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Job Description Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. The ideal candidates will hold a NY license and be Board Certified in Orthopedic Surgery, with experience in completing Independent Medical Exams. The ideal candidate will be New York State Workers' Comp certified. Independent Medical Exams are available to be completed across the state of New York. Requirements As Physician Reviewer/Advisor, 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 Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. The ideal candidates will hold a NY license and be Board Certified in Neurology with experience in completing Independent Medical Exams. The ideal candidate will be New York State Workers' Comp certified. Independent Medical Exams are available to be completed across the state of New York. Requirements As Physician Reviewer/Advisor, 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

A company is looking for a Clinical Quality Nurse Reviewer, Sr.Key Responsibilities Conduct quality assurance checks on complex clinical claim reviews and ensure accuracy of determinations Analyze claim data and medical records using approved clinical guidelines; document findings clearly Provid

A company is looking for an RN Medical Reviewer III to perform medical reviews and support medical claims.

Clinical Scientist Data Reviewer 6 month contract w/ renewal 3 days onsite in Jersey City, NJ We are seeking a Clinical Scientist Data Reviewer that will support the scientific planning efforts and collaborate with Clinical Research, Pharmacovigilance and Clinical Operations in the execution of one or more clinical trials or significant aspects thereof. In this position, you will have the opportunity to demonstrate technical skills and scientific acumen as part of a cross-functional clinical development team. You will be a key contributor and supporter in the clinical science activities of evidence generation for regulatory approval and/or engagement with physicians, including protocol development, study implementation, data analysis and reporting of results. This role will be focused on the detailed and critical safety data review efforts from study start-up through final CSR. The Clinical Scientist Data Reviewer is a crucial role in analyzing and interpreting clinical trial data to ensure accuracy, integrity, and compliance with regulatory requirements. There is additional room for growth and leadership opportunities in this role. Responsible for supporting specific aspects of clinical/scientific execution of clinical protocol(s). This may include: • Serving as a supportive clinical scientist data reviewer focused on safety, efficacy and critical data deliveries as part of the clinical trial team, • Supporting the clinical study team as part of the clinical sciences functional line which is closely aligned with the medical monitoring team in review and interpretation of clinical data/medical protocol deviations in collaboration with Clinical Research and Pharmacovigilance (as well as other functional areas in this matrix environment), • Collaborating cross-functionally in the development of Protocol and related study materials (e.g., ICF documents / amendments); partnering with Clinical Operations on critical and key study deliverables, • Ensure CRF design supports data collection in alignment with the Protocol in collaboration with Clinical Data Management/Programming, • Collaborating cross-functionally to review clinical data to ensure quality, completeness, and integrity of trial conduct, • Potential to provide tactical/scientific mentorship to other clinical scientists and move into Clinical Scientist lead role as well as focus on scientific growth and development, • Responsible for assisting with the generation, analysis, and presentation of clinical data, including manuscripts, abstracts, and oral presentations (including authoring documents and slide preparation as appropriate), • Apply proficient analytical knowledge and skills to understand how program objectives and design impact data analysis; identifies risks and designs mitigation strategies, • Promotes consistent first line medical/clinical data review techniques and conventions across studies/programs Qualifications • 6+ years of experience with a Post Graduate Degree or 8+ years of experience with a Bachelor’s degree in a relevant scientific discipline., • Experience in clinical drug development experience, or a PhD, Pharm D, or RN degree is preferred., • Experience within oncology preferred, • Solid knowledge of clinical research regulatory requirements (e.g., GCP and ICH), • Ability to manage multiple competing priorities with good planning, time management and prioritization skills, • Strong analytical skills with the ability to interpret clinical trial data and synthesize conclusions, • Proficient scientific expertise to propose, design, and execute clinical research and development studies, and authors documents related to clinical trials, such as medical monitoring plan, SAPs, informed consent and clinical components of the Clinical Study Reports, • Interact with key stakeholders across Clinical Development functional areas, • Role requires proactive approach, strategic thinking and leadership in driving toward clinical study goals, • Influence opinions and decisions of internal and external customers / vendors, across functional areas, • Problem solving, prioritization, conflict resolution and critical thinking skills, • Strong communication, technical writing, and presentation skills experience

Job DescriptionPosition Summary Responsible for conducting policy and procedure manual review, pre-opening licensure and re-licensure surveys and associated tasks for Licensed Home Care Services Agencies (LHCSAs) Qualifications: • Master’s degree in Social Work and licensed in New York State (LMSW/LCSW), • Two years of experience in social work preferred, • Experience in home care, • Demonstrates logical reasoning & critical thinking skills, • Detail oriented, highly organized work skills, • Demonstrates a mature, professional, respectful, demeanor and style, • Excellent verbal and written communication skills, • Computer skills including proficiency in Microsoft Word and Microsoft Excel, • Quality improvement orientation, • Flexibility to travel at times for several hours, • Reviews and approves policy and procedure manuals to ensure compliance with Article 36 Title 10 of New York State Rules and Regulations (10NYCRR), • Conducts pre-opening tasks which include, but are not limited to Article 36documents review, conference calls, and on-site surveys, • Writes letters to the agencies regarding the policy and procedure manual if not in compliance with Article 36 Title 10 of New York State Rules and Regulations,explaining necessary revisions, • Writes letters to LHCSAs and DOH recommending either licensure or failureafter pre-opening survey., • Follows-up with applicant regarding outstanding manual corrections, includingwriting letters to them, as necessary., • Makes recommendations to DOH that applications be withdrawn when applicantfails to submit required material., • Reviews the agencies’ environmental space, equipment, personnel files, andpersonnel knowledge on the policy and procedure manual during the on-site preopening visit., • Conducts operational on-site surveys of LHCSAs, which consists of reviewing asample of client records, personnel records, QI/QA meeting minutes, Governing Authority meeting minutes, the policy and procedure manual, the agency’s Federal Tax ID number, operating license, complaint log, admission packet and on-call procedure., • Writes Statements of Deficiencies (SODs) if applicable, of the surveyed agencies using the DOH’s ASPEN computer program., • Assists with the preparation and scheduling of the pre-opening site visits., • Reviews site Assessment Report and discusses questions/concerns with theDirector., • Prepares for the required travel, materials and transportation options., • Maintains flexibility regarding workspace and environment while in the field., • Meets co-reviewer(s), if applicable, at the appointed location and time., • Continually works to create an environment of teamwork toward common goals,mutual support and respect., • Tracks all aspects of the work process, as required by the Director, LHCSA., • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents., • 401(k) with Employer Match - Join the team and we will invest in your future, • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, to observe holidays., • Wellness - We care about your well-being. From Commuter Benefits to FSAs we’ve got you covered., • Learning & Development - Through continued education/mentorship on the job and our investment in LinkedIn Learning, we’re focused on your growth as a working professional. Powered by JazzHR 5IacWimZic

Job Description About Cleerly We're Cleerly – a healthcare company that's revolutionizing how heart disease is diagnosed, treated, and tracked. We were founded in 2017 by one of the world's leading cardiologists and are a growing team of world-class engineering, operations, medical affairs, marketing, and sales leaders. We raised $223M in Series C funding in 2022 which has enabled rapid growth and continued support of our mission. In December 2024 we received an additional $106M in a Series C extension funding. Most of our teams work remotely and have access to our offices in Denver, Colorado, New, York, New York, Dallas, Texas, and Lisbon, Portugal with some roles requiring you to be on-site in a location. Cleerly has created a new standard of care for heart disease through value-based, AI-driven precision diagnostic solutions with the goal of helping prevent heart attacks. Our technology goes beyond traditional measures of heart disease by enabling comprehensive quantification and characterization of atherosclerosis, or plaque buildup, in each of the heart arteries. Cleerly's solutions are supported by more than a decade of performing some of the world's largest clinical trials to identify important findings beyond symptoms that increase a person's risk of heart attacks. At Cleerly, we collaborate digitally and use a wide variety of systems. Our people use Google Workspace (GMail, Drive, Docs, Sheets, Slides), Slack, Confluence/Jira, and Zoom Video, prior experience in these areas is a plus. Role or department specific technology needs may vary and will be listed as requirements in the job description. While we are mostly a remote company, travel is required for some team meetings and cross function projects typically once per month or once per quarter, for some roles like sales or external facing roles travel could be up to 90% of the time. About the Opportunity Cleerly's services are rapidly scaling up, and we are seeking a highly organized leader with deep experience in cardiac imaging research, core lab operations, and clinical education to serve as the Director, Clinical Core Lab. In this multifaceted role, you will be the primary organizer, educator, and overreader for the US Core Lab. You will provide expert oversight, direct contract physician overreaders, and ensure the operational and quality compliance of our CCTA analysis processes. This position is ideal for an experienced researcher passionate about applying clinical rigor, organizational structure, and educational programs to scale impact in a fast-paced, technology-driven environment. TTC*: $245,295 - $342,815 *Total Target Compensation (TTC): Total Cash Compensation (including base pay, variable pay, commission, bonuses, etc.). We hire employees anywhere within the United States and account for geography when determining base salary. Each role at Cleerly has a defined salary range based on market data and company stage. We typically hire at the lower to mid-point of the range, with the top end reserved for internal growth and exceptional performance. Actual pay depends on factors like experience, technical depth, geographic location, and alignment with internal peers. Responsibilities Core Lab Organization, Quality & Administration * • H: Humility- be a servant leader, • E: Excellence- deliver world-changing results, • A: Accountability- do what you say; expect the same from others, • R: Remarkable- inspire & innovate with impact OUR COMPANY IS AN EQUAL OPPORTUNITY EMPLOYER. We do not discriminate on the basis of race, color, national origin, ancestry, citizenship status, protected veteran status, religion, physical or mental disability, marital status, sex, sexual orientation, gender identity or expression, age, or any other basis protected by law, ordinance, or regulation. By submitting your application, you agree to receive SMS messages from Cleerly recruiters throughout the interview process. Message frequency may vary. Message and data rates may apply. You can STOP messaging by sending STOP and get more help by sending HELP. For more information see our Privacy Policy (). All official emails will come from @cleerlyhealth.com email accounts. #Cleerly

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

Job Title : RN Clinical Reviewer Location : New York, NY 10004 Duration : 3+ Months / 13 Weeks Education : Bachelor’s in Nursing (BA/BSN) required Shift Details : 9:00 AM – 5:00 PM / Hybrid — Onsite & Remote Specific Skills : • Review medical charts for accuracy, completeness, and proper diagnosis sequencing., • Validate clinical and coding assessments in alignment with regulations., • Conduct audits of high-risk claims and billing patterns to identify discrepancies and potential FWA., • Prepare detailed clinical review reports, including rationale, research, and corrective action recommendations., • Assist with documentation for audits, compliance reviews, recoupments, and regulatory inquiries., • Active New York State RN License (Primary Source Verified), • Minimum 2 years of clinical experience We are seeking an experienced Registered Nurse (RN) to perform detailed medical chart reviews to ensure accuracy, correct sequencing of diagnoses, and compliance with regulatory guidelines. The RN will review documentation from Consultation Reports, H&P, Operative Reports, Progress Notes, and Discharge Summaries, including complex cases.

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

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.

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 profe

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. Must have a minimum of 5 years full-time experience in direct care.

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. Must have a minimum of 5 years full-time experience in direct care.

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. Must have a minimum of 5 years full-time experience in direct care.

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

Must have a minimum of 5 years full-time experience in direct care. As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. Performs comprehensive medical record peer reviews for determination of appropriate

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

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.

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. Must have a minimum of 5 years full-time experience in direct care.

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans.This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.Performs comprehensive