Physician Reviewer – Psychiatry, Utilization Review

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Dane Street

51 - 200 employees

⚕️ Healthcare Insurance

📋 Compliance

🏛️ Government

Healthcare Insurance • Compliance • Government

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

• 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

🎯 Requirements

• Board Certification in Psychiatry • Active, unrestricted New York medical license • Workers’ Compensation Board Certification (New York) • Active clinical practice

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