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Neurology- Independent Medical Examiner (IME) - Kansas City, KS63845336114305120
Workable
Neurology- Independent Medical Examiner (IME) - Kansas City, KS
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 Neurology with experience with completing Independent Medical Exams. Independent Medical Exam must be completed within 50 miles of Kansas City, KS. Requirements As 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
Kansas City, KS, USA
Negotiable Salary
Physician Reviewer -Physician Medicine & Rehab, Occupational Medicine, Neurology63392072120707121
Workable
Physician Reviewer -Physician Medicine & Rehab, Occupational Medicine, Neurology
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.
Kansas City, MO, USA
Negotiable Salary
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