Pulmonology Physician

Dane Street; California; Remote; USD 100,000 - 125,000; Full time

Job summary

Dane Street is seeking board-certified physicians in Occupational Medicine for a telework opportunity. This role involves reviewing cases for the California Independent Medical Review process, ensuring adherence to established medical standards and guidelines. Ideal candidates will have experience in IMR and be skilled in medicolegal writing.

Qualifications

• Must have active California licenses.
• Experience in California Independent Medical Review process preferred.

Responsibilities

• Provide telework opportunities for reviewing cases.
• Evaluate medical necessity using established standards.

Skills

Occupational Medicine

Medical Treatment Utilization Schedule

Evidence-based guidelines

Medicolegal writing

Education

Board Certified Physician

Job description

Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings) and we are expanding our physician panel resulting in opportunities for non-traditional physician work and supplemental income. This is a telework opportunity for physicians providing a caseload customized to your schedule.

Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. We are looking for physicians who are board certified in Occupational Medicine with active California licenses with experience in the California Independent Medical Review (IMR) process. IMR serves as a binding appeals process for disputes arising from the denial or modification of workers compensation treatment requests. Since July 1, 2013, all medical treatment disputes regardless of the date of injury are resolved through IMR rather than the traditional court system, streamlining the process significantly.

In California s workers compensation system, all treatment requests undergo utilization review (UR) to determine medical necessity. If a request is denied, delayed, or modified due to lack of medical necessity, the injured worker has the right to appeal the decision through IMR. This review is conducted by physicians who assess the case using evidence-based guidelines.

IMR physicians must be experts in the Medical Treatment Utilization Schedule (MTUS), Official Disability Guidelines (ODG), and medicolegal writing, as they are responsible for evaluating medical necessity based on established standards and clearly articulating their rationale in written determinations.

Preferred but Not Required:

• California IMR experience