Physician Reviewer - Internal Medicine

Dane Street, LLC • Chicago, IL

100d

About The Position

Dane Street, a certified "Great Place to Work" company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload within a standard Monday - Friday work week while maintaining client-mandated turnaround times. We will reach out when we have an IME or Peer Review in your jurisdiction/area to schedule or assign a case. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.

Requirements

• Board Certified in Internal Medicine
• Valid state medical license
• Experience in conducting Independent Medical Exams and Peer Reviews
• Strong understanding of state regulations and nationally recognized evidence-based guidelines.

Responsibilities

• Utilizes clinical expertise to review disability claims and provide interpretations of medical appropriateness of services provided by other healthcare professionals.
• Reviews all medical records and addresses each question posed by the client utilizing state-mandated 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.
• Returns cases on or before the due date and time.
• 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.
• 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.
• Provides copies of any criteria utilized in a review with the report in a timely manner.
• Conducts Independent Medical Exams in a clean, safe, professional manner and setting.

Benefits

• Flexible scheduling
• Compensation on a per-case basis as a 1099 independent contractor

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed