Reviewers - Psychiatry

Summary

Join Dane Street, a national provider of Group Health Review services, as an independent contractor physician to provide medical necessity reviews. This telework opportunity offers a flexible caseload customized to your schedule, with compensation on a per-case basis. The role involves reviewing medical necessity of treatment requests and appeals, utilizing MCG & ASAM Criteria, internal clinical policies, LOCUS, and regulations. The average review takes 10-15 minutes, allowing for multiple cases per hour. Training is provided, and you can begin earning while maintaining your current practice. Dane Street handles all administrative tasks, providing a streamlined case flow and user-friendly portal. This is an advisory-only role; no doctor-patient relationship is established.

Requirements

• Be Board Certified in Psychiatry
• Have an active Kentucky Medical License
• Have a current, unrestricted license
• Have an active medical practice
• Be BCBA Certified
• Complete a 3-6 month Contract

Responsibilities

• Address the medical necessity of treatment requests and, in appeals, the medical necessity of previously denied services
• Use MCG & ASAM Criteria, internal clinical policies, LOCUS, regulations (peer support) as it relates to a list of Behavioral Health codes