Nephrology Physician
1 week ago
This telework opportunity allows you 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.
Candidates must hold an active Texas License.
Physician Specialties: Nephrology
JOB SUMMARY
Utilizes clinical expertise, reviews insurance appeals, and prospective and retrospective claims. The physician reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care.
MAJOR DUTIES AND RESPONSIBILITIES:
* All of our physician reviewers are contractors with Dane Street.
* A flat rate is offered for Group Health Record/Policy Reviews.
* Reviews all medical records and addresses each question posed by the client utilizing client-specific criteria 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
* 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 promptly
* Makes telephone calls as mandated by the state and/or client specifics
* Peer to Peer calls may be required. Dane Street will help arrange any Peer to Peer phone calls, if needed.
* The average length of time to review each case is between 15-30 minutes.
* The cases are prepared for you before they are provided for your review.
* Some cases may REQUIRE a short turnaround time meaning some cases may need to be reviewed the same day
* 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
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.
-
Nephrology Physician
2 weeks ago
, GA, United States Physician Services Full timeNephrologist needed to join a single specialty, private practice with offices in Northwest, Georgia - 100% Nephrology Practice - 30+ years service to the community - Partnership opportunity - Very competitive salary plus full benefits and malpractice - Hospital to provide income guarantee - Enjoy 1:4 call coverage - Highly competitive salary and full...
-
Nephrology Physician
20 hours ago
, AZ, United States Jackson Physician Search Full timeThis is an exciting opportunity to become a partner in one of the leading Nephrology groups in the nation and earn in the top 10% of Nephrologists in the country. - Nationally recognized private Nephrology practice with over 70 physicians across 40 locations the Phoenix and Tucson Metropolitan areas. - Join a group of physicians who are recognized not just...
-
Nephrology Physician
2 weeks ago
, TX, United States Inspire Medical Group Full timeWe have outstanding, flexible opportunities for a Texas-licensed Nephrologist to join Post Acute Specialists in Texas! Our hybrid care model combines telehealth and in-person care services, which allows our collaborative, multispecialty group to continue to forge solid connections, provide accessible, affordable care, and elevate the healthcare experiences...
-
Physician Assistant Nephrology
2 months ago
Houston, TX, United States Boson Health Full timePhysician Assistant NephrologyBoson Health is seeking a Physician Assistant to deliver excellent quality care to our patients. The position has two roles. About half the time is spent in Clear Lake working in our outpatient vascular access center. The other half of the job is in the Med Center area doing dialysis rounds. This is a full-time salaried (exempt)...
-
Physician Assistant Nephrology
6 months ago
Houston, TX, United States Boson Health Full timePhysician Assistant NephrologyBoson Health is seeking a Physician Assistant to deliver excellent quality care to our patients. The position has two roles. About half the time is spent in Clear Lake working in our outpatient vascular access center. The other half of the job is in the Med Center area doing dialysis rounds. This is a full-time salaried (exempt)...
-
Nephrology Physician
1 week ago
, TX, United States Medicorp, Inc. dba Physician Empire Full timeNephrology-East Texas-Private Practice * Well established, professionally ran, private practice seeks a BE/BC Nephrologist * Competitive guaranteed salary with production bonus to be discussed directly with employer * Clinic 8am-5pm * 40% Dialysis clinic, 30% rounding/consulting at hospital and 30% office time * Call: 1:4 * Vascular training is a plus but...
-
Nephrology Physician Assistant
1 week ago
Reading, PA, United States Archway Physician Recruitment Full timeNephrology APP opening in Reading, PA Located just 1 hour from Philadelphia Full-time, permanent opening Inpatient only Joining an established, private practice, Nephrology group Currently 6 physicians & 3 NPs Focus will be on the ESRD patients largely No prior dialysis experience is necessary Competitive compensation and benefits! About Reading: Excellent...
-
Nephrology Physician
2 weeks ago
El Paso, TX, United States The Medicus Firm Full timeAcademic Nephrologist Job El Paso, Texas Position Highlights * Join a well-established Division of Nephrology - regionally and nationally recognized for excellence in clinical care, research, and educational programs * Work in a collegial, cohesive, friendly environment with a dynamic nephrology team * Teach and mentor IM residents, fellows, and medical...
-
Nephrology Physician
7 days ago
, WA, United States Greenstaff Physician & Provider Solutions Full timeWe are hiring a locum Nephrologist for ongoing one week per month coverage! Job Details * Start: As soon as credentialed * Schedule: 7 days - Monday 8 am - Monday 8 am. * Call: In-patient call, they will consult on post-kidney transplant patients, write dialysis orders, manage kidney specific needs and also consult on liver patients that need nephrology...
-
Nephrology Physician
2 weeks ago
Watertown, NY, United States Archway Physician Recruitment Full timeNephrology opening in Northern New York Located in Watertown, NY - just 70 miles from Syracuse, NY! Full-time, permanent opening Private PracticeJoin a 25+ year thriving practice providing comprehensive nephrology services to an appreciative community. Efficient and modernized office is within a three-minute drive to the hospital. Radiology services on-site....
-
Nephrology Physician
1 month ago
Pittsburgh, PA, United States UPMC Full timeThe Division of Pediatric Nephrology at the UPMC Children's Hospital of Pittsburgh and the Department of Pediatrics, University of Pittsburgh School of Medicine is recruiting a Full Time Academic Clinician Physician. This position will be primarily located in the Pittsburgh Pennsylvania and will be filled by a critical team member to further grow, build, and...
-
Nephrology Physician
1 month ago
Pittsburgh, PA, United States UPMC Full timeThe Division of Pediatric Nephrology at the UPMC Children's Hospital of Pittsburgh and the Department of Pediatrics, University of Pittsburgh School of Medicine is recruiting a Full Time Academic Clinician Physician. This position will be primarily located in the Pittsburgh Pennsylvania and will be filled by a critical team member to further grow, build, and...
-
Nephrology Physician
2 weeks ago
Syracuse, NY, United States The Medicus Firm Full timeNephrology Leadership Opportunity Central New York Position Highlights: * Join an established group of nephrologists in providing clinical care for patients with acute and chronic kidney diseases and hypertension * $423,974 Salary+ wRVU Production Bonus * Leadership role: Medical Director for Inpatient Dialysis * Yearly Medical Director Stipend! * Ability...
-
Nephrology Physician
2 weeks ago
Fort Myers, FL, United States Lee Physician Group Full timeLee Health/Golisano Childrens Hospital of Southwest Florida is seeking a Pediatric Nephrologist! Located near Southwest Florida's beaches is Golisano Children's Hospital of Southwest Florida - a state-of-the-art pediatric facility that delivers vital and lifesaving care for children and their families throughout the region. This 135-bed regional hospital...
-
Nephrology Physician
2 weeks ago
Seattle, WA, United States ProLocums Full timeLocums - Seattle Looking for one week of coverage per month starting ASAP. For our transplant nephrology coverage, we would need a nephrologist who either has trained in transplant nephrology or has experience taking care of kidney transplant patients. Duties would involve taking call for 7 days - Monday 8 am - Monday 8 am. During in-patient call, they will...
-
Nephrology Physician
20 hours ago
United, PA, United States ICON Medical Network Full timeLocation: Pennsylvania Rate: Hourly plus expenses, beeper fee for call at night 5p-8a and 24 hour weekend call 8a-8a. Licenses: Willing to wait for anyone obtain a new PA license Prefers active Pennsylvania license Need: Locum Nephrology PHYSICIAN MD/DO with Transplant experience Certs needed: BC-Nephrology, Fellowship trained with Transplant Fellowship,...
-
Nephrology Physician Opportunity
4 weeks ago
, PA, United States Orchard, Inc. Full timeJob Opportunity DetailsOrchard, Inc. is seeking a highly skilled Nephrology Physician to join our team. The ideal candidate will have expertise in internal medicine and nephrology, with a strong focus on patient care and treatment.Key Responsibilities:Provide high-quality patient care and treatment in a hospital setting.Collaborate with other healthcare...
-
Pediatric - Nephrology Physician
20 hours ago
Long Beach, CA, United States Archway Physician Recruitment Full timeLocums Pediatric Nephrology opening - Long Beach Coverage: Nov 15th, 2023 - Feb 15th, 2024 Pediatrics Nephrology BC/BE Position Details - Inpatient call - Cover inpatients every 3rd week - PICU and NICU have attendings, fellows and residents 24/7 - 24/7 Hospitalist and residents covering the floor patients. - Subspecialties on call 24/7 - Monday-Monday,...
-
Nephrology Physician
1 week ago
Fort Myers, FL, United States Lee Physician Group Full timeLee Health/Golisano Childrens Hospital of Southwest Florida is seeking a Pediatric Nephrologist! Located near Southwest Florida's beaches is Golisano Children's Hospital of Southwest Florida - a state-of-the-art pediatric facility that delivers vital and lifesaving care for children and their families throughout the region. This 135-bed regional hospital...
-
Nephrology Physician
2 weeks ago
Bronx, NY, United States Montefiore Medical Center Full timeNephrologist Faculty Position Job Description: The Division of Nephrology at Montefiore Medical Center/Albert Einstein College of Medicine is recruiting a Nephrologist to join our faculty. Responsibilities will include providing inpatient and outpatient care for a large and diverse population of patients with acute and chronic kidney disease and teaching...