Surgery - Neurosurgery Physician

Dane Street; Novato (CA); Remote; USD 150,000 - 250,000; Full time

Job summary

A leading independent review organization is seeking a Surgery - Neurosurgery Physician. This telework role allows for flexible scheduling while managing a caseload. Candidates must be board certified in Occupational Medicine and have California IMR experience. Join a physician panel that offers supplemental income through independent contractor work.

Qualifications

• Must be board certified in Occupational Medicine.
• California IMR experience required.

Responsibilities

• Evaluate medical necessity based on evidence-based guidelines.
• Articulate rationale in written determinations.

Skills

Medical Treatment Utilization Schedule

Evidence-based guidelines

Medicolegal writing

Education

Board certification in Occupational Medicine

Job description

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Dane Street is an Independent Review Organization and a national provider of Utilization Review services, expanding its physician panel to offer non-traditional physician work and supplemental income. This telework opportunity allows physicians to manage a caseload tailored to their schedule.

Our physician panel consists of independent contractors (1099), compensated per case. We seek physicians who are board certified in Occupational Medicine, hold active California licenses, and have experience in the California Independent Medical Review (IMR) process. IMR acts as a binding appeals process for disputes related to workers' compensation treatment denials or modifications. Since July 1, 2013, all medical treatment disputes in California are resolved through IMR, streamlining the process.

In California's workers' compensation system, all treatment requests undergo utilization review (UR) to assess medical necessity. Denials, delays, or modifications due to lack of necessity can be appealed through IMR, conducted by physicians evaluating cases based on evidence-based guidelines.

IMR physicians must be experts in the Medical Treatment Utilization Schedule (MTUS), Official Disability Guidelines (ODG), and medicolegal writing, as they evaluate medical necessity and articulate their rationale clearly in written determinations.

Preferred But Not Required:

• California IMR experience

Required:

• California IMR experience

Job Industries:

• Customer Service

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Health Care Provider

Industries

• Insurance