Physician Reviewer - Orthopedic Surgery (Utilization Review)
Dane Street
Dane Street , a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. Key Responsibilities: Review medical records to determine the medical necessity of services Utilize state-specific workers’ compensation guidelines and nationally recognized criteria Submit clear, concise, and well-supported determinations Complete reviews within required timeframes (typically 1–5 business days) Participate in peer-to-peer calls as needed (coordinated by Dane Street ) Complete addenda when new information is provided Role Highlights: Independent contractor (1099) status Average case takes 15 minutes or less Flat rate per case – consistent, supplemental income Fully remote – work from anywhere You control volume and availability No direct patient interaction or treatment Chronological, pre-organized medical records provided User-friendly portal and streamlined case management Full onboarding and ongoing support included Requirements: Board Certification in Orthopedic Surgery Active, unrestricted New York medical license Workers’ Compensation Board Certification (New York) Active clinical practice About Dane Street: Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physicians to ensure high-quality, evidence-based clinical decisions that support better outcomes across the healthcare system. #J-18808-Ljbffr Dane Street
- ...Orthopedic Surgeon Utilization Reviewer Dane Street, a nationally recognized Independent Review Organization... ...(IRO), is expanding its panel of Physician Reviewers. We are currently seeking... ...Board Certification in Orthopedic Surgery Active, unrestricted New York medical...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
- ...Board-Certified Orthopedic Surgeons Dane Street is seeking experienced Board-Certified... ...join our growing team of expert clinical reviewers. In this role, you will apply your orthopedic... ...with expertise in: Orthopedic Surgery Musculoskeletal Injuries and Conditions...SuggestedFor contractorsRemote work
- Dane Street is expanding its panel of Physician Reviewers to provide independent medical review services. This fully remote role involves... .... Ideal candidates hold board certification in orthopedic surgery, an active New York license, and Workers’ Compensation #J...SuggestedRemote jobPrice workFor contractorsFlexible hours
- ...Orthopedic Spine Surgeon Reviewer (NY - Workers' Comp Certified) Dane Street is seeking experienced Orthopedic Spine... ...to join our growing team of independent physician reviewers. In this role, you will apply your spine surgery expertise to conduct comprehensive...SuggestedFor contractorsRemote workFlexible hours
- ...Dane Street, LLC is seeking experienced Orthopedic Surgeons to join our team of medical reviewers as independent contractors. You will apply your clinical expertise to assess records and deliver objective, evidence-based opinions through our online portal. This telework...SuggestedFor contractorsRemote workFlexible hours
- ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...Full timeCasual workRemote workMonday to Friday
$230k
...helping to simplify health care one person, one family and one community at a time. Company: Oak Street Health Title: Utilization Management Physician Reviewer Location: Fully Remote Hours: Full-Time, Monday - Friday, 8am -5pm CST Salary: $230k per year Role Description...Hourly payFull timeLocal areaRemote workMonday to Friday- A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote jobFull timeWork from home
$35 - $40 per hour
...management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Job Title RN Utilization Management Reviewer Responsibilities Conduct timely clinical decision review for services requiring prior authorization in a variety of...Hourly payTemporary workRemote workMonday to FridayFlexible hoursWeekend work- Dane Street is expanding its physician panel and inviting independent contractors to participate in a telework model. Reviewers determine medical necessity for treatment requests and appeals, with control over schedule and caseload. You will work as an independent contractor...Remote jobFor contractors
- ...) licensed in Texas to join our growing team of independent physician reviewers. In this role, you will apply your neurosurgical expertise to... ...disability determinations. Areas of Expertise Neurological Surgery / Neurosurgery Spinal Disorders and Spine Surgery Brain and...For contractorsRemote workFlexible hours
- Dane Street is seeking qualified medical reviewers to join our remote team as independent contractors. You will leverage your clinical expertise... .... Specialties include Hematology/Oncology, Nephrology, Plastic Surgery, Pain Management, PM&R, Sleep Medicine, and related fields. #J...Remote jobFor contractorsFlexible hours
- ...Health System team, and The Power of Every One. Job Title Utilization Management RN Reviewer Location Cleveland Facility Remote Location Department... ...concurrent denials appeals process, clinical team interaction, Physician Adviser interaction and special projects. A caregiver in...Full timeWork at officeRemote workShift workWeekend work
- ...sponsorship or employer support during their employment should not pursue this opportunity. POSITION PURPOSE The Behavioral Health Utilization Reviewer is responsible for conducting clinical reviews of behavioral health service requests, claims, and appeals to confirm medical...H1bWork at officeLocal areaRelocationVisa sponsorship
- ...A leading Independent Review Organization is seeking a Board-Certified Physical Medicine... ...and Rehabilitation provider to perform Utilization Reviews. This fully remote role offers flexible... ...Board Certification. Apply to join our Physician Review Panel and start earning based on...Extra incomeRemote workFlexible hours
$155 - $165 per hour
...exclusive features. Direct message the job poster from EPITEC As a Physician Reviewer, you'll play a critical role in ensuring that our members... ...years clinical experience Experience with managed care and utilization management Strong leadership and management skills...Full timeContract workWork at officeRemote workWeekend work- ...Summary: We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote... ...opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced,...Remote work
- ...of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine & Rehabilitation physician to process utilization reviews . Worker's Compensation experience is preferred but, not required. This telework opportunity provides the ability...For contractorsRemote workMonday to Friday
- ...Dane Street wants you to join our dynamic team of expert reviewers! In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. This telework opportunity allows you to customize your schedule as a 1099 independent...For contractorsRemote work
- MRIoA, Medical Review Institute of America, is seeking Board-Certified Dermatologists to perform independent Utilization Reviews. This flexible, remote opportunity requires only 1-2 hours per week with no minimum commitment. Practice is remote from anywhere in the U.S.,...Remote jobFor contractorsFlexible hours
- MMRO Managed Medical Review Organization (MMRO) seeks Board-Certified Orthopedic Surgeons, ideally with an Orthopedic Spine Fellowship, to join our nationwide network of independent Physician Reviewers. Reviews are conducted remotely, with no direct patient interaction...Remote jobFor contractorsFlexible hours
- ...Carolina. ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a... ...(IRO) specializing in technology-driven utilization management and clinical medical review solutions... ...are currently seeking Board-Certified physicians in Dermatology to conduct independent...Remote jobFor contractorsFlexible hours
- Dane Street is seeking experienced Orthopedic Surgeons licensed in Mississippi to join our team of independent physician reviewers. This fully remote role lets you customize your... ...DO with board certification in Orthopedic Surgery, a current Mississippi license, and at...Remote jobFor contractors
$130 - $145 per hour
...Hi, we're Oscar. We're hiring a Behavioral Health Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2...Hourly payFull timePart timeRemote workWork from homeHome office- Physician Reviewer - (Medical Reviewer - US Healthcare) - 1+ Years - Pan India We are looking for a Physician Reviewer AM with a minimum... ...global healthcare organization providing clinical review, utilization management, and medical documentation services to clients in...Remote workWork from homeDay shift
- Dane Street is seeking a medical reviewer to join our expert team. This telework role is a 1099 independent contractor position with a... ...unrestricted medical license and is board-certified in Colon & Rectal Surgery, with 5+ years of active clinical practice. #J-18808-Ljbffr...Remote jobFor contractorsFlexible hours
- ...is seeking experienced Board-Certified Orthopedic Spine Surgeons licensed in Tennessee... ...join our growing panel of independent physician reviewers. In this role, you will apply your clinical... ...Areas of Expertise Orthopedic Spine Surgery Degenerative Spine Conditions Cervical...Extra incomeFor contractorsRemote workFlexible hours
- ...A leading healthcare consulting firm is seeking a Specialty Physician Reviewer with expertise in genetics to conduct thorough reviews and provide peer consultations. This flexible contract role requires an MD or DO degree and board certification in relevant specialties...Contract workRemote workFlexible hours
$65k - $108k
...*What You Will Do:**The Coding Quality Reviewer shall report directly to the Pro Fee Quality... ...by the Guidehouse coding team by utilizing ICD-10 CM, CPT and HCPCS coding classification... ...experience in the areas below:* Orthopedics* Transplant* Neuro/Spine* Neuro/Cranial...Remote jobFull timeTemporary workFlexible hours- Medical Review Institute of America (MRIoA) seeks board-certified Oral Surgeons to conduct remote utilization reviews as flexible 1099 contractors. This role requires only 1-2 hours... ...or MD, and board certification in Oral Surgery, with at least five years of clinical residency...Remote jobFor contractorsFlexible hours
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