Talent.com
Board-Certified ENT Specialist for IME

Board-Certified ENT Specialist for IME

Dane Street, LLCPine Knot, KY, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Job Description

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

    serp_jobs.job_alerts.create_a_job

    Ent • Pine Knot, KY, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Radiology - General / Other in Somerset, KY

    Locum Physician (MD / DO) - Radiology - General / Other in Somerset, KY

    LocumJobsOnlineSomerset, KY, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with Aya Locums to find a qualified Radiology MD in Somerset, Kentucky, 42501!.Aya Locums has an immediate opening for a locum Radiology job in Somerset, KY paying $325 / h...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Internal Medicine - General / Other in Kentucky

    Physician (MD / DO) - Internal Medicine - General / Other in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with CompHealth to find a qualified Internal Medicine MD in Kentucky!.Whether you are searching for a position in your area or in another state, we have professionals to ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Obstetrics and Gynecology in Somerset, KY

    Locum Physician (MD / DO) - Obstetrics and Gynecology in Somerset, KY

    LocumJobsOnlineSomerset, KY, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Obstetrics and Gynecology MD in Somerset, Kentucky, 42503!. CompHealth exists to make the locums process easier.Not only will we search...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Cardiology - General / Other in Kentucky

    Locum Physician (MD / DO) - Cardiology - General / Other in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with All Star Healthcare Solutions to find a qualified Cardiology MD in Kentucky!.Cardiology position under two hours from Louisville Kentucky!.Competitive salalry with R...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Pediatrics - General / Other in Jellico, TN

    Physician (MD / DO) - Pediatrics - General / Other in Jellico, TN

    LocumJobsOnlineJellico, TN, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with CompHealth to find a qualified Pediatrics MD in Jellico, Tennessee, 37762!.Whether you are searching for a position in your area or in another state, we have profess...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Radiology - General / Other in Kentucky

    Locum Physician (MD / DO) - Radiology - General / Other in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with Weatherby Healthcare to find a qualified Radiology MD in Kentucky!.Get in touch with a Weatherby consultant today to learn more about this and other opportunities av...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Pediatrics - General / Other in Williamsburg, KY

    Physician (MD / DO) - Pediatrics - General / Other in Williamsburg, KY

    LocumJobsOnlineWilliamsburg, KY, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with CompHealth to find a qualified Pediatrics MD in Williamsburg, Kentucky, 40769!.This opportunity is in Williamsburg, KY, a close-knit community that offers a small-to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Radiology - Interventional in Kentucky

    Locum Physician (MD / DO) - Radiology - Interventional in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time +2
    LocumJobsOnline is working with Barton Associates to find a qualified Interventional Radiology MD in Kentucky!.We are seeking a Vascular / Interventional Radiologist for a locum tenens opportunity in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Surgery - Vascular in Kentucky

    Physician (MD / DO) - Surgery - Vascular in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Vascular Surgery MD in Kentucky!.Whether you are searching for a position in your area or in another state, we have professionals to h...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Obstetrics and Gynecology in Kentucky

    Locum Physician (MD / DO) - Obstetrics and Gynecology in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with Weatherby Healthcare to find a qualified Obstetrics and Gynecology MD in Kentucky!.If you are seeking a new opportunity or would simply like to learn more about locu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Urology in Kentucky

    Locum Physician (MD / DO) - Urology in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with All Star Healthcare Solutions to find a qualified Urology MD in Kentucky!.Urologist needed one hour south of Oklahoma City with 50k sign on and Student Loan Repaymen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Obstetrics and Gynecology in La Follette, TN

    Physician (MD / DO) - Obstetrics and Gynecology in La Follette, TN

    LocumJobsOnlineLa Follette, TN, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Obstetrics and Gynecology MD in La Follette, Tennessee, 37766!. La Follette is located 40 minutes from Knoxville, TN.Live and practice ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Anesthesiology - General / Other in Kentucky

    Physician (MD / DO) - Anesthesiology - General / Other in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Anesthesiology MD in Kentucky!.CompHealth is currently assisting a Kentucky academic group with their search for a critical care anest...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Gastroenterology in Kentucky

    Locum Physician (MD / DO) - Gastroenterology in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Gastroenterology MD in Kentucky!.Interested in this assignment? Or maybe you still haven't found what you're looking for? Contact one ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Otolaryngology in Kentucky

    Locum Physician (MD / DO) - Otolaryngology in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with LocumTenens.Otolaryngology MD in Kentucky!.Job Reference Id : ORD-201287-MD-KY.Dates Needed : January 2026 start date, 2 weeks per month, with a 6 month commitment.S...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Urology in Kentucky

    Physician (MD / DO) - Urology in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with CompHealth to find a qualified Urology MD in Kentucky!.Whether you are searching for a position in your area or in another state, we have professionals to help you a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Surgery - Orthopedic in Kentucky

    Physician (MD / DO) - Surgery - Orthopedic in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with CompHealth to find a qualified Orthopedic Surgery MD in Kentucky!.As the premier staffing agency with unmatched capabilities and scale, CompHealth exists to help you...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Pediatrics - General / Other in Kentucky

    Locum Physician (MD / DO) - Pediatrics - General / Other in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with Weatherby Healthcare to find a qualified Pediatrics MD in Kentucky!.If you are seeking a new opportunity or would simply like to learn more about locum tenens, give ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Locum Physician (MD / DO) - Surgery - General / Other in Kentucky

    Locum Physician (MD / DO) - Surgery - General / Other in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time
    LocumJobsOnline is working with Weatherby Healthcare to find a qualified General Surgery MD in Kentucky!.Weatherby can help you build a custom career plan, with multiple positions available for you...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Physician (MD / DO) - Pediatrics - General / Other in Kentucky

    Physician (MD / DO) - Pediatrics - General / Other in Kentucky

    LocumJobsOnlineAll Cities, KY, US
    serp_jobs.job_card.full_time +1
    LocumJobsOnline is working with CompHealth to find a qualified Pediatrics MD in Kentucky!.This great med-ped position allows for lots of free time and a work-life balance.You will work a 4-day work...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30