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Dane Street

National physician-based IME and peer reviews

Board-Certified Physicians for IME Cases

Physicians & SurgeonsConfirmed live in the last 24 hours
Full-timeCalifornia, USA

About the Job

Requirements

  • Hold an active California license.
  • Be board certified in Physical Medicine and Rehabilitation, Internal Medicine, Orthopedic Surgery, Occupational Medicine, Neurology, or Psychiatry.
  • Be in active practice.
  • Maintain proper credentialing, state licenses, and any special certifications or requirements necessary to perform the job.

Responsibilities

  • Use clinical expertise to review insurance appeals and prospective and retrospective claims.
  • Interpret 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.
  • Review medical records and address each question posed by the client using client-specific criteria or other nationally recognized evidence-based criteria.
  • Ensure the rationale for each determination is clear, concise, and contains adequate supporting documentation to substantiate the decision.
  • Identify, critique, and use current criteria and resources, such as national, state, and professional association guidelines and peer-reviewed literature, to support sound and objective decision-making and rationales; refrain from using case studies, cohorts, and similar sources to make decisions because of their limited sample sizes.
  • Provide copies of criteria used in a review with the report in a timely manner.
  • Return cases on or before the due date and time.
  • Make telephone calls as mandated by the state or client specifics.
  • Attend required orientation and training.
  • Perform other assigned duties, including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.

About the Company

Dane Street

National physician-based IME and peer reviews

Dane Street provides independent medical exams (IMEs) and peer-review services on a nationwide scale. It works with a panel of board-certified physicians located in all 50 states to deliver evaluations across Workers Compensation, Pharmacy, Disability, Group Health, and Auto/Liability cases. The process involves a physician-based review and evaluation system that produces expert reports with faster turnaround times, higher report quality, and increased satisfaction and productivity among adjusters and nurses. The company differentiates itself with its large, nationwide network and its focus on timely, high-quality evaluations across multiple lines of business. Its goal is to improve the accuracy and efficiency of medical reviews to support better decision-making for insurers, employers, and patients.

Company size
201-500
Company stage
Not listed
Total funding
Not listed
Headquarters
Palm Beach Gardens, FL
Founded
2008

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