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Revisor Médico - Medicina Interna63393484496387120
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Revisor Médico - Medicina Interna
Dane Street, una empresa certificada como "Great Place to Work'', está buscando médicos internistas certificados para realizar exámenes médicos independientes (IME) y revisiones entre pares. Esta oportunidad le permite personalizar su horario y carga de casos dentro de una semana laboral estándar de lunes a viernes, cumpliendo con los plazos establecidos por el cliente. Nos pondremos en contacto cuando tengamos un IME o una revisión entre pares en su jurisdicción/área para programar o asignar un caso. Nuestros revisores reciben compensación por caso como contratista independiente 1099. Especialidades médicas: Medicina Interna Médicos ubicados en las siguientes áreas: Alsip/Área Sur de Chicago RESUMEN DEL PUESTO: Utiliza experiencia clínica y revisa reclamaciones por discapacidad proporcionando una interpretación sobre la adecuación médica de los servicios brindados por otros profesionales de la salud, cumpliendo con las regulaciones y directrices estatales, directrices nacionales basadas en evidencia, especificaciones del cliente, políticas, procedimientos, estándares de desempeño y directrices URAC. PRINCIPALES FUNCIONES Y RESPONSABILIDADES: Revisa todos los registros médicos y responde cada pregunta planteada por el cliente utilizando criterios basados en evidencia reconocidos a nivel estatal u otros reconocidos nacionalmente Asegura que la justificación de la determinación sea clara, concisa y contenga documentación suficiente para respaldar la decisión Entrega los casos en o antes de la fecha y hora límite Mantiene la debida acreditación, licencias estatales y cualquier certificación especial o requisitos necesarios para desempeñar el trabajo Asiste a todas las orientaciones y capacitaciones requeridas Realiza otras tareas asignadas, incluyendo identificar y responder a problemas de aseguramiento de calidad, quejas, asuntos regulatorios, declaraciones juradas, comparecencias en corte o auditorías Identifica, critica y utiliza criterios y recursos actuales, como directrices nacionales, estatales y de asociaciones profesionales, así como literatura revisada por pares que respalden decisiones y justificaciones sólidas y objetivas en las revisiones; se abstiene de usar estudios de casos, cohortes y similares para tomar decisiones debido a sus tamaños de muestra limitados Proporciona copias de cualquier criterio utilizado en una revisión junto con el informe de manera oportuna Realiza exámenes médicos independientes de manera profesional, segura y en un entorno limpio TENGA EN CUENTA: En interés de la seguridad de ambas partes, tenga en cuenta que Dane Street nunca realizará una entrevista por mensaje de texto ni solicitará cheques de los candidatos para la compra de equipo. Requisitos
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