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Job Description Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of 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. MAJOR DUTIES AND RESPONSIBILITIES: • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria 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, • 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, • 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, • Board certification required, active practice required PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. Benefits • Robust opportunity for supplemental income, • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability, • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions., • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise, • Expanded credentials as an expert in Independent Medical Exams and physician advisor services, • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Apply for this job

Job Description Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of 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. MAJOR DUTIES AND RESPONSIBILITIES: • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria 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, • 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, • 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, • Board certification required, active practice required PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. Benefits • Robust opportunity for supplemental income, • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability, • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions., • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise, • Expanded credentials as an expert in Independent Medical Exams and physician advisor services, • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Apply for this job

Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management and patient training success.

Are you a CRNA searching for your next exciting locum tenens opportunity? This position with one of VISTA's healthcare partners in New York might just be the opportunity for you!.Schedule: Monday‐Friday, 8 hour days, No call.Type of Cases: Bread and Butter, OB, Ortho.Credentialing: 60&dash

And it’s your opportunity to enjoy flexible scheduling, shared clinical decision-making, inspirational leadership, supportive colleagues and much more.

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

This position must comply with the standards of care, which include without limitation assessment of health status, diagnosis, development of plan of care and treatment, implementation of treatment plan, and evaluation of patient status and clinical management.

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

Nurse Practitioner (NP) or Physician Assistant (PA) – Veteran Disability Assessments.Nurse Practitioner (NP) or Physician Assistant (PA).VA's disability benefits process.This role involves conducting .Review and analyze electronic medical records via a secure web portal.Accurately document exam f

Provides accurate, up-to-date clinical information to patients consistent with professional nursing scope of practice and accepted practice standards, policies, and protocols. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your

Nurse Practitioner (NP) or Physician Assistant (PA) – Veteran Disability Assessments.Nurse Practitioner (NP) or Physician Assistant (PA).VA's disability benefits process.Review and analyze electronic medical records via a secure web portal.Accurately document exam findings and complete the require

Posted job title: RN:PCU - Progressive Care Unit,19:00:00-07:00:00 About Voca Healthcare As a Voca Traveler, you will gain new clinical skills, visit amazing places and meet awesome healthcare professionals.

Nurse Practitioner (NP) or Physician Assistant (PA) – Veteran Disability Assessments.Nurse Practitioner (NP) or Physician Assistant (PA).VA's disability benefits process.Review and analyze electronic medical records via a secure web portal.Accurately document exam findings and complete the require

GLC On-The-Go is seeking a travel nurse Correctional for a travel nursing job in New City, New York.Job Description & Requirements Specialty: Correctional Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours Employment Type: Travel GLC On-The-Go Job ID 246149.Pay packa

Nurse Practitioner (NP) or Physician Assistant (PA) – Veteran Disability Assessments.Nurse Practitioner (NP) or Physician Assistant (PA).VA's disability benefits process.Review and analyze electronic medical records via a secure web portal.Accurately document exam findings and complete the require

Genie Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 10/13/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Genie Healthcare is looking

Posted job title: RN:Med Surg,19:00:00-07:00:00 About Voca Healthcare As a Voca Traveler, you will gain new clinical skills, visit amazing places and meet awesome healthcare professionals.

Joining Gifted comes with benefits like schedule flexibility, competitive pay, and the opportunity to gain valuable clinical experience in top-notch facilities. Working with Gifted comes with benefits like schedule flexibility, competitive pay, and the opportunity to gain valuable clinical experienc

Core Medical Group is seeking a travel nurse RN Maternal - Newborn for a travel nursing job in Niskayuna, New York.Job Description & Requirements Specialty: Maternal - Newborn Discipline: RN Start Date: 10/06/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours Employment Type: Travel Client in

Joining Gifted comes with benefits like schedule flexibility, competitive pay, and the opportunity to gain valuable clinical experience in top-notch facilities. Working with Gifted comes with benefits like schedule flexibility, competitive pay, and the opportunity to gain valuable clinical experienc

Duties: Handle all supervisory duties for assigned unit Help establish and implement employee policies and procedures Mentor less experienced nurses, offering clinical & career advice Maintain the standards of care for the unit Review Resident records & quality of care Monitor overall care & review

GHR Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 10/13/2025 Duration: 12 weeks 36 hours per week Shift: 12 hours Employment Type: Travel GHR

Openwork Health is seeking a travel nurse RN Med Surg for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 10/20/2025 Duration: 12 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Openwork Health Job ID 72652

Posted job title: RN:PCU - Progressive Care Unit,07:00:00-19:00:00 About Voca Healthcare As a Voca Traveler, you will gain new clinical skills, visit amazing places and meet awesome healthcare professionals.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Assists physician or other provider with clinical procedures, performs telephone triage as needed, and participates in patient teaching. Demonstr

This position must comply with the standards of care, which include without limitation assessment of health status, diagnosis, development of plan of care and treatment, implementation of treatment plan, and evaluation of patient status and clinical management.

Joining Gifted comes with benefits like schedule flexibility, competitive pay, and the opportunity to gain valuable clinical experience in top-notch facilities. Working with Gifted comes with benefits like schedule flexibility, competitive pay, and the opportunity to gain valuable clinical experienc

DocCafe has an immediate opening for the following position: Nurse Practitioner - Family Practice/Primary Care in New York.Make $100,000 - $120,000/yearly.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.Register now to apply for this job an

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.

DocCafe has an immediate opening for the following position: Nurse Practitioner - Urgent Care in New York.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.Register now to apply for this job and for access to 120,000+ other openings.DocCafe O

Joining Gifted comes with benefits like schedule flexibility, competitive pay, and the opportunity to gain valuable clinical experience in top-notch facilities. Working with Gifted comes with benefits like schedule flexibility, competitive pay, and the opportunity to gain valuable clinical experienc

Northern Riverview Healthcare Center.Registered Nurse (RN) Supervisor.Complete resident care requirements by scheduling and assigning nursing staff.Establish a compassionate environment by providing support to residents & families.Provide information to residents & staff by answering questions and r

We offer competitive pay, comprehensive benefits, and access to diverse clinical experiences that build your skills and open doors to new possibilities. Whether you want to explore new locations, broaden your clinical experience, or achieve better work–life balance, Olaro provides the flexibility

The New York State Unified Court System is seeking a.Genesee County Problem-Solving Courts.This position will assist with expanding and managing the requirements and resources of the court’s BRIDGE program and provide a supportive role in the implementation of problem-solving courts.Provide case m

Duties: Handle all supervisory duties for assigned unit Help establish and implement employee policies and procedures Mentor less experienced nurses, offering clinical & career advice Maintain the standards of care for the unit Review Resident records & quality of care Monitor overall care & review

SIGN ON BONUS AVAILABLE PURPOSE AND SCOPE: Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management an

We're on the hunt for curious, motivated individuals to test and review online money-making opportunities featured on FinanceBuzz.If you enjoy discovering new platforms and sharing your experience, this flexible gig could be perfect for you.Qualifications, skills, and all relevant experience needed

SIGN ON BONUS AVAILABLE PURPOSE AND SCOPE: Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management an

Primary Responsibilities: * Demonstrates clinical competence in the direct care of patients/significant others in established area of practice, considering developmental differences among patients * Demonstrates basic knowledge of common disease processes and treatments, including pertinent diagnos

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

Joining Gifted comes with benefits like schedule flexibility, competitive pay, and the opportunity to gain valuable clinical experience in top-notch facilities. Working with Gifted comes with benefits like schedule flexibility, competitive pay, and the opportunity to gain valuable clinical experienc

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

Travel as needed to Rock Hill and Newburgh Primary Responsibilities: * Demonstrates clinical competence in the direct care of patients/significant others in established area of practice, considering developmental differences among patients * Demonstrates basic knowledge of common disease processes

The New York State Unified Court System is seeking a.Genesee County Problem-Solving Courts.This position will assist with expanding and managing the requirements and resources of the courts BRIDGE program and provide a supportive role in the implementation of problem-solving courts.Provide case mana

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

SIGN ON BONUS AVAILABLE PURPOSE AND SCOPE: Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management an

Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your specialized skills with the desire to serve your Nation's heroes, a career as an Army Social Worker might

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. Provides support for all clinical staff members at regular intervals and encourages professional growth. Training and advancement: You wil