Physician Reviewer – Nurse Practitioner, Indiana License

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Dane Street

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

⚖️ Legal

Healthcare • Consulting • Legal

Dane Street is a national leader in Independent Medical Exams and Reviews, providing objective, compliant, and timely Independent Medical Examinations, Peer Reviews, and other medical reports. With a large network of over 16,000 physicians, the company offers its services across 25,000 locations and 100 specialties, including Workers' Compensation, Auto, Liability, and Disability claims. Dane Street supports Insurance Carriers, Third Party Administrators, Managed Care Organizations, and Federal/State entities with expert medical analyses, helping them make accurate determinations. The company is recognized for its quality, fast turnaround times, and efficient processes, earning accolades like the NCQA Accreditation in Utilization Management and the Great Place to Work certification.

📋 Description

• Conduct thorough reviews of clinical cases • Evaluate medical records • Provide clinical summaries • Answer specific questions posed by clients • Make clinical decisions and deliver determinations/reports • Participate in peer-to-peer calls when necessary for adverse determinations

🎯 Requirements

• Nurse Practitioner Certification • Active Indiana State Nurse Practitioner license

🏖️ Benefits

• Independent consultant role allows for schedule flexibility and predictable work hours; choose services and case types, dictate volume, and conduct work based on scheduled availability • Advisory-only opinions • Typical TAT is 1-3 business days depending on the level of review; same-day cases are rare but do occur • Dane Street keeps you apprised of required turn-around time and coordinates administrative tasks so time is spent on clinical decision-making • Streamlined case flow and user-friendly work portal • Communication, medical-record organization, administrative-process support, case preparation, and quality/timely delivery of determinations/reports • Chronological listing of medical records and treatment guidelines provided in an easy, click-to-view format • Peer coordinators secure provider availability for necessary peer-to-peer calls • Initial training and an ongoing point of contact for questions about completing reviews