Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)

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Dane Street

📍Remote - United States

Summary

Join Dane Street, a leading Independent Review Organization (IRO), as a Board-Certified Orthopedic Spine Surgeon to conduct Utilization Reviews. This fully remote, non-clinical role offers flexible scheduling and supplemental income. As an independent contractor, you will review medical records to determine the medical necessity of treatment requests and appeals, utilizing state-specific workers' compensation guidelines and nationally recognized criteria. You will submit clear, concise, and well-supported determinations within required timeframes, participate in peer-to-peer calls as needed, and complete addenda when new information is provided. Dane Street provides full onboarding and ongoing support, ensuring a user-friendly experience with streamlined case management.

Requirements

  • Board Certification in Orthopedic Surgery (Spine focus preferred)
  • Active, unrestricted New York medical license
  • Workers’ Compensation Board Certification (New York)
  • Active clinical practice

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

Benefits

  • 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
This job is filled or no longer available