Dane Street, a certified 'Great Place to Work' company, is seeking 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 offers flexibility to customize your schedule and caseload within a standard Monday?Friday work week while maintaining client?mandated turnaround times. Reviewers are compensated on a per?case basis as 1099 independent contractors. Preferred candidates will hold a CA, GA, FL, IL, KY, LA, NV, or TX license. Job Summary: Utilizes clinical expertise and reviews workers' compensation claims by providing an interpretation of the medical appropriateness of services provided by other healthcare professionals in compliance with state regulations and guidelines, nationally recognized evidence?based guidelines, client?specifics, policies, procedures, performance standards, and URAC guidelines. Major Duties and Responsibilities Reviews all medical records and addresses each question posed by the client utilizing state?mandated 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 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 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 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. #J-18808-Ljbffr Dane Street
...Interactive teaching materials ready What We Offer:12000-16000rmb total salary monthly after tax Free furnished apartment or monthly housing allowance Free airticketPaid vacationsAirfare bonusFree visa helpPaid professional training20 days free hotel
...Job Description Ethos Medical Staffing is seeking a travel nurse RN Wound Care for a travel nursing job in Oxnard, California. Job Description & Requirements ~ Specialty: Wound Care ~ Discipline: RN ~ Start Date: 12/08/2025~ Duration: 13 weeks ~40 hours...
...professional ready for an exciting challenge? If youre passionate about sales and eager to make an impact in the dynamic world of commercial real estate, we want you to join our high-performing team!Your Responsibilities Will Include:Assisting clients in identifying prime...
...Job Description Position Title: Pipeline Facility Estimator Job Category: Construction Location Commerce, Georgia Description: New Tech Global is seeking a Pipeline Facility Estimator for a client located in Commerce, GA. This is a direct hire role....
Azure Security Engineer - Azure FocusChicago, IL - hybrid WFH: 3 days onsite in the loop, 2 days work from homeOverview The Azure Security Engineer reports to the Security Operations Manager, and is primarily responsible for designing, implementing, and supporting security...