Licensed Physician Reviewers

Summary

Join Dane Street, a national provider of Group Health Review services, as an independent contractor physician reviewer. This telework position offers flexible scheduling and supplemental income, reviewing pre-authorization cases and appeals based on medical necessity. You will utilize the client's system (training provided) and adhere to MCG guidelines. The role requires an active NJ medical license, UM experience with prior authorization, and board certification. Dane Street provides a streamlined case flow, user-friendly portal, and ongoing support. No patient care is involved; reviews are advisory opinions only. Compensation is per case.

Requirements

• Hold an active NJ license
• Have current or prior experience with UM, dealing with Prior Authorization in UM platforms
• Current, unrestricted Medical License
• Board Certified

Responsibilities

• Be available between 8:00 p.m. and 5:00 p.m. Eastern Time for an 8-hour shift
• Work within the client's system, with paid training provided before the start date
• Review pre-authorization cases according to MCG guidelines
• Participate in peer-to-peer calls as needed
• Conduct reviews based solely on medical criteria
• Produce an expected 40 cases per day
• Use a laptop to access the client's AWS system