Dermatology (MOHS) Physician Reviewer

tango is a leader in the home health management industry and is preparing for significant growth Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We are currently looking for a Physician Reviewer to join o ...

We are seeking an experienced board-certified Physician Reviewer to evaluate clinical service requests within our organization. · Review and adjudicate clinical service requests using clinical expertise. · Collaborate with case managers to support anticipatory case management. · ...

tango is a leader in the home health management industry and is preparing for significant growth Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. · ...

We are searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews within a standard Monday - Friday work week. · Reviews all medical records and addresses each question posed by the client utilizing state-mandated or oth ...

Dane Street is a leading Independent Review Organization (IRO) offering flexible remote opportunities for board-certified physicians seeking supplemental income through non-traditional clinical work. · ...

Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. · ...

Dane Street is seeking Board-Certified Orthopedic Spine Surgeons for independent reviews. · Review medical records · Utilize state-specific workers' compensation guidelines · ...

We are searching for Board Certified Physical Medicine & Rehabilitation physicians to conduct Independent Medical Exams (IME) and Peer Reviews. · Reviews all medical records and addresses each question posed by the client utilizing state-mandated or other nationally recognized ev ...

The physician reviewer will assist in improving quality and cost-effectiveness of care for members. · ...

Dane Street is expanding its panel of Physician Reviewers. We are seeking Board-Certified Psychiatrist with an active New York medical license and Workers' Compensation Board Certification to conduct Utilization Reviews. · ...

Dane Street is expanding its panel of Physician Reviewers. We are seeking Board-Certified Orthopedic Surgeons with an active New York medical license and Workers' Compensation Board Certification. · ...

The Psychiatrist Physician Reviewer conducts medical necessity reviews for behavioral health services across Medicaid, Medicare, · and Exchange lines of business.This role supports high-quality, cost-effective care by applying clinical expertise to utilization management decision ...

Dane Street is expanding its panel of Physician Reviewers to perform Utilization Reviews. This non-clinical role offers supplemental income with complete flexibility. · ...

Dane Street is expanding their panel of physician reviewers for independent medical reviews on a fully remote basis. · ...

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. · The physician reviewer will provide an interpretation of the medical necessity of services provided by other healthcare pro ...

Dane Street is expanding its panel of Physician Reviewers. We are seeking Board-Certified Physical Medicine and Rehabilitation providers with an active New York medical license and Workers' Compensation Board Certification. · ...

Dane Street is expanding its panel of physician reviewers. We are seeking Board-Certified General Surgeons with an active Louisiana medical license to conduct independent medical reviews on a flexible, fully remote basis. · This is a non-clinical contract opportunity ideal for ph ...

This role provides medical necessity reviews for pre-service clinical requests on a remote, · weekend-only schedule. Physicians work 8-hour shifts on Saturdays and/or Sundays, · with a productivity expectation of 32 cases per day.Conduct pre-service medical necessity reviews base ...

Dane Street is expanding its panel of Physician Reviewers to conduct Utilization Reviews. · ...

+Job summary · The Associate Medical Director serves as a clinical expert responsible for reviewing requests for medical services and rendering coverage determinations in accordance with benefit plans, medical policies, and clinical guidelines. · +QualificationsHold an active, un ...

Dane Street is in search of a Board Certified Orthopaedic Spine Surgeon Neurosurgeon Neurologist Physical Medicine Rehabilitation physician to process utilization reviews. · Reviews all medical records · Makes telephone calls · ...