Physician Reviewer

3 weeks ago

West Palm Beach, United States Dane Street Full time
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.

  • Physician Reviewer

    1 month ago

    West Palm Beach, United States Dane Street, LLC Full time

    Job 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 time

    Job 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 time

    Job 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 time

    Job 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: Physical Medicine

    4 weeks ago

    West Palm Beach, United States Dane Street, LLC Full time

    This 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: Orthopedic Surgery

    4 weeks ago

    West Palm Beach, United States Dane Street, LLC Full time

    Job 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 time

    Job 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 time

    This 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 time

    Job 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...

  • Managed Care Primary Care Physician Opportunity in West Palm Beach

    1 month ago

    West Palm Beach, United States Florida Elite Management LLC, MyCare Medical Group Full time

    MyCare 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...

  • Medical Director Psychiatrist

    4 days ago

    West Palm Beach, United States Sanitas Medical Center Full time

    Overview: 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...

  • Hematology/Oncology Nurse Practitioner

    4 days ago

    West Palm Beach, United States DocCafe Full time

    DocCafe has an immediate opening for the following position: Nurse Practitioner - Hematology/Oncology in West Palm Beach, Florida.Make $102 - $150/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...

  • Master Injector $180k plus productivity bonus

    5 days ago

    West Palm Beach, United States MASC Medical Full time

    Job DescriptionJob DescriptionMaster Injector $180k plus productivity bonus(NP/PA)West Palm Beach, FLOur Client is seeking an experienced and dedicated Master Injector Nurse Practitioner or Physician Assistant to join their team. The ideal candidate must have experience with fillers and injectables. This is a full time opportunity.Duties and...

  • HRT Provider $150K

    5 days ago

    West Palm Beach, United States MASC Medical Full time

    Job DescriptionJob DescriptionHRT Provider $150K(NP/PA)West Palm Beach, FLOur Client is seeking an experienced and dedicated HRT Nurse Practitioner or Physician Assistant to join their team. The ideal candidate must have experience in providing hormone replacement therapy modules and stem cell therapy modules. This is a full time opportunity.Duties and...

  • Hospice/Palliative Medicine Physician

    4 days ago

    Palm Beach Gardens, United States DocCafe Full time

    DocCafe has an immediate opening for the following position: Physician - Hospice/Palliative Medicine in Palm Beach Gardens, Florida.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 Offers:Free...

  • Psychiatry-Child/Adolescent Physician

    4 days ago

    Palm Beach Gardens, United States DocCafe Full time

    DocCafe has an immediate opening for the following position: Physician - Psychiatry-Child/Adolescent in Palm Beach Gardens, Florida.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 Offers:Free...

  • Assistant Athletics Director of Sports Medicine

    3 weeks ago

    West Palm Beach, United States Keiser University Full time

    Assistant Athletic Director of Sports Medicine provides leadership and direction for the healthcare, prevention, evaluation, treatment, and rehabilitation of injuries to student-athletes and oversees the procurement and management of the University's student athlete insurance plan. This administrative role assures compliance with all pertinent NAIA health...

  • Assistant Athletic Director of Sports Medicine

    3 days ago

    West Palm Beach, Florida, United States Keiser University Full time

    Assistant Athletic Director of Sports Medicine provides leadership and direction for the healthcare, prevention, evaluation, treatment, and rehabilitation of injuries to student-athletes and oversees the procurement and management of the University's student athlete insurance plan. This administrative role assures compliance with all pertinent NAIA health...

  • RN Research

    4 weeks ago

    West Palm Beach, United States NCH Healthcare System Full time

    DEPARTMENT: 68306 - NPG ResearchLOCATION: 350 7th Street North, Naples, FL, 34102WORK TYPE: Full TimeWORK SCHEDULE: 8 Hour Day$10,000 Sign on BonusABOUT NCHNCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in...

  • Managed Care Primary Care Physician Opportunity in West Palm Beach

    2 weeks ago

    West Palm Beach, FL, United States Florida Elite Management LLC, MyCare Medical Group Full time

    MyCare 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...