Consultant in Neurological Surgery

4 weeks ago


Nevada, Iowa, United States Dane Street, LLC Full time

This position offers a telecommuting opportunity for medical professionals seeking additional income through a flexible caseload tailored to individual schedules. Our panel of physicians consists of independent contract reviewers who are compensated on a per-case basis.

Ideal candidates should possess a valid Nevada Medical License (M.D., D.O.).

POSITION OVERVIEW

The Physician Reviewer/Advisor leverages clinical knowledge to assess, interpret clinical treatment guidelines, and provide opinions on the medical necessity of proposed or rendered services by other healthcare providers, ensuring compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care.

KEY RESPONSIBILITIES:
  • Thoroughly reviews all medical documentation and addresses each inquiry using client-specific criteria or other nationally recognized evidence-based standards.
  • Ensures that determinations are well-reasoned, concise, and supported by adequate documentation to justify the decision.
  • Utilizes current criteria and resources, including national, state, and professional association guidelines, as well as peer-reviewed literature, to support objective decision-making and rationales in reviews; avoids reliance on case studies or cohorts due to their limited sample sizes.
  • Delivers reports and copies of any criteria used in the review in a timely manner.
  • Submits cases by the specified due date and time.
  • Completes calls or call attempts as required by state and/or client specifications.
  • Maintains necessary credentialing, licenses, and any special certifications while adhering to the requirements essential for the role of Physician Reviewer/Advisor.
  • Participates in mandatory orientation and training sessions.
  • Performs additional duties as assigned, including identifying and addressing potential quality assurance issues, complaints, and regulatory concerns.

NOTE: For the security of all parties involved, Dane Street will never conduct interviews via text or request any form of payment from candidates for any reason, including the purchase of equipment.

  • Excellent opportunity for supplemental income.
  • Flexible scheduling with predictable work hours - you have the autonomy to select services and case types, determine volume, and conduct evaluations and reviews based on your availability.
  • No doctor-patient relationship is established, and no treatment is provided; these are advisory-only evaluations.
  • Enhanced industry knowledge that strengthens your medical practice with expertise in medical necessity and utilization review/management.
  • Expanded credentials as an authority in Independent Medical Exams and physician advisory services.
  • Streamlined case management and a user-friendly work portal.

Dane Street manages all referral processes, scheduling, and case preparation comprehensively, provides transcription services as needed, facilitates all client communications, and ensures the quality and promptness of all reports and their delivery.



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