Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Physical Medicine & Rehabilitation, Occupational Medicine, and Neurology 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: Physical Medicine & Rehabilitation, Occupational Medicine, Neurology
Physicians Located in the following areas: Kansas City 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.
Dane Street is a fast-paced, Inc. 500 Company specializing in independent medical examinations (IME) and peer review services for the insurance and claims management industry. The company processes over 200,000 insurance claims annually for leading national and regional Workers' Compensation, Disability, Auto, and Group Health carriers, as well as Third-Party Administrators and Managed Care Organizations. They provide customized IME and Peer Review programs that help clients make appropriate medical determinations as part of the claims management process. With a high-performance culture, Dane Street serves employers, pharmacy benefit managers, and other healthcare stakeholders across multiple insurance lines.
