Board Certified - IME/RR Acupuncture- Des Moines, WA Job at Dane Street, LLC, Des Moines, WA

elFFa29UL2RWM1hsNHBFOER0RkhwQ3N1RFE9PQ==
  • Dane Street, LLC
  • Des Moines, WA

Job Description

Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income 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.

The ideal candidates will hold an WA state medical license and be Board Certified in Acupuncture.

**Independent Medical Exam must be completed within 40 miles of Des Moines, WA.**

Requirements

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and 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:

    • 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
  • Board certification required, active practice required

PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. 

Benefits

  • Robust opportunity for supplemental income
  • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
  • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions.
  • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise
  • Expanded credentials as an expert in Independent Medical Exams and physician advisor services
  • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal

Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.

Job Tags

Contract work, Second job, Remote job,

Similar Jobs

Queen City Health and Wellness

Part time Acupuncturist Wanted Job at Queen City Health and Wellness

 ...Licensed in New York State, Degree/Diploma Required.\ Experience with Gua Sha and Cupping \ Develop, implement and coordinate acupuncture therapy and treatment plans with patients.\ Conduct a detailed diagnosis and collect detailed data on a patient's lifestyle,... 

B.E.L. Associates, Inc.

Non-invasive Cardiologist in Beautiful SW NY Near the Finger Lakes - Visa Sponsorship Available Job at B.E.L. Associates, Inc.

Busy Cardiology Group with 3 FT cardiologists in southern New York has opening for Non-invasive cardiologist. They have five locations and provide full service cardiology services. Nuclear, Echo, and advanced imaging skills are welcomed but not all necessary. Practice ...

System One

Administrator - work Job at System One

 ...email your resume, work authorization status, current location, availability, and compensation expectations directly todenis.potapenko@...  ...job location in your email message. *** no H-1B visa sponsorship provided ( looking for US citizens, Green Card holders, or... 

STV Group, Inc.

Plumbing/Fire Protection Engineer - 4552 Job at STV Group, Inc.

 ...STV is seeking a dynamic Plumbing/ Fire Protection Design Engineering to join our team in the New York office. Key responsibilities will include the preparation of Plumbing and Fire Protection designs, calculations, estimates, reports and specificati Plumbing, CAD Technician... 

J.S. Held

Digital internship Job at J.S. Held

Company Description Are you looking to join an organization that is growing and dynamic? What about a high-energy, collaborative environment that rewards hard work? J.S. Held is a global consulting firm that combines technical, scientific, financial, and strategic...