Physician Reviewer
1 month ago
Job Description
Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine 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: Internal Medicine
Physicians Located in the following areas: Alsip/South Chicago 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, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.
Requirements
#J-18808-Ljbffr-
Physician Reviewer
1 month ago
West Palm Beach, United States Dane Street, LLC Full timeJob DescriptionJob DescriptionDane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine 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...
-
Physician Reviewer: Neurological Surgery
1 month ago
West Palm Beach, United States Dane Street, LLC Full timeJob DescriptionJob DescriptionThis telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.Preferred candidates will hold a NY License, and be NY WC Board Certified.JOB...
-
Physician Reviewer
4 weeks ago
West Palm Beach, United States Dane Street, LLC Full timeJob DescriptionJob DescriptionDane Street, a certified "Great Place to Work" company, is in search of a Board Certified Oncologist, Interventional Radiologist, Pediatric Oncologist, Radiation Oncologist, Hematologist/Oncologist, and Medical Geneticist, physician to process Utilization Reviews / Group Health Appeals Reviews. This telework opportunity provides...
-
Physician Reviewer: Physical Medicine
4 weeks ago
West Palm Beach, United States Dane Street, LLC Full timeThis telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.JOB SUMMARYUtilizes clinical expertise, and reviews insurance appeals, prospective and retrospective claims. The Physician...
-
Physician Reviewer: Physical Medicine
4 weeks ago
West Palm Beach, United States Dane Street, LLC Full timeJob DescriptionJob DescriptionThis telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.JOB SUMMARYUtilizes clinical expertise, and reviews insurance appeals, prospective and...
-
Physician Reviewer: Orthopedic Surgery
4 weeks ago
West Palm Beach, United States Dane Street, LLC Full timeJob DescriptionJob DescriptionThis telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.Preferred candidates will hold a TX license.JOB SUMMARYUtilizes clinical expertise, and...
-
Per Diem Physician Assistant
4 days ago
West Palm Beach, United States Tenet Healthcare (TFPS) Full timeJob DescriptionJob DescriptionCome be part of an amazing organization!General Summary: Under a collaborative agreement with a physician, provides patient care and education to assigned caseload of patients in accordance with established midwifery practice guidelines.Essential Job Responsibilities:Adheres to and supports the mission, purpose, philosophy,...
-
Physician Primary Care Mangonia Park Clinic
2 days ago
West Palm Beach, United States Health Care District of Palm Beach County Full timeThis Primary Care Physician is a licensed physician who adheres to the highest standards of evidence based medical practice, ethics, and professionalism at all times. This position provides primary care services in an outpatient setting, consisting of diagnosis, treatment and referrals as appropriate. Duties of this position are to understand HCD Primary...
-
Medical Scribe
4 weeks ago
West Branch, United States iChart Physician Facilitators Full timeJob DescriptionJob DescriptionWe are seeking a Medical Scribe / Physician Facilitator to join our team! You will work with physicians and other healthcare practitioners in the emergency room to create a medical record for each patient encounter.Responsibilities:Be early to every shiftAccompany the provider into patient rooms to document the encounter...
-
Travelling Physician
2 weeks ago
Hudson, FL, United States HCA Physician Services Full timePathology Anatomic and Clinical HCA’s Forward Pathology Solutions is seeking a PRN Pathologist, Board Certified in Anatomical and Clinical Pathology, for our West Florida Division providing coverage at HCA Florida Bayonet Point Hospital and HCA Florida Brandon Hospital. At least three years of hospital-based experience Active Florida Medical License...
-
West Palm Beach, FL, United States Florida Elite Management LLC, MyCare Medical Group Full timeMyCare Medical is a Primary Care Group that has been serving several communities across the state of Florida for the last 40 years. MyCare specializes in caring for older adults and keeping them healthy and transitioning them to healthy active seniors. We currently serve over 45,000 Medicare Advantage patients across Florida and Texas in 44 locations and...
-
Psychiatry, Medical Director Psychiatrist
4 days ago
West Palm Beach, FL, United States Sanitas Medical Center Full timeWe are seeking a dedicated and experienced Psychiatric Medical Director to join our West Palm Beach Center. The Medical Director provides clinical leadership necessary to achieve Florida Healthcare System, lnc. mission and objectives in collaboration with the Chief Executive Officer and staff. He/she supports the policies and procedures, rules and...
-
Medical Director Psychiatrist
4 days ago
West Palm Beach, FL, United States Sanitas Medical Center Full timeOverview: We are seeking a dedicated and experienced Psychiatric Medical Director to join our West Palm Beach Center. The Medical Director provides clinical leadership necessary to achieve Florida Healthcare System, lnc. mission and objectives in collaboration with the Chief Executive Officer and staff. He/she supports the policies and procedures, rules and...
-
Internal Medicine Physician
4 days ago
West Palm Beach, FL, United States DocCafe Full timeDocCafe has an immediate opening for the following position: Physician - Internal Medicine in West Palm Beach, Florida.Make $250,000 - $280,000/yearly.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other openings.DocCafe...
-
Oncology-Radiation Physician
4 days ago
West Palm Beach, FL, United States DocCafe Full timeDocCafe has an immediate opening for the following position: Physician - Oncology-Radiation in West Palm Beach, Florida.Make $600,000 - $850,000/yearly.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other openings.DocCafe...
-
Surgery-Oncology Physician Assistant
4 days ago
West Palm Beach, FL, United States DocCafe Full timeDocCafe has an immediate opening for the following position: Physician Assistant - Surgery-Oncology in West Palm Beach, Florida.Make $110,000 - $150,000/yearly.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other...
-
Maternal-Fetal Medicine Physician
3 days ago
West Palm Beach, FL, United States DocCafe Full timeDocCafe has an immediate opening for the following position: Physician - Maternal-Fetal Medicine in West Palm Beach, Florida.Make $480,000 - $500,000/yearly.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and for access to 120,000+ other...
-
PRN Pathology Anatomic and Clinical Physician
2 weeks ago
Hudson, FL, United States HCA Physician Services Full timeDescription Specialization: Pathology Anatomic and Clinical Job Summary: HCA’s Forward Pathology Solutions is seeking a PRN Pathologist, Board Certified in Anatomical and Clinical Pathology, for our West Florida Division providing coverage at HCA Florida Bayonet Point Hospital and HCA Florida Brandon Hospital. Qualified Candidates: AP/CP...
-
West Palm Beach, United States Florida Elite Management LLC, MyCare Medical Group Full timeMyCare Medical is a Primary Care Group that has been serving several communities across the state of Florida for the last 40 years. MyCare specializes in caring for older adults and keeping them healthy and transitioning them to healthy active seniors. We currently serve over 45,000 Medicare Advantage patients across Florida and Texas in 44 locations and...
-
West Palm Beach, United States Florida Elite Management LLC, MyCare Medical Group Full timeMyCare Medical is a Primary Care Group that has been serving several communities across the state of Florida for the last 40 years. MyCare specializes in caring for older adults and keeping them healthy and transitioning them to healthy active seniors. We currently serve over 45,000 Medicare Advantage patients across Florida and Texas in 44 locations and...