Texas Licensed Physician Reviewer - Neurological Surgery

Dane Street; Washington (District of Columbia); Remote; USD 11,000 - 28,000; Full time

Benefits offered by this job

Flexible schedule

Advisory-only reviews

Timely case flow support

Training and onboarding

Job summary

Dane Street, an Independent Review Organization, offers a telework opportunity for physicians to review medical necessity cases on a per-case basis. Independent contractors determine schedule with flexible hours and predictable workload, while maintaining active practice.

We require a Texas Medical License, active practice, and board certification. Training is provided and case flow is streamlined to support efficient reviews with timely determinations.

Qualifications

• Current, unrestricted Texas Medical License.
• Active clinical practice while participating as reviewer.
• Board certification in specialty as applicable.

Responsibilities

• Review medical necessity of treatment requests and previously denied services.
• Provide advisory-only opinions with no doctor/patient relationship.
• Coordinate with Dane Street's case flow and timelines.

Skills

Active Practice

Board Certified

Independent reviewer

Education

Texas Medical License (active)

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 the specialties listed below with active Texas License to address the medical necessity of treatment requests and, in appeals, the medical necessity of previously denied services.

• Neurological Surgery

The average time spent on most reviews is 15-20 minutes so it is possible to complete several cases within an hour.

Training and onboarding can be completed in less than 1 week and you can start earning compensation for reviews while maintaining your active practice.

Requirements

• Current, unrestricted Texas Medical License
• Active Practice
• Board Certified

Benefits

• Independent consultant role allows for schedule flexibility and predictable work hours. You choose services and case types, dictate volume, and conduct this work based on your scheduled availability
• No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions
• Typical TAT is 1-5 business days depending on the level of review. Same-day cases are rare but do occur. Dane Street keeps you apprised of required turn-around time and carefully coordinates all administrative tasks so your time is spent on clinical decision-making
• Dane Street offers a streamlined case flow and a user-friendly work portal. We facilitate all communication, organize and sort all medical records, support all administrative processes, prep cases extensively, and ensure the quality and timely delivery of all determinations/reports
• A chronological listing of medical records as well as all treatment guidelines used to make a determination are provided in an easy, click-to-view format
• In cases where peer-to-peer calls are necessary (adverse determinations), Dane Street’s peer coordinators secure provider availability
• Dane Street offers initial training as well as an ongoing point of contact should you have any questions about completing reviews