Summary
The job is for a Physician Reviewer/Advisor who will review medical records to determine disability status on a contract basis. This is a telework opportunity providing supplemental income, schedule flexibility, and no doctor-patient relationship.
Requirements
Board certification required, active practice required
Responsibilities
- Accepts cases, reviews all medical records, addresses each question posed utilizing client-specific criteria or other nationally recognized evidence-based criteria and opines on disability status
- Ensures a clear rationale for determination that is concise and contains adequate supporting documentation to substantiate the decision
- Identifies and employs 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
- Provides a report and copies of any criteria utilized within the review promptly
- Returns cases on or before the due date and time specified
- Completes peer-to-peer calls/call attempts as required based on client-specific protocol with the goal of obtaining information not included in medical records as well as any necessary clarification
- Performs other duties as assigned including addressing any necessary clarification, providing addendum as required (with additional compensation), identifying and responding to potential quality assurance issues, complaints, and regulatory issues
Benefits
- Robust opportunity for supplemental income
- Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
- No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions
- Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise
- Expanded credentials as an expert in Independent Medical Exams and physician advisor services
- Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal
- Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery
