Licensed Physician Reviewers; M.D., D.O Orthopedic Surgery-Spine

Overview

New York-Licensed Physician Reviewers (M.D., D.O.)- Orthopedic Surgery-Spine

Join to apply for the New York-Licensed Physician Reviewers (M.D., D.O.)- Orthopedic Surgery-Spine role at Dane Street. Dane Street is an Independent Review Organization and a national provider of Utilization Review services. This is a telework opportunity for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

• Address the medical necessity of treatment requests and, in appeals, the medical necessity of previously denied services. Specialization requested:
  Orthopedic Surgery - Spine Surgery.
• Complete reviews with an average time of 15-20 minutes per case; possible to complete several cases within an hour.
• Participate in training and onboarding; start earning compensation for reviews while maintaining an active practice.

• Current, unrestricted New York Medical License
• Workers Comp Board Certified
• Active Practice
• Board Certified

• Independent consultant role allows for schedule flexibility and predictable work hours. Choose services and case types, dictate volume, and perform work based on scheduled availability.
• No doctor/patient relationship is established and no treatment is provided; these are advisory-only opinions.
• Typical turnaround time (TAT) is 1-5 business days depending on the level of review; same-day cases are rare but possible. Dane Street coordinates administrative tasks to allow focus on clinical decision-making.
• Streamlined case flow and a user-friendly work portal; assistance with communication, organization of medical records, and preparation of cases to ensure timely determinations/reports.
• Easy access to chronological medical records and all treatment guidelines used to make a determination in a click-to-view format.
• Peer-to-peer coordination by Dane Street’s peer coordinators when necessary (e.g., adverse determinations).
• Initial training provided plus ongoing support for questions about completing reviews.

• Seniority level:
  Entry level
• Employment type:
  
  Full-time
• Job function:
  Health Care Provider
• Industry: Insurance