Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)

1 month ago
Contract
Senior
Operations
Dane Street

Dane Street

Dane Street provides independent medical examination and peer review services tailored for the insurance industry, focusing on areas such as workers' compensation, disability, and auto liability, while emphasizing quality, compliance, and timely delive...

Insurance
251-1K
Founded 2008

Description

  • Review medical records to determine the medical necessity of services.
  • Apply state-specific workers’ compensation guidelines and nationally recognized criteria.
  • Issue clear, concise, and well-supported review determinations.
  • Complete case reviews within required turnaround times, typically 1–5 business days.
  • Participate in peer-to-peer calls when needed, coordinated by Dane Street.
  • Prepare addenda when new information is submitted.
  • Work independently as a physician reviewer on a flexible case-by-case basis.

Requirements

  • Board Certification in Physical Medicine and Rehabilitation.
  • Active, unrestricted New York medical license.
  • Workers’ Compensation Board Certification in New York.
  • Active clinical practice.
  • Ability to work as an independent contractor (1099).
  • Willingness to complete reviews remotely on a flexible schedule.
  • Ability to complete an average case in 15 minutes or less.
  • Experience with utilization review or independent medical review is preferred.

Benefits

  • Fully remote role that can be performed from anywhere.
  • Flexible scheduling with control over your volume and availability.
  • Supplemental income paid on a flat rate per case.
  • Independent contractor (1099) arrangement.
  • Average case time of 15 minutes or less.
  • No direct patient interaction or treatment.
  • Chronological, pre-organized medical records provided.
  • Full onboarding and ongoing support included.

Interested in this position?

Apply directly on the company website

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