Board-Certified Physicians for IME Cases- Washington

About the role

Dane Street is expanding its physician panel to offer an in-person opportunity for supplemental income. Physicians will provide a customized caseload based on their schedule.

Responsibilities

• Utilize clinical expertise to review insurance appeals and prospective and retrospective claims
• Provide interpretations of medical necessity of services provided by other healthcare professionals in compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care
• Address each question posed by the client using client-specific criteria or other nationally recognized evidence-based criteria
• Ensure the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
• Identify, critique, and utilize current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature to support sound and objective decision-making and rationales in reviews
• Make telephone calls as mandated by the state and/or client specifications
• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
• Attend all required orientation and training
• Perform other duties as assigned, including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits

Requirements

• Hold a WA license
• Be Board Certified in Physical Medicine and Rehabilitation, Internal Medicine, Orthopedic Surgery, Occupational Medicine, Neurology, or Psychiatry

Qualifications

The ideal candidates will have a robust opportunity for supplemental income, flexible schedule, and predictable work hours. There is no doctor-patient relationship established, and no treatment is provided. These are advisory-only opinions. Enhanced industry expertise is gained through 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 a user-friendly work portal.

Benefits

• Robust opportunity for supplemental income
• Schedule flexibility and predictable work hours
• No doctor-patient relationship established and no treatment provided
• Advisory-only opinions with enhanced industry expertise
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services
• Prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal

Pay

Details on pay are not specified in the posting.

Schedule

Details on schedule are not specified in the posting.

Skills

Board Certification in Physical Medicine and Rehabilitation, Internal Medicine, Orthopedic Surgery, Occupational Medicine, Neurology, or Psychiatry is required.

Benefits

Details on benefits are not specified in the posting.

Schedule

Details on schedule are not specified in the posting.