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Esta es una oportunidad de teletrabajo para obtener ingresos suplementarios como médico, con una carga de casos personalizada según tu horario. Nuestro panel de médicos está compuesto por revisores independientes por contrato (1099), remunerados por caso.\r\n\r\nLos candidatos ideales deberán poseer licencia en OR y estar certificados por la junta en Cirugía Ortopédica, con experiencia en la realización de exámenes médicos independientes. El examen médico independiente debe realizarse a menos de 50 millas de Portland, OR.\r\nRequisitos\r\nComo Revisor/Asesor Médico, utilizarás tu experiencia clínica para revisar apelaciones de seguros, y reclamaciones prospectivas y retrospectivas. El Revisor Médico proporcionará una interpretación sobre la necesidad médica de los servicios brindados por otros profesionales de la salud, cumpliendo con las políticas específicas del cliente, las guías nacionales reconocidas basadas en evidencia y los estándares de atención.\r\n\r\nPRINCIPALES FUNCIONES Y RESPONSABILIDADES:\r\n Revisa todos los registros médicos y responde cada pregunta planteada por el cliente utilizando criterios específicos del cliente u otros criterios basados en evidencia reconocidos nacionalmente\r\n Asegura que la justificación de la determinación sea clara, concisa y contenga documentación suficiente que respalde la decisión\r\n Identifica, analiza y utiliza criterios y recursos actuales, como guías de asociaciones nacionales, estatales y profesionales, así como literatura revisada por pares, que respalden decisiones y razonamientos sólidos y objetivos en las revisiones; se abstiene de utilizar estudios de casos, cohortes y similares para tomar decisiones debido a sus tamaños de muestra limitados\r\n Proporciona copias de cualquier criterio utilizado en una revisión junto con el informe, de manera oportuna\r\n Entrega los casos en o antes de la fecha y hora límite\r\n Realiza llamadas telefónicas según lo exija el estado y/o las especificaciones del cliente\r\n Mantiene actualizada la acreditación profesional, licencias estatales y cualquier certificación especial o requisito necesario para desempeñar el trabajo\r\n Asiste a toda la orientación y capacitación requerida\r\n Realiza otras funciones asignadas, incluyendo identificar y responder a problemas de aseguramiento de calidad, quejas, asuntos regulatorios, declaraciones juradas, comparecencias en corte o auditorías\r\n Se requiere certificación por la junta y práctica activa\r\n \r\nTENGA EN CUENTA: En interés de la seguridad de todas las partes, Dane Street nunca realizará entrevistas por mensaje de texto ni solicitará cheques de los candidatos por ningún motivo, incluyendo la compra de equipo.\r\nBeneficios\r\nAmplia oportunidad de ingresos suplementarios\r\n Flexibilidad de horario y horas de trabajo predecibles: tú eliges los servicios y tipos de casos, determinas el volumen y realizas exámenes y revisiones según tu disponibilidad\r\n No se establece relación médico/paciente ni se proporciona tratamiento. 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