Job Summary
Job Description
JOB SUMMARY
As Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review medical records provided and return an independent, professional opinion on the clamant’s functionality and restrictions or limitations as it relates to an application for disability benefits or the current status of disability. Determinations are based on the clinical evidence within the medical records provided.
Job Responsibilities
On a contract basis as individual schedule permits, accepts cases, reviews all medical records, and 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.
Board certification required, active practice required
PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment.
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.
Sally Lewis | Networking Specialist
slewis@danestreet.com
Qualifications
Board Certified
5 years in practice
No Subspecialty