Dane Street
Board Certified Pulmonology Physician Reviewer - California License
Dane Street, California, Missouri, United States, 65018
Join to apply for the
Board Certified Pulmonology Physician Reviewer - California License
role at
Dane Street 6 days ago Be among the first 25 applicants Join to apply for the
Board Certified Pulmonology Physician Reviewer - California License
role at
Dane Street Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings) and we are expanding our physician panel resulting in opportunities for non-traditional physician work and supplemental income. This is a telework opportunity 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. We are looking for physicians who are board certified in
Pulmonology/Pulmonary Disease
with active California licenses with experience in the California Independent Medical Review (IMR) process. IMR serves as a binding appeals process for disputes arising from the denial or modification of workers’ compensation treatment requests. Since July 1, 2013, all medical treatment disputes—regardless of the date of injury—are resolved through IMR rather than the traditional court system, streamlining the process significantly.
In California’s workers’ compensation system, all treatment requests undergo utilization review (UR) to determine medical necessity. If a request is denied, delayed, or modified due to lack of medical necessity, the injured worker has the right to appeal the decision through IMR. This review is conducted by physicians who assess the case using evidence-based guidelines.
IMR physicians must be experts in the Medical Treatment Utilization Schedule (MTUS), Official Disability Guidelines (ODG), and medicolegal writing, as they are responsible for evaluating medical necessity based on established standards and clearly articulating their rationale in written determinations.
Preferred But Not Required
California IMR experience
Highlights
Consistent volume Good reimbursement The work can be done any time (outside standard work hours) No calls are required Provided the IMR reviewer training manual to review and assist in making your experience with this work even more efficient
Training and onboarding can be completed in less than 1 week and you can start earning compensation for reviews while maintaining your active practice. Contact us today about joining our panel of specialty reviewers!
Requirements
Current, unrestricted California Medical License Active Practice Board Certified
Benefits
Independent consultant role allows for schedule flexibility and predictable work hours. You choose services and case types, dictate volume, and conduct this work based on your scheduled availability No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions Typical TAT is 7 business days depending on the level of review. Dane Street keeps you apprised of required turn-around time and carefully coordinates all administrative tasks so your time is spent on clinical decision-making Dane Street offers a streamlined case flow and a user-friendly work portal. We facilitate all communication, organize and sort all medical records, support all administrative processes, prep cases extensively, and ensure the quality and timely delivery of all determinations/reports Dane Street offers initial training as well as an ongoing point of contact should you have any questions about completing reviews
Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Business Development and Sales Industries Insurance Referrals increase your chances of interviewing at Dane Street by 2x Sign in to set job alerts for “Board Member” roles.
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Board Certified Pulmonology Physician Reviewer - California License
role at
Dane Street 6 days ago Be among the first 25 applicants Join to apply for the
Board Certified Pulmonology Physician Reviewer - California License
role at
Dane Street Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings) and we are expanding our physician panel resulting in opportunities for non-traditional physician work and supplemental income. This is a telework opportunity 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. We are looking for physicians who are board certified in
Pulmonology/Pulmonary Disease
with active California licenses with experience in the California Independent Medical Review (IMR) process. IMR serves as a binding appeals process for disputes arising from the denial or modification of workers’ compensation treatment requests. Since July 1, 2013, all medical treatment disputes—regardless of the date of injury—are resolved through IMR rather than the traditional court system, streamlining the process significantly.
In California’s workers’ compensation system, all treatment requests undergo utilization review (UR) to determine medical necessity. If a request is denied, delayed, or modified due to lack of medical necessity, the injured worker has the right to appeal the decision through IMR. This review is conducted by physicians who assess the case using evidence-based guidelines.
IMR physicians must be experts in the Medical Treatment Utilization Schedule (MTUS), Official Disability Guidelines (ODG), and medicolegal writing, as they are responsible for evaluating medical necessity based on established standards and clearly articulating their rationale in written determinations.
Preferred But Not Required
California IMR experience
Highlights
Consistent volume Good reimbursement The work can be done any time (outside standard work hours) No calls are required Provided the IMR reviewer training manual to review and assist in making your experience with this work even more efficient
Training and onboarding can be completed in less than 1 week and you can start earning compensation for reviews while maintaining your active practice. Contact us today about joining our panel of specialty reviewers!
Requirements
Current, unrestricted California Medical License Active Practice Board Certified
Benefits
Independent consultant role allows for schedule flexibility and predictable work hours. You choose services and case types, dictate volume, and conduct this work based on your scheduled availability No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions Typical TAT is 7 business days depending on the level of review. Dane Street keeps you apprised of required turn-around time and carefully coordinates all administrative tasks so your time is spent on clinical decision-making Dane Street offers a streamlined case flow and a user-friendly work portal. We facilitate all communication, organize and sort all medical records, support all administrative processes, prep cases extensively, and ensure the quality and timely delivery of all determinations/reports Dane Street offers initial training as well as an ongoing point of contact should you have any questions about completing reviews
Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Business Development and Sales Industries Insurance Referrals increase your chances of interviewing at Dane Street by 2x Sign in to set job alerts for “Board Member” roles.
Clinical Supervisor- Board Certified Behavior Analyst (BCBA) Spanish Bilingual Required-($80,000K-$90,000K)- $5,000K Sign-On
Material Review Board (MRB) Mission Assurance Manager 1 - R10196042
Palmdale, CA $118,000.00-$177,000.00 3 weeks ago Volunteer: Lead the Future of Healthcare Advocacy - NAHAC Board President
Sacramento, CA $82,000.00-$87,000.00 2 weeks ago BCBA - Board Certified Behavior Analyst - Antelope Valley
Palmdale, CA $80,000.00-$90,000.00 1 day ago Ventura, CA $82,000.00-$87,000.00 2 weeks ago Board Certified Behavior Analyst, BCBA - Hybrid
Contractor Board Certified Behavior Analyst
Clinical Supervisor- Board Certified Behavior Analyst (BCBA)- Hybrid- ($80,000K-$90,000K)
Contractor Board Certified Behavior Analyst - BCBA Inland Empire
California, United States $70.00-$75.00 3 weeks ago Clinical Director | Board Certified Behavior Analyst | BCBA
Torrance, CA $90,000.00-$100,000.00 2 days ago Hybrid Board Certified Behavior Analyst (BCBA)
San Diego, CA $80,000.00-$95,000.00 19 hours ago Modesto, CA $60,000.00-$70,000.00 1 week ago Printed Circuit Board ECAD Design Checker III
Elk Grove, CA $75,000.00-$85,000.00 1 month ago Hybrid BCBA Board Certified Behavior Analyst (Yuba)
Volunteer: Board of Directors: Creative Writing Nonprofit
Rocklin, CA $75,000.00-$85,000.00 1 month ago Riverside, CA $82,000.00-$87,000.00 2 weeks ago Board Certified Behavior Analyst - BCBA Inland Empire
Victorville, CA $87,000.00-$92,000.00 4 days ago Volunteer: Board Member, Board of Director, Corporate and General Law Expertise
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr