Physician Reviewer - Orthopedic Surgery (Utilization Review)

Stellenbeschreibung:

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 New York 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 New York medical license
Workers’ Compensation Board Certification (New York)
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.