Board Certified Internal Medicine Physicians for IME Cases- Stockton, CA

Dane Street, LLC • Stockton, CA

7h • Onsite

About The Position

Dane Street is seeking Board-Certified Internal Medicine Physicians for Independent Medical Examination (IME) cases in Stockton, CA. This is an in-person opportunity for supplemental income, offering a caseload customized to your schedule. As a Physician Reviewer/Advisor, you will utilize your clinical expertise to review insurance appeals, prospective, and retrospective claims. Your role will involve interpreting the medical necessity of services provided by other healthcare professionals, ensuring compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care. This is an independent contract reviewer (1099) position compensated on a per-case basis. The ideal candidates will hold a CA license and be Board-Certified in Internal Medicine, Physical Medicine and Rehabilitation, Family Medicine, or Occupational Medicine. We are looking for providers within the Stockton area.

Requirements

• Hold a CA license
• Board-Certified in Physical Medicine and Rehabilitation, Internal Medicine, Family Medicine, or Occupational Medicine
• Board certification required
• Active practice required

Nice To Haves

• Providers within the Stockton area in the state of California

Responsibilities

• Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria
• Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
• Provides copies of any criteria utilized in a review with the report in a timely manner
• Returns cases on or before the due date and time
• Makes telephone calls as mandated by the state and/or client specifics
• Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
• Attends all required orientation and training
• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits

Benefits

• Robust opportunity for supplemental income
• Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
• No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions.
• Enhanced industry expertise strengthening your medical practice with 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 user-friendly work portal

What This Job Offers

• Job Type: Part-time
• Career Level: Senior