Pulmonary, Pain Management, Ortho Spine Physician

Dane Street, LLC; Charleston (WV); Remote; USD 180,000 - 240,000; Full time

Job summary

Dane Street, LLC seeks Board Certified Orthopaedic Surgeon (Lumbar Spine), Pulmonary Disease and Pain Management physicians to perform Independent Medical Exams and peer reviews as a 1099 contractor. West Virginia license preferred with workers’ compensation experience.

Schedule is customizable within a standard Mon–Fri week while meeting client-imposed turnaround times. Reviewers are compensated on a per-case basis, inviting professionals to contribute specialized expertise while maintaining

Qualifications

• West Virginia medical license preferred.
• Experience with workers’ compensation reviews required.
• Board-certified orthopaedic surgery specialization.

Responsibilities

• Review workers’ compensation claims using state/national criteria and URAC guidelines.
• Ensure clear, justified determinations with supporting documentation.
• Conduct Independent Medical Exams in a professional setting.
• Maintain credentialing and state licenses and fulfill required trainings.
• Provide criteria used in reviews with the report in a timely manner.

Skills

Board Certification

Orthopaedic Surgery

IME Reviews

Peer Reviews

West Virginia License

Education

MD/DO

State Medical License

Job description

Description

Dane Street, a certified “Great Place to Work” company, is in search of a Board Certified Orthopaedic Surgeon (Lumbar Spine), Pulmonary Disease and Pain Management physician to conduct Independent Medical Exams (IME) and Peer Reviews. Preferred candidates will hold a West Virginia license. Worker’s Compensation experience is required. This opportunity provides the ability 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.

JOB SUMMARY:

Utilizes clinical expertise, and reviews workers’ compensation 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.