Physician Reviewer - Orthopedic Surgery (Utilization Review) NY

Dane Street has new openings for providers who have available, independent exam space and are interested in supporting our Government Services division, which performs Medical Disability Exams for Veterans of the United States Military. We are working with the Department of Veterans Affairs (VA) to address the backlog of these exams, and there are currently a considerable number of exams available in your area. These Medical Disability Exams are crucial in the VA process for determining the benefits Veterans can receive because of service-connected health issues. Here are some key highlights of this important work: · Objectivity: Focus solely on objective evaluations. You will not treat or diagnose patients. · Flexibility: Create schedules based on your availability without impacting your existing practice. · Direct Compensation: Get paid directly by Dane Street with no rigorous claims process for the work completed. Dane Street, founded in 2008 as an Independent Review Organization (IRO) that conducts medical exams across many lines of business, is proud to perform these Medical Disability Exams as we make a difference in the lives of our veterans.  We hope you will join us!

Dane Street is expanding our physician panel as we have new openings for providers who have available, independent exam space and are interested in supporting our Government Services division, which performs Medical Determination Exams for Veterans of the United States Military. Dane Street was founded in 2008 as an Independent Review Organization (IRO) and has become a national leader in Independent Medical Exams, Peer Reviews, and other physician advisory services.  We are working with the Department of Veterans Affairs (VA) to address the backlog of these exams, and there are currently a considerable number of exams available in your area. These exams are crucial in the VA process for determining the benefits Veterans can receive because of service-connected health issues. Here are some key highlights of this important work: · Objectivity: Focus solely on objective evaluations. You will not treat or diagnose patients. · Flexibility: Create schedules based on your availability without impacting your existing practice. · Direct Compensation: Get paid directly by Dane Street with no rigorous claims process for the work completed. If you are interested in hearing more about this opportunity, please apply, and one of our team members will reach out with a detailed scope of work and reimbursement schedule. They will also discuss training, scheduling, and other next steps.  Thank you for your interest, and we look forward to working with you to make a difference in the lives of our veterans. 

Dane Street has new openings for providers who have available, independent exam space and are interested in supporting our Government Services division, which performs Medical Disability Exams for Veterans of the United States Military. We are working with the Department of Veterans Affairs (VA) to address the backlog of these exams, and there are currently a considerable number of exams available in your area. These Medical Disability Exams are crucial in the VA process for determining the benefits Veterans can receive because of service-connected health issues. Here are some key highlights of this important work: · Objectivity: Focus solely on objective evaluations. You will not treat or diagnose patients. · Flexibility: Create schedules based on your availability without impacting your existing practice. · Direct Compensation: Get paid directly by Dane Street with no rigorous claims process for the work completed. Dane Street, founded in 2008 as an Independent Review Organization (IRO) that conducts medical exams across many lines of business, is proud to perform these Medical Disability Exams as we make a difference in the lives of our veterans.  We hope you will join us!

QualDerm Partners is currently looking for a Board Certified/Board Eligible Dermatologist to join its team in Mansfield, OH – just one hour from Columbus. This practice offers a wide range of services in general, medical, surgical, skin cancer care, and cosmetic dermatology.  The practice also provides Mohs surgery on-site with a fellowship trained Mohs surgeon. The opening position is due to the founding physician’s succession plan, and the practice wants to ensure continuity of patient care. You will have the unique opportunity to step into a full patient load immediately!  This is an opportunity to work with a premier, well-established practice with an experienced physician assistant, experienced cosmetic/laser NP, and fellowship-trained Mohs surgeon as you grow your practice.  This is a great opportunity to join a collegial group that is patient focused, committed to collegiality and professional growth. The practice maintains a patient-centered and physician-centric approach, through electronic medical records, stellar customer service both to our patients and our providers, and highly efficient support staff, so you can focus on your patients. This is a perfect opportunity to kick-start your career and make this your own. Providing high quality patient care is the practice’s mission and the incoming physician will enjoy clinical autonomy and control of their career.  Thinking Ahead? 2026 Residents who sign in 2025 are eligible for a $1,500/month stipend (up to 12 months) - just one way we support you early in your career. The practice recently expanded and went through a beautiful office refresh to accommodate additional providers and to provide a modern space for patients.  Mansfield is a vibrant town in Central Ohio that has an area population of 48,000 residents and a low number of dermatology providers, so there is a tremendous need for a Dermatologist.  Requirements · American Board of Dermatology · Ohio Medical License · Strong commitment to quality and safety of patients Benefits Competitive compensation package - Guaranteed base for Year 1 plus bonus potential $1,500/mo stipend for 2026 residents who commit this year Excellent Sign-On bonus  Relocation Package  Great Benefits Package – medical, dental, vision, and more 401k with a company match  Flexible Time Off and paid company Holidays CME Reimbursement and Employer-Paid Malpractice Insurance Flexible schedule contributing to healthy work life balance Replacement position for a retiring physician – Step into full patient load immediately! Equity Partnership Opportunity QualDerm Partners is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.   

This opportunity provides the ability 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. Preferred candidates will hold a WA license and be certified, or willing to become certified, with the Washington State Department of Labor and Industries (L&I). Highlights: In-person Exams to be conducted in Bellevue, WA, with additional locations to be added in the future Multiple exams over the course of a day Dane Street will pay for reasonable travel expenses Dane Street will assist you in obtaining WA L&I certification Video recording of approximately 15% of exams may be needed JOB SUMMARY Utilizes clinical expertise and 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: 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 in a timely manner Returns cases on or before the due date and time Makes telephone calls as mandated by the state and/or client specifics 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.

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and 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. Requirements 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 in a timely manner Returns cases on or before the due date and time Makes telephone calls as mandated by the state and/or client specifics 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 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.