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Otro en Washington
Mejor coincidencia
Filtrar·1
Otro
Washington
Salario
Ubicación:Washington
Categoría:Otro
Revisor médico - Medicina Interna63393484484609120
Dane Street, LLC
Revisor médico - Medicina Interna
Illinois, USA
Dane Street, una empresa certificada como "Great Place to Work", busca médicos certificados en Medicina Interna para realizar Exámenes Médicos Independientes (IME) y Revisiones por 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 tiempos de respuesta exigidos por los clientes. Nos pondremos en contacto con usted cuando tengamos un IME o una revisión por pares en su jurisdicción/área para programar o asignar un caso. Nuestros revisores reciben compensación por caso como contratistas independientes 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 mediante la interpretación de la adecuación médica de los servicios proporcionados por otros profesionales de la salud, cumpliendo con las regulaciones y directrices estatales, las directrices nacionales reconocidas basadas en evidencia, los requisitos específicos del cliente, políticas, procedimientos, estándares de desempeño y las directrices URAC. PRINCIPALES FUNCIONES Y RESPONSABILIDADES: Revisa todos los registros médicos y responde cada pregunta planteada por el cliente utilizando criterios basados en evidencia exigidos por el estado u otros criterios nacionalmente reconocidos. Asegura que la justificación de la determinación sea clara, concisa y contenga documentación suficiente para respaldar la decisión. Entrega los casos a más tardar en la fecha y hora límite establecida. Mantiene actualizada su credencialización, licencias estatales y cualquier certificación especial o requisito necesario para desempeñar el trabajo. Asiste a todas las orientaciones y capacitaciones requeridas. Realiza otras tareas asignadas, incluyendo identificar y responder a asuntos de aseguramiento de calidad, quejas, temas 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 utilizar 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 forma profesional, en un entorno limpio y seguro. TENGA EN CUENTA: En interés de la seguridad de ambas partes, tenga presente que Dane Street nunca realiza entrevistas por mensaje de texto ni solicita cheques de los candidatos para la compra de equipo. Requisitos
Salario negociable
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