Physician Reviewer - Neurologist - WA L&I

OverviewThis opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Reviewers are compensated on a per-case basis as a 1099 independent contractor. Preferred candidates will hold a WA license and be certified, or willing to become certified, with the Washington State Department of Labor and Industries (L&I).HighlightsIn-person exams to be conducted in Bellevue, WA, with additional locations to be added in the futureMultiple exams over the course of a dayDane Street will pay for reasonable travel expensesDane Street will assist you in obtaining WA L&I certificationVideo recording of approximately 15% of exams may be neededJob SummaryUtilizes 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 ResponsibilitiesReviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteriaEnsures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decisionIdentifies, 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 sizesProvides copies of any criteria utilized in a review with the report in a timely mannerReturns cases on or before the due date and timeMakes telephone calls as mandated by the state and/or client specificsMaintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the jobAttends all required orientation and trainingPerforms other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or auditsPlease be aware: In the interest of the security of both parties, Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.Additional InformationSeniority level: Entry levelEmployment type: ContractJob function: OtherIndustries: IT Services and IT ConsultingReferrals increase your chances of interviewing at Dane Street. Get notified about new Medical Doctor jobs in Bellevue, WA. #J-18808-Ljbffr

Created: 2025-10-06