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

Dane Street, LLC; Kansas City (MO); Remote; USD 80,000 - 160,000; Full time

Job summary

An established industry player is seeking Board Certified physicians in Physical Medicine & Rehabilitation, Occupational Medicine, and Neurology for Independent Medical Exams and Peer Reviews. This role offers the flexibility to customize your schedule within a standard Monday to Friday work week while ensuring timely client-mandated turnaround times. You will utilize your clinical expertise to review disability claims, ensuring compliance with regulations and providing clear, concise documentation. Join a certified 'Great Place to Work' and make an impact in the medical review process while enjoying the independence of a 1099 contractor role.

Qualifications

• Board certified in Physical Medicine & Rehabilitation, Occupational Medicine, or Neurology.
• Strong clinical expertise and experience in medical record review.

Responsibilities

• Review medical records and provide interpretations of medical appropriateness.
• Conduct Independent Medical Exams in a professional setting.
• Ensure compliance with state regulations and guidelines.

Skills

Clinical expertise

Medical record review

Independent Medical Exams (IME)

Peer Reviews

Knowledge of state regulations

Documentation skills

Education

Board Certification in Physical Medicine & Rehabilitation

Board Certification in Occupational Medicine

Board Certification in Neurology

Tools

Evidence-based guidelines

State licensing requirements

Job description

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 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: Physical Medicine & Rehabilitation, Occupational Medicine, Neurology

Physicians Located in the following areas: Kansas City 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, Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.