Washington Medical Specialists Job Listings

Board-Certified Internal Medicine Specialist for IME63845330970499120

Workable

Board-Certified Internal Medicine Specialist for IME

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

Moxee, WA, USA

Negotiable Salary

IME Physician Panelist, WA Labor & Industries (L&I), Orthopedic Surgeon63844249673987121

Workable

IME Physician Panelist, WA Labor & Industries (L&I), Orthopedic Surgeon

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.

Bellevue, WA, USA

Negotiable Salary

Board Certified (M.D, D.O.) Washington L&I Physician Advisor, Certified for IME63393562372737122

Workable

Board Certified (M.D, D.O.) Washington L&I Physician Advisor, Certified for IME

Join Dane Street’s Expanding Physician Panel Dane Street, a nationally recognized Independent Review Organization and provider of Independent Medical Exams (IMEs), is expanding our physician panel and currently seeking Washington-licensed Physician Advisors to support L&I Independent Medical Exams. Opportunity Details: Conduct in-person IMEs at our Bellevue, WA clinic Initial 6-month period limited to one location, with plans to expand Flexible, non-traditional opportunity offering supplemental income Compensation is per-case, with no-show and late cancellation fees to protect your time Independent contractor position (1099 status) Requirements: Active Washington medical license Board certification in one of the following specialties: Orthopedic Surgery Neurology Physical Medicine and Rehabilitation (Physiatry) Chiropractic Pain Management Otolaryngology Active clinical practice is required Job Summary: Review medical records and conduct physical exams Address clinical questions related to diagnosis and care Prepare detailed, timely reports using the AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition Return completed cases by due dates Participate in peer-to-peer calls when needed to clarify records or obtain additional information Provide report addendums, clarify findings, and address quality or regulatory concerns (with additional compensation as applicable) What We Offer: Supplemental income potential Flexible scheduling based on your availability No treatment or doctor-patient relationship – advisory-only role Enhance your professional credentials in utilization review and IME services Transcription services at no cost Fully prepped cases, streamlined workflows, and a user-friendly work portal Full administrative support including scheduling, records preparation, client communication, and report delivery Compensation for no-shows and late cancellations Important Notice: Dane Street will never conduct interviews via text or request any form of payment from candidates. Please be alert to recruiting scams.

Bellevue, WA, USA

Negotiable Salary

Physician Reviewer - Orthopedic Surgeon - WA L&I63392077982977123

Workable

Physician Reviewer - Orthopedic Surgeon - WA L&I

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.

Bellevue, WA, USA

Negotiable Salary

Physician Reviewer - Pain Management - WA L&I63393552488449124

Workable

Physician Reviewer - Pain Management - WA L&I

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.

Bellevue, WA, USA

Negotiable Salary

Orthopedic Surgery- Independent Medical Examiner (IME)63392049982337125

Workable

Orthopedic Surgery- Independent Medical Examiner (IME)

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.

Orting, WA 98360, USA

Negotiable Salary

IME Physician Panelist, WA Labor & Industries (L&I), Physical Medicine63392034830721126

Workable

IME Physician Panelist, WA Labor & Industries (L&I), Physical Medicine

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.

Bellevue, WA, USA

Negotiable Salary

Physician Reviewer - Physical Medicine and Rehabilitation - WA L&I63393514730241127

Workable

Physician Reviewer - Physical Medicine and Rehabilitation - WA L&I

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.

Bellevue, WA, USA

Negotiable Salary

Physician Reviewer - Psychiatrist - WA L&I63392009595395128

Workable

Physician Reviewer - Psychiatrist - WA L&I

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.

Bellevue, WA, USA

Negotiable Salary

IME Physician Panelist, WA Labor & Industries (L&I), Neurologist63499929699715129

Workable

IME Physician Panelist, WA Labor & Industries (L&I), Neurologist

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.

Bellevue, WA, USA

Negotiable Salary

IME Physician Panelist, WA Labor & Industries (L&I), Psychiatrist633934928021771210

Workable

IME Physician Panelist, WA Labor & Industries (L&I), Psychiatrist

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.

Bellevue, WA, USA

Negotiable Salary

IME Physician Panelist, WA Labor & Industries (L&I), Pain Management633934883220511211

Workable

IME Physician Panelist, WA Labor & Industries (L&I), Pain Management

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.

Bellevue, WA, USA

Negotiable Salary

Physician Reviewer - Neurologist - WA L&I634997865685791212

Workable

Physician Reviewer - Neurologist - WA L&I

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.

Bellevue, WA, USA

Negotiable Salary