Dane Street
IME Physician Panelist, WA Labor & Industries (L&I), Psychiatrist
Dane Street, Bellevue, Washington, us, 98009
Overview
IME Physician Panelist, WA Labor & Industries (L&I), Psychiatrist Highlights
In-person Exams to be conducted in Bellevue, WA, with additional locations to be added in the future Multiple exams over the course of a day Dane Street will pay for reasonable travel expenses Dane Street will assist you in obtaining WA L&I certification Video recording of approximately 15% of exams may be needed Job Summary
Utilizes 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 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. Seniority level
Entry level Employment type
Contract Job function
Other Industries
IT Services and IT Consulting
#J-18808-Ljbffr
IME Physician Panelist, WA Labor & Industries (L&I), Psychiatrist Highlights
In-person Exams to be conducted in Bellevue, WA, with additional locations to be added in the future Multiple exams over the course of a day Dane Street will pay for reasonable travel expenses Dane Street will assist you in obtaining WA L&I certification Video recording of approximately 15% of exams may be needed Job Summary
Utilizes 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 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. Seniority level
Entry level Employment type
Contract Job function
Other Industries
IT Services and IT Consulting
#J-18808-Ljbffr