Internal/General Medicine Physician Needed for Examination Panel

Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings) and we are expanding our physician panel resulting in opportunities for non-traditional physician work and supplemental income. This is a telework opportunity for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. We are looking for physicians who are board certified in Pain Management with active California licenses with experience in the California Independent Medical Review (IMR) process. IMR serves as a binding appeals process for disputes arising from the denial or modification of workers’ compensation treatment requests. Since July 1, 2013, all medical treatment disputes—regardless of the date of injury—are resolved through IMR rather than the traditional court system, streamlining the process significantly. In California’s workers’ compensation system, all treatment requests undergo utilization review (UR) to determine medical necessity. If a request is denied, delayed, or modified due to lack of medical necessity, the injured worker has the right to appeal the decision through IMR. This review is conducted by physicians who assess the case using evidence-based guidelines. IMR physicians must be experts in the Medical Treatment Utilization Schedule (MTUS), Official Disability Guidelines (ODG), and medicolegal writing, as they are responsible for evaluating medical necessity based on established standards and clearly articulating their rationale in written determinations. Preferred but Not Required: California IMR experience Highlights: Consistent volume Good reimbursement  The work can be done any time (outside standard work hours) No calls are required Provided the IMR reviewer training manual to review and assist in making your experience with this work even more efficient Training and onboarding can be completed in less than 1 week and you can start earning compensation for reviews while maintaining your active practice. Contact us today about joining our panel of specialty reviewers! Requirements Current, unrestricted California Medical License Active Practice Board Certified Benefits Independent consultant role allows for schedule flexibility and predictable work hours. You choose services and case types, dictate volume, and conduct this work based on your scheduled availability No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions Typical TAT is 7 business days depending on the level of review. Dane Street keeps you apprised of required turn-around time and carefully coordinates all administrative tasks so your time is spent on clinical decision-making Dane Street offers a streamlined case flow and a user-friendly work portal. We facilitate all communication, organize and sort all medical records, support all administrative processes, prep cases extensively, and ensure the quality and timely delivery of all determinations/reports Dane Street offers initial training as well as an ongoing point of contact should you have any questions about completing reviews

Dane Street is expanding our physician panel!  This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. The ideal candidates will hold a KS license and be Board Certified in Occupational Medicine with experience in completing Independent Medical Exams. Independent Medical Exam must be completed within 50 miles of Kansas City, KS. Requirements s Physician Reviewer/Advisor, 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!

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.  

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!