Pulmonary, Pain Management, Ortho Spine Physician Job at Dane Street, LLC, Charleston, WV

MmNudzBkUkZKSkQzdXV2a0ZpWlVCNytuOUE9PQ==
  • Dane Street, LLC
  • Charleston, WV

Job Description

Job Description

Job Description

Description

Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Surgeon (Lumbar Spine), Pulmonary Disease and Pain Management physician to conduct Independent Medical Exams (IME) and Peer Reviews. Preferred candidates will hold a West Virginia license. Worker's Compensation experience is required. This opportunity provides the ability 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.

JOB SUMMARY:

Utilizes clinical expertise, and reviews workers' compensation claims by providing an interpretation of the medical appropriateness of services provided by other healthcare professionals in compliance with state regulations and guidelines, nationally recognized evidence-based guidelines, client-specifics, policies, procedures, performance standards, and URAC guidelines.

MAJOR DUTIES AND RESPONSIBILITIES:

  • 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; 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
  • Conducts Independent Medical Exams in a clean, safe, professional manner and setting

PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.

Job Tags

For contractors, Monday to Friday,

Similar Jobs

Five Cubes, Inc.

Oracle Apex Project Job at Five Cubes, Inc.

Job Title:: Oracle Apex Project - 2501Location: Austin, TX- RemoteDuration: 12+ monthsDirect ClientEnd Date for Submission: 10/07/2024Project Start Date: 10/15/2024 Job Description: The Developer will need to develop a custom APEX application, ensuring that... 

JTH Tax LLC

Tax Preparer Job at JTH Tax LLC

 ...Job Title: Tax Preparer Department/Business Unit: Managed Operations Reports to: Office Supervisor Status: Seasonal FLSA...  ...accurately and efficiently Review financial records, such as income statements and documentation of expenditures, to determine... 

The MH Group

Remote Special Risk Senior Underwriter Job at The MH Group

 ...Job Description Job Description Direct Hire We are seeking a highly skilled Health Insurance Senior Underwriter to join our client's team. The ideal candidate will have a strong background in financial analysis, portfolio management, and equity research. As a Senior... 

Cross Country Nurses

Travel Nurse RN - Educator - $2,970 per week Job at Cross Country Nurses

 ...Cross Country Nurses is seeking a travel nurse RN Educator for a travel nursing job in Concord, Massachusetts. Job Description & Requirements ~ Specialty: Educator ~ Discipline: RN ~ Start Date: 01/06/2025~ Duration: 13 weeks ~40 hours per week ~ Shift... 

Shore Lodge Whitetail LLC

Assistant Restaurant and Bar Manager Job at Shore Lodge Whitetail LLC

Job Type Full-time Description SUMMARY: Our Assistant Restaurant & Bar Managers are passionate about food and exceeding customer expectations; they look forward to providing memorable experiences for our guests. They are problem solvers with strong work...