- 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
-
Physician Reviewer
3 weeks ago
Dane Street Kansas City, United States Remote jobDane Street, a certified "Great Place to Work'' company, is searching for Board Certified Physical Medicine & Rehabilitation, Occupational Medicine, and Neurology physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your ...
-
Pharmacy Operations Coordinator
6 days ago
Providence Mission Hills, United States**Description** · Primary responsibilities include acting as the primary Los Angeles regional pharmacy buyer for multi-specialty ambulatory care medical groups across the region. Working with site operations to review clinic pharmaceutical orders to identify cost savings opportun ...
-
Prescription Refill Representative
6 days ago
Providence Mission Hills, United States**Description** · Part of a centralized refill team in a multi-specialty ambulatory care medical group. Handles all incoming prescription refill requests for the medical group providers. Under the direct supervision of a licensed provider, responsible for the review and processin ...
-
Medical Assistant
2 weeks ago
Actalent Independence, United States Full timeDescription: · x2 Positions - Float and non-floating MA roles · Phlebotomy will take up 80% of their duties during the day · Conduct intake with patients, measuring and recording vital signs, patient interview, and medical history; perform examinations and routine screenings, en ...
-
Customer Service
1 week ago
Profit by RPO Park City, United States**Job title: 25195 Customer Service III** · **Job location: North Chicago, Illinois 60085** · **Purpose**: · Exceptional customer service is expected by performing all functions and initiatives to support the daily business needs of the department. Representative may work with wh ...
-
Program Coordinator Spine Center
13 hours ago
Saint Luke's Health System Kansas City, MO, United States Full timeJob Description This position is responsible for the oversight of the Spine program which includes maintaining certification as a The Joint Commission (TJC) Advanced Certification in Spine Surgery. This position is directly responsible for data collection, review, analysis, and ...
-
Physiatry/Physical Medicine
4 days ago
DocCafe Kansas City, United StatesDocCafe has an immediate opening for the following position: Physician - Physiatry/Physical Medicine & Rehabilitation in Kansas City, Missouri. · DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. · Register now to apply f ...
-
Alternate Solutions Health Network LLC Kansas City, MO, United StatesAlternate Solutions Health Network LLC is seeking a Registered Nurse (RN) Home Health for a nursing job in Kansas City, Missouri. · Job Description & Requirements · Specialty: Home Health · Discipline: RN · Start Date: ASAP · Duration: Ongoing · Employment Type: Staff · Agency: · ...
-
Nurse Practitioner or Physician Assistant
2 weeks ago
MRG Exams Belton, United States Full timeWork can be performed by a Nurse Practitioner or Physician Assistant · We are looking for the right Nurse Practitioner or Physician Assistant to perform medical assessments on United States Veterans as part of the VA's disability benefits process. · In performing Disability Asses ...
-
Patient Service Technician I/ Ii
2 weeks ago
KS Management Services, LLC Missouri City, United States**Responsibilities** · The Patient Service Technician (PST) I and II will: · Perform pediatric and adult venipunctures, finger sticks, heel sticks, and other collection services as ordered by the provider. · Perform CLIA waived testing (i.e. urine dip, pregnancy tests, finger sti ...
-
Nurse Practitioner or Physician Assistant
3 weeks ago
MRG Exams Belton, United States Full timeWork can be performed by a Nurse Practitioner or Physician Assistant · We are looking for the right Nurse Practitioner or Physician Assistant to perform medical assessments on United States Veterans as part of the VA's disability benefits process. · In performing Disability Asses ...
-
Respiratory Therapist
1 day ago
Kansas City Pulmonary Practice Careers Kansas City, United States Permanent, Full timeDescription · Introduction · Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Respiratory Therapist opening with Kansas City Pulmonary Practice today and find out what it truly means to be a part of the HCA Healthcare t ...
-
Respiratory Therapist Seasonal PRN NICU
5 days ago
Baylor Scott & White Health Belton, United States Full timeShift: Nights – Rotating Weekends · Full Time Seasonal Bonus $4,500 · Location: McLane Children's 3rd Floor · Setting: Med-Surg, PICU, & ED · JOB SUMMARY · The Registered Respiratory Therapist (RRT) Seasonal PRN has advanced knowledge and training of the cardiopulmonary system th ...
-
Baylor Scott & White Health Belton, United States Full timeRespiratory Therapist · Full Time Seasonal Bonus: $4,500 · Location: Continuity Care Hospital, Temple Texas · Schedule: FT Nights hour shifts per week) · JOB SUMMARY · The Registered Respiratory Therapist (RRT) Seasonal PRN has advanced knowledge and training of the cardiopulmon ...
-
Alternate Solutions Health Network LLC North Kansas City, United StatesJob Description · Alternate Solutions Health Network LLC is seeking a Registered Nurse (RN) Home Health for a nursing job in North Kansas City, Missouri. · Job Description & RequirementsSpecialty: Home Health · Discipline: RN · Start Date: ASAP · Duration: Ongoing · Employment Ty ...
-
Clinical Documentation Specialist
2 weeks ago
Saint Luke's Health System Kansas City Kansas City, United StatesJob Description · Our CDI team is seeking a Clinical Documentation Specialist to join their team at the plaza You will be reviewing medical records for accuracy, educating health professionals on documentation processes, and participating in team meetings and projects. The ideal ...
-
Respiratory Therapist Transport NICU
5 days ago
Baylor Scott & White Health Belton, United States Full timeRegistered Respiratory Therapist Transport NICU · Sign-on-Bonus $20K · Location(s) : McLane Children's Hospital - Temple, Texas · Schedule: FT Night Shift (12 hour shifts) · Join a winning team of Registered Respiratory Therapist professionals · Our diverse culture of learning a ...
-
Respiratory Therapist Transport NICU
5 days ago
Baylor Scott & White Health Belton, United States Full timeRegistered Respiratory Therapist Transport NICU · Sign-on-Bonus $20K · Location(s) : McLane Children's Hospital - Temple, Texas · Schedule: FT Day Shift (12 hour shifts) · Join a winning team of Registered Respiratory Therapist professionals · Our diverse culture of learning and ...
-
Alternate Solutions Health Network LLC North Kansas City, United StatesAlternate Solutions Health Network LLC is seeking a Registered Nurse (RN) Med Surg for a nursing job in North Kansas City, Missouri. · Job Description & Requirements · Specialty: Med Surg · Discipline: RN · Start Date: ASAP · Duration: Ongoing · Employment Type: Staff · Agency: · ...
-
Pharmacy Technician
5 days ago
WALGREENS Lees Summit, United States Full timeOur pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll be front and center – interacting with our cus ...
Physician Reviewer - Kansas City, United States - Dane Street, LLC
Description
Job Description
Job DescriptionDane Street, a certified "Great Place to Work'' company, is searching for Board Certified Physical Medicine & Rehabilitation, Occupational Medicine, and Neurology 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.
Physician Specialties: Physical Medicine & Rehabilitation, Occupational Medicine, Neurology
Physicians Located in the following areas: Kansas City Area
JOB SUMMARY:
Utilizes clinical expertise, and reviews disability 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:
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.
