- Reviews all medical records and addresses each question posed by the client utilizing client specific criteria 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
- 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
- Returns cases on or before the due date and time
- Makes telephone calls as mandated by the state and/or client specifics
- 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
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Vascular Surgery job in West Palm Beach FL
3 days ago
HCA San Francisco, United States PermanentDescription · Specialization: · Surgery Vascular · Job Summary: · HCA East Florida Vascular surgery and JFK North Hospital is seeking a Vascular Surgeon to join Florida Heart and Vascular Care. · Qualified Candidates: Fellowship training required · Must be board-certified or bo ...
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Pathology Anatomic and Clinical Medical Director
3 weeks ago
HCA Physician Services West Palm Beach, United StatesDescription · Specialization: · Pathology Anatomic and Clinical · Job Summary: · HCA Healthcare Pathology Services and it's East Florida Division is seeking a Medical Director to oversee and be based at HCA Florida JFK North Hospital. This hospital is located in West Palm Beach, ...
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Florida - Neurology
1 week ago
Cleveland Clinic West Palm Beach, United StatesCleveland Clinic Florida's Neurological Institute is currently seeking highly skilled and qualified general Neurologists to join the Cleveland Clinic Florida team at the Palm Beach Gardens location to provide ambulatory neurology care. We invite highly qualified candidates who ar ...
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Gastroenterology Physician
2 weeks ago
HCA West Palm Beach, United StatesSpecialization: · Gastroenterology · Job Summary: · HCA Florida JFK North Hospital is seeking a Board Eligible/Board Certified Gastroenterologist. · Qualified Candidates: · * BE/BC in Gastroenterology · * Responsibilities will include providing care to patients in the clinic & ho ...
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Surgeon
1 day ago
VCA Animal Hospitals West Palm Beach, United StatesVCA Palm Beach Veterinary Specialists has an ideal opportunity for a board certified or residency-trained Surgeon to join our team in West Palm Beach, Florida · With a focus on providing exceptional care to both our patients and their owners, Palm Beach Veterinary Specialists was ...
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Surgeon
1 day ago
VCA Antech, Inc. West Palm Beach, United StatesVCA Palm Beach Veterinary Specialists has an ideal opportunity for a board certified or residency-trained Surgeon to join our team in West Palm Beach, Florida · With a focus on providing exceptional care to both our patients and their owners, Palm Beach Veterinary Specialists was ...
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Cardiology Interventional Physician
3 weeks ago
HCA Palm Beach, United StatesSpecialization: · Cardiology Interventional · Job Summary: · Private practice is seeking an interventional Cardiologist to join their new office location in Palm Beach, FL · Qualified Candidates: · * Interventional Cardiology Fellowship trained · * 2 years post fellowship practic ...
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Oncologist
1 day ago
VCA Antech, Inc. West Palm Beach, United StatesVCA Palm Beach Veterinary Specialists has an ideal opportunity for a board certified or residency-trained Oncologist to join our team in West Palm Beach, Florida · With a focus on providing exceptional care to both our patients and their owners, Palm Beach Veterinary Specialists ...
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Cleveland Clinic Florida
3 weeks ago
Cleveland Clinic Foundation West Palm Beach, United StatesCleveland Clinic Floridas Neurological Institute is currently seeking highly skilled and qualified general Neurologists to join the Cleveland Clinic Florida team at the Palm Beach Gardens location to provide ambulatory neurology care. We invite highly qualified candidates who are ...
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Cardiology Interventional Physician
3 days ago
HCA Healthcare San Francisco, United States PermanentDescription · Specialization: · Cardiology Interventional · Job Summary: · Private practice is seeking an interventional Cardiologist to join their new office location in Palm Beach, FL · Qualified Candidates: Interventional Cardiology Fellowship trained · 2 years post fellows ...
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Gastroenterology job in West Palm Beach FL
1 week ago
HCA West Palm Beach, United States Full timeDescription · Specialization: · Gastroenterology · Job Summary: · HCA Florida JFK North Hospital is seeking a Board Eligible/Board Certified Gastroenterologist. · Qualified Candidates: BE/BC in Gastroenterology · Responsibilities will include providing care to patients in th ...
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Neurosurgeon
2 weeks ago
Cleveland Clinic Palm Beach, United StatesThe Cleveland Clinic Florida Neurological Institute has a faculty position opening for a well-qualified Neurosurgeon with a special interest in Spine Surgery. The candidate must be fellowship trained in Spine Surgery and be BC/BE in Neurosurgery. · The newly recruited neurosurge ...
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CRNA job in: Palm Beach Gardens, FL
1 week ago
Archway Physician Recruitment Palm Beach, United StatesCRNA Opening Near West Palm Beach, FL Located in Palm Beach Gardens, FL - West Palm Beach 7mOur care team provides anesthesia for cases including cardiac, thoracic, vascular, orthopedic, neurology (minimal crannies), spines, ENT, urology, plastics, gastroenterology, cardiology an ...
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Archway Physician Recruitment Palm Beach, United StatesCRNA Opening Near West Palm Beach, FL _x000D_Located in Palm Beach Gardens, FL - West Palm Beach 7m_x000D x000D_Our care team provides anesthesia for cases including cardiac, thoracic, vascular, orthopedic, neurology (minimal crannies), spines, ENT, urology, plastics, gastroenter ...
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Gastroenterology Physician
2 weeks ago
HCA East Florida Division West Palm Beach, FL, United States Full timeGastroenterology · HCA Florida JFK North Hospital is seeking a Board Eligible/Board Certified Gastroenterologist. · BE/BC in Gastroenterology · Responsibilities will include providing care to patients in the clinic & hospital settings including collaborating with other medical ...
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Neurosurgeon
2 weeks ago
Cleveland Clinic Palm Beach, United States Full timeThe Cleveland Clinic Florida Neurological Institute has a faculty position opening for a well-qualified Neurosurgeon with a special interest in Spine Surgery. The candidate must be fellowship trained in Spine Surgery and be BC/BE in Neurosurgery. · The newly recruited neurosurge ...
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TeamHealth Palm Beach Gardens, United States Full timeJob Description · Are you looking for a rewarding career in anesthesia as a certified anesthesiologist assistant (CAA)? TeamHealth has the perfect opportunity for you If you are an experienced CAA, you are just who we want join our anesthesiology team at Palm Beach Gardens Medic ...
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TeamHealth Palm Beach Gardens, United States Full timeJob Description · Are you looking for a rewarding career in Anesthesia as a certified anesthesiologist assistant (CAA)? TeamHealth has the perfect opportunity for you If you are an experienced CAA, you are just who we want join our anesthesiology team at Palm Beach Gardens Medic ...
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Surgical Veterinary Technician
6 days ago
Southeast Veterinary Neurology Jupiter, United StatesExperienced Veterinary Technician Required To Join Neurology Specialty Team · This position is eligible for a Sign-On Bonus of up to $3,000 · Full and Part Time Shifts Available. · Considering the next step in your career? Are you looking for an organization with a clearly define ...
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Veterinary Oncologist
3 weeks ago
Get a Vet Staffing Palm Beach Gardens, United StatesJob Description · Veterinary Specialty Hospital of Palm Beach Gardens in sunny Southeastern Florida is seeking a Full-time Board Certified Veterinary Oncologist or Residency Trained Veterinarian to join our growing team. · Our hospital is proud of the positive culture that we'v ...
Physician Reviewer: Neurological Surgery - West Palm Beach, United States - Dane Street, LLC
Description
Job Description
Job DescriptionThis telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.
Preferred candidates will hold a NY License, and be NY WC Board Certified.
JOB SUMMARY
Utilizes clinical expertise, and reviews insurance appeals, prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care.
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.
