung

Dane Street , a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Spine Surgeons with an active New York medical license and Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests and appeals. No patient contact, no treatment, and no doctor-patient relationship is established.

Key Responsibilities

• Review medical records to determine the medical necessity of services
• Utilize state-specific workers’ compensation guidelines and nationally recognized criteria
• Submit clear, concise, and well-supported determinations
• Complete reviews within required timeframes (typically 1–5 business days)
• Participate in peer-to-peer calls as needed (coordinated by Dane Street )
• Complete addenda when new information is provided

Role Highlights

• Independent contractor (1099) status
• Average case takes 15 minutes or less
• Flat rate per case – consistent, supplemental income
• Fully remote – work from anywhere
• You control volume and availability
• No direct patient interaction or treatment
• Chronological, pre-organized medical records provided
• User-friendly portal and streamlined case management
• Full onboarding and ongoing support included

Requirements

• Board Certification in Orthopedic Surgery (Spine focus preferred)
• Active, unrestricted New York medical license
• Workers’ Compensation Board Certification (New York)
• Active clinical practice

About Dane Street : Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physicians to ensure high-quality, evidence-based clinical decisions that support better outcomes across the healthcare system.