Physician Reviewer -Physician Medicine & Rehab, Occupational Medicine, Neurology

Dane Street; Kansas City (MO); On-site; USD 80,000 - 120,000; Part time

Job summary

Dane Street is seeking Board Certified Physicians in Physical Medicine & Rehabilitation, Occupational Medicine, and Neurology for Independent Medical Exams. This contract role allows flexible scheduling within a standard work week while ensuring compliance with regulations and guidelines. Ideal candidates will utilize their clinical expertise to review disability claims and maintain proper credentialing.

Qualifications

• Must maintain proper credentialing and state licenses.
• Entry-level position for independent contractors.

Responsibilities

• Reviews medical records and addresses client questions.
• Ensures clear rationale for decisions with supporting documentation.
• Conducts Independent Medical Exams in a professional setting.

Skills

Clinical Expertise

Medical Appropriateness

Education

Board Certified in Physical Medicine & Rehabilitation

Board Certified in Occupational Medicine

Board Certified in Neurology

Job description

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Dane Street, a certified "Great Place to Work" company, is searching for Board Certified Physical Medicine & Rehabilitation, Occupational Medicine, and Neurology 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 contact you 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 contractors.

Physician Specialties: Physical Medicine & Rehabilitation, Occupational Medicine, Neurology

Physicians Located in the following areas: Kansas City Area

Job Summary:

Utilizes clinical expertise to review disability claims by interpreting the medical appropriateness of services provided by other healthcare professionals, in compliance with state regulations, 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, along with any special certifications or requirements necessary to perform the job.
• Attends all required orientation and training.
• Performs other duties as assigned, including 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, avoiding limited-sample case studies.
• Provides copies of any criteria utilized in a review with the report in a timely manner.
• Conducts Independent Medical Exams in a professional, safe, and clean setting.

Please be aware: Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.

Seniority level

• Entry level

Employment type

• Contract

Job function

• Health Care Provider

Industries

• IT Services and IT Consulting

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