Orthopedic Surgeons Needed for Examination Panel

Requirements 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. 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 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.   Apply for this job

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 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 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!

Join Our Team as a PRN-1099 NP/PA for Concierge Aesthetics! No prior aesthetic experience required.  Why Join the Clique Community? Best-in-Class Clinical Training: Receive industry-leading training focused on the latest techniques in aesthetic medicine, ensuring you stay ahead in clinical expertise and patient care. Hands-On Learning and Curriculum: Benefit from immersive, hands-on training combined with a comprehensive curriculum, blending virtual courses and live in-person sessions for real-world skill development. Competitive Compensation: Enjoy competitive reimbursement for both procedures and skincare sales, allowing you to earn while delivering exceptional care to your patients. Comprehensive Business Support: Focus on patient care while we handle the logistics. From insurance to electronic medical records and supplies, our operational support ensures you can thrive in your practice Practice-Building Guidance: Grow your patient base with expert strategies designed to help you build and scale a successful aesthetic practice, with ongoing support at every stage. Access to a Collaborative Community: Join a nationwide network of over 900 board-certified providers, where you can exchange knowledge, receive mentorship, and collaborate with peers dedicated to advancing skin health. Clinical Skincare Partnerships: Our national practice is already aligned with top-tier skincare brands, giving you access to high-quality products that complement your treatments and enhance patient outcomes. Ongoing Professional Growth: Stay at the forefront of aesthetic medicine with continuous education, mentorship, and advanced training opportunities, ensuring your skills and practice continue to evolve. A Chance to Transform Lives: Make a meaningful impact by improving the skin health of your patients, helping them feel confident and empowered through personalized, expert care. Our Mission:   Skin Clique is a nationwide leader in personalized, in-home aesthetic care, offering expert treatments from board-certified providers. Through comprehensive skin evaluations and long-term treatment plans, Skin Clique integrates skin health into the broader health conversation. As the only practice with a certified curriculum for in-home aesthetic medicine, we prioritize expert care and overall skin health to deliver medical-grade results directly to patients. This innovative approach positions Skin Clique at the forefront of delivering high-quality aesthetic services as an essential part of overall wellness. Position Description:   As an Expert Aesthetic Provider at Skin Clique, you will deliver treatments directly to patients at their homes or other preferred settings, following our established safety protocols and best practices.  Your responsibilities will include:   Conducting thorough treatment and skincare consultations   Administering Skin Clique treatments such as neurotoxin injections, chemical peels, and dermaplaning on a regular basis to maintain required skills  Educating patients on our services and providing detailed aftercare instructions  Monitoring follow-up care to ensure satisfaction with results   Responding promptly and professionally to patient questions and concerns  Adhering to Skin Clique's policies, procedures, and maintaining high sanitation and sterilization standards  Keeping detailed records of all treatments in our electronic medical record system  Promoting Skin Clique's services and products to drive patient acquisition and retention  Contributing to a positive work environment by upholding our core values and maintaining a positive attitude  Attending and actively participating in training sessions and virtual staff meetings regularly  Requirements This position requires you to provide in-person, concierge aesthetics procedures throughout your community. Board Certification as a Nurse Practitioner (NP) or Physician Assistant (PA)  Master's Degree from an accredited NP or PA program  Current BLS or ACLS certification  Auto-Insurance Coverage   Availability to dedicate 10+ hours per week to growing your Skin Clique practice   Commitment to complete Skin Clique training and demonstrate safe, effective administration of treatments  Proficient fine motor skill for performing procedural treatments  Preferred experience in patient acquisition Capability to work independently while also collaborating seamlessly with other Skin Clique providers  Positive, friendly, and energetic attitude Motor Skills Requirement: Candidates must possess adequate motor function to physically interact with patients, such as assessing anatomy and physiology to determine appropriate dosage and treatment plans. They must be able to perform motor tasks necessary for delivering general aesthetic care and emergency interventions, such as first aid or CPR. Additionally, candidates must be able to carry out the motor movements required for aesthetic injections and procedures, which involve coordination of fine motor skills, and effective use of both touch and vision. Benefits This is a 1099 contractor position. There are no Skin Clique paid healthcare benefits provided. Skin Clique offers the option to enroll in self-paid healthcare coverage, opting into this is at the provider's discretion.   We are committed to being an equal opportunity employer and deeply value diversity. We strive to create a welcoming and inclusive environment where all employees feel respected and supported.

Work as member of multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient and outpatient services. Proactively monitor and optimize reimbursement for external reviewers/third party payers. *Pay Range: $32/hr. to $60/hr. Work Schedule: Monday to Friday from 8:00 a.m. to 4:30 p.m. Responsibilities: Admissions: Conduct admission reviews Concurrent/Stay Reviews: Conduct concurrent and extended stay reviews Payment Appeals: Prepare and submit appeals to third party payers Recordkeeping: Maintains appropriate records of the Utilization Review Department Training: Provide staff in-service training and education Maintains confidentiality of patients at all times Ability to cope well with stress and have a strong sense of compassion Sensitivity to and willingness to interact with persons of various social, cultural, economic and educational backgrounds Proficiency with software and/or equipment (Microsoft Office applications including Outlook, Word, Excel and PowerPoint) Strong organizational skills with ability to prioritize projects, work relatively independently, manage multiple tasks, and meet deadlines Strong written and verbal communication skills Strong interpersonal skills. Ability to work with people with a variety of background and educational levels Ability to work independently and as part of a team Good judgment, problem solving and decision-making skills Demonstrated commitment to working collaboratively as well as possessing the skills to lead, influence, and motivate others Ability to work in a fast-paced, expanding organization Skills: Demonstrated knowledge of health care service delivery systems and third party reimbursement Two or more years’ experience working in managed care environment Ability to apply and interpret admission and continued stay criteria Strong understanding of admission and discharge function Familiarity with medical terminology, diagnostic terms and treatment modalities Knowledge of medical record keeping requirements Ability to comprehend psychiatric evaluations, consults, and lab results Requirements Preferred; Current license as RN, LVN/LPT, LCSW Preferred; Master’s degree in Social Work, Behavioral Science, or related field Current BLS Certification for Healthcare Providers Benefits 401K Retirement Plan Health Insurance Vision Insurance Dental Insurance Pet Insurance Healthcare Spending Account & Dependent Care Spending Account Life Insurance (Supplemental Life, Term, and Universal plans are also available.) PTO Plan with Holiday Premium Pay PTO Cash Out option Sick Pay Short and Long-Term Disability (with additional buy-in opportunities) Tuition Reimbursement Employee Assistance Program ID Theft Protection