Physician Reviewer - Orthopedic Spine (Utilization Review)
Dane Street
Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an active Texas medical license and Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests and appeals. No patient contact, no treatment, and no doctor-patient relationship is established. 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 Texas medical license. 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
- ...nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. Key Responsibilities... ...medical necessity of services Utilize state-specific workers’... ...Requirements: Board Certification in Orthopedic Surgery Active, unrestricted New...SuggestedPrice workExtra incomeFor contractorsRemote work
- ...Dane Street is expanding its physician panel for utilization review services, offering a telework opportunity for physicians with a Louisiana... ...contract reviews on a per-case basis. Specialties include Orthopedic Surgery - Spine Surgery, with reviews typically taking 15-20...SuggestedContract workFor contractorsRemote workFlexible hours
- ...Dane Street is seeking experienced orthopedic spine surgeons licensed in Tennessee to join our panel of independent physician reviewers. This fully remote, 1099 role offers flexible scheduling and workload customization while contributing objective medical opinions on...SuggestedRemote workFlexible hours
- Dane Street, LLC is seeking experienced Orthopedic Spine Surgeons licensed in New York and certified in New York Workers’ Compensation to join our team of independent physician reviewers. This fully remote opportunity is a 1099 role with flexible scheduling. Your primary...SuggestedRemote jobFlexible hours
- Overview Dane Street is seeking experienced Orthopedic Spine Surgeons licensed in New York and certified in New York Workers’ Compensation to join our growing team of independent physician reviewers. In this role, you will apply your spine surgery expertise to conduct...SuggestedFor contractorsRemote workFlexible hours
- ...ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally... ...) specializing in technology-driven utilization management and clinical medical... ...are currently seeking Board-Certified physicians in Orthopedic Surgery to conduct independent...For contractorsRemote workFlexible 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
- ...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... ...previously denied services. Orthopedic Surgery - Spine Surgery The average time spent...Extra incomeContract workRemote work
- ...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...Full timeRemote workWork from home
- ...In this remote contract role, the physician reviews clinical service requests from members and providers, applying clinical judgment and... ...based work and electronic file review. Preferred Experience in utilization review, case review, or related physician reviewer work....Full timeContract workRemote workWeekend workWeekday work
- ...MMRO Managed Medical Review Organization (MMRO) is... ...experienced practicing physicians. MMRO is committed to... ...seeking Board-Certified Orthopedic Surgeons , with a... ...completed an Orthopedic Spine Fellowship , to join our... ...established turnaround times. Utilize MMRO review templates...Full timeFor contractorsRemote workFlexible hours
- Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-... ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role...Price workExtra incomeFor contractorsRemote workFlexible hours
$219k - $286.9k
Hi, we're Oscar. We're hiring a 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 2012 to create the kind...Full timeLocal areaRemote workWork from homeHome officeWeekend work- ExamWorks is seeking a Board Certified physician (Family Medicine or Internal Medicine) to join as a Utilization Management Physician Reviewer in a full-time, 100% remote role. The schedule is Monday through Friday, 8:30am-5:00pm, with occasional weekend/holiday coverage...Remote jobFull timeMonday 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 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...Remote jobFull timeCasual workMonday to Friday
- ...Description Dane Street is seeking experienced Board-Certified Orthopedic Surgeons to join our growing team of expert clinical reviewers. In this role, you will apply your orthopedic expertise to conduct comprehensive reviews of clinical cases and provide objective...For contractorsRemote work
- ...Great Place to Work" company, is in search 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...For contractorsRemote workMonday to Friday
- 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
- Dane Street is expanding its panel of Physician Reviewers to provide independent medical review services. This fully remote role involves... ...availability. Ideal candidates hold board certification in orthopedic surgery, an active New York license, and Workers’ Compensation...Remote jobPrice workFor contractorsFlexible hours
- Overview Dane Street is seeking experienced Board-Certified Orthopedic Spine Surgeons licensed in Tennessee to join our growing panel of independent physician reviewers. In this role, you will apply your clinical expertise to conduct comprehensive medical record reviews...Extra incomeFor contractorsRemote workFlexible hours
- ...Dane Street is seeking experienced Orthopedic Surgeons to join our growing team of medical reviewers in a telework, 1099 independent contractor role. You will apply your clinical expertise to review medical records and provide objective opinions. Responsibilities include...For contractorsRemote workFlexible hours
$65k - $108k
...What You Will Do:**The Coding Quality Reviewer shall report directly to the Pro... ...performed by the Guidehouse coding team by utilizing ICD-10 CM, CPT and HCPCS coding... ...experience in the areas below:* Orthopedics* Transplant* Neuro/Spine* Neuro/Cranial* Trauma*...Remote jobFull timeTemporary workFlexible 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 schedule while working as a 1099 contractor, reviewing medical records and providing objective...Remote jobFor contractors
- Medical Review Institute of America (MRIoA) seeks Board-Certified Dermatologists to perform independent Utilization Reviews. This fully remote independent contractor role requires just 1-2 hours per week with no minimum commitment, working from anywhere in the United States...Remote jobFor contractors
- ...compassionate behavioral health services. As a Behavioral Health Utilization Management Reviewer, you'll play a vital role in ensuring our members are in... ...this collaborative role, you'll partner with providers, physicians, care managers, and community resources to review...Hourly payRemote work
- Louisiana Blue is seeking a Board-Certified Assistant Behavior Analyst (BCaBA) Utilization Reviewer to evaluate the medical necessity and clinical appropriateness of ABA services for LA Blue members. Under the guidance of a BCBA Utilization Reviewer, you will analyze treatment...
- 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
- ...Neurosurgeons) licensed in Texas to join our growing team of independent physician reviewers. In this role, you will apply your neurosurgical expertise to... ...Neurological Surgery / Neurosurgery Spinal Disorders and Spine Surgery Brain and Cranial Conditions Traumatic Brain and...For contractorsRemote 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
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