Talent.com
Physician Reviewer - Physical Medicine and Rehabilitation - WA L&I
Physician Reviewer - Physical Medicine and Rehabilitation - WA L&IDane Street, LLC • Bellevue, WA, US
Physician Reviewer - Physical Medicine and Rehabilitation - WA L&I

Physician Reviewer - Physical Medicine and Rehabilitation - WA L&I

Dane Street, LLC • Bellevue, WA, US
30+ days ago
Job type
  • Full-time
  • Quick Apply
Job description

This opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.

Preferred candidates will hold a WA license and be certified, or willing to become certified, with the Washington State Department of Labor and Industries (L&I).

Highlights :

  • In-person Exams to be conducted in Bellevue, WA, with additional locations to be added in the future
  • Multiple exams over the course of a day
  • Dane Street will pay for reasonable travel expenses
  • Dane Street will assist you in obtaining WA L&I certification
  • Video recording of approximately 15% of exams may be needed

JOB SUMMARY

Utilizes clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care.

MAJOR DUTIES AND RESPONSIBILITIES :

  • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria
  • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
  • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
  • Provides copies of any criteria utilized in a review with the report in a timely manner
  • Returns cases on or before the due date and time
  • Makes telephone calls as mandated by the state and / or client specifics
  • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
  • Attends all required orientation and training
  • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits
  • PLEASE BE AWARE : In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.

    Create a job alert for this search

    Physical Medicine And Rehabilitation Physician • Bellevue, WA, US

    Related jobs
    Physician / Physical Medicine and Rehab / Washington / Locum Tenens / Locums Physical Medicine and R

    Physician / Physical Medicine and Rehab / Washington / Locum Tenens / Locums Physical Medicine and R

    MD Staff, LLC • Snohomish, WA, US
    Full-time
    Lucrative Locum Tenens Opportunity for Physical Medicine and Rehabilitation Physician near SNOHOMISH, WA Physical Medicine and Rehabilitation Physician Needed - Immediate Opening!.Are you a dedicat...Show more
    Last updated: 30+ days ago • Promoted
    Physical Therapist PRN

    Physical Therapist PRN

    Providence Swedish Rehabilitation Hospital • Lynnwood, WA, US
    Full-time
    Providence Swedish Rehabilitation Hospital is a brand new, 44 bed rehabilitation hospital located in Lynnwood, WA.We are driven by a profound commitment to prior our well-being so you can provide e...Show more
    Last updated: 4 days ago • Promoted
    Travel Physical Therapist

    Travel Physical Therapist

    Medical Solutions Allied • Sammamish, WA, US
    Full-time
    Medical Solutions Allied is seeking a travel Physical Therapist for a travel job in Sammamish, Washington.Job Description & Requirements. We’re seeking talented healthcare professionals wh...Show more
    Last updated: 30+ days ago • Promoted
    Therapist / Physical Therapist / Washington / Physical Therapist - Rehab Facility Job

    Therapist / Physical Therapist / Washington / Physical Therapist - Rehab Facility Job

    Supplemental Health Care • Burien, WA, US
    Full-time
    Supplemental Health Care is working with a Rehab facility in Burien, Washington to hire Physical Therapists.For more than 40 years, we've specialized in helping healthcare professionals find the as...Show more
    Last updated: less than 1 hour ago • Promoted • New!
    Therapist / Physical Therapist / Washington / Physical Therapist - Rehabilitation - (PT - Rehab) Job

    Therapist / Physical Therapist / Washington / Physical Therapist - Rehabilitation - (PT - Rehab) Job

    AMN Healthcare • Tacoma, WA, US
    Full-time
    Job Description & Requirements.Physical Therapist - Rehabilitation - (PT - Rehab).StartDate : ASAP Available Shifts : 8 D Pay Rate : $1950. PT needed in Skilled Rehab setting in Tacoma WA - full ti...Show more
    Last updated: less than 1 hour ago • Promoted • New!
    Physical Therapist - Clinic Manager

    Physical Therapist - Clinic Manager

    Joint Academy • Belfair, Washington, United States
    Full-time
    Quick Apply
    Physical Therapist-Clinic Manager.Sign On Bonus : $10,000 (When found through this ad).About Peninsula Physical Therapy.Peninsula Physical Therapy (PPT) has been serving the Belfair community for mo...Show more
    Last updated: 17 hours ago • New!
    Therapist / Physical Therapist Job in Marysville, Washington

    Therapist / Physical Therapist Job in Marysville, Washington

    Therapy Host • Marysville, WA, US
    Full-time
    This unique opportunity is at a prestigious facility looking to hire a traveling therapist.This exciting area offers many recreational activities. As a premier travel therapy company, Host Healthcar...Show more
    Last updated: less than 1 hour ago • Promoted • New!
    Travel Physical Therapist (PT) - $1,620 to $1,952 per week in Lakewood, WA

    Travel Physical Therapist (PT) - $1,620 to $1,952 per week in Lakewood, WA

    AlliedTravelCareers • Lakewood, WA, US
    Full-time
    AlliedTravelCareers is working with Fusion Medical Staffing to find a qualified Physical Therapist (PT) in Lakewood, Washington, 98499!. Travel Physical Therapist (PT).Facility in Lakewood, Washingt...Show more
    Last updated: 11 days ago • Promoted
    Physician Reviewer - Neurologist - WA L&I

    Physician Reviewer - Neurologist - WA L&I

    Dane Street, LLC • Bellevue, WA, US
    Full-time
    Quick Apply
    This opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as...Show more
    Last updated: 30+ days ago
    Travel Rehabilitation Physical Therapist - $1,613 per week

    Travel Rehabilitation Physical Therapist - $1,613 per week

    RCM HealthCare Travel • Bench Drive, WA, US
    Full-time
    RCM HealthCare Travel is seeking a travel Physical Therapist for a travel job in Aberdeen, Washington.Job Description & Requirements Specialty : Physical Therapist Discipline : Therapy Start Date : AS...Show more
    Last updated: 1 day ago • Promoted
    Director of Rehab / PT or PTA

    Director of Rehab / PT or PTA

    Tacoma Rehab LLC • Tacoma, WA, US
    Full-time
    Director of Rehab (DOR) - Physical Therapist Assistant or Physical Therapist.PTA) or $97,760 - $120,640 (Physical Therapist). Avamere at Pacific Ridge - 3625 East B Street, Tacoma, WA 98404.The prim...Show more
    Last updated: 30+ days ago • Promoted
    Physician / Physical Medicine and Rehab / Washington / Locum tenens / Travel - PM&R (TBI) Job

    Physician / Physical Medicine and Rehab / Washington / Locum tenens / Travel - PM&R (TBI) Job

    All Medical Personnel • Seattle, WA, US
    Full-time
    PM&R - Physical Medicine and Rehabilitation.Travel 1?5 day events; scheduling based on provider availability (may include weekends). VA Disability Benefits Examinations for Traumatic Brain Injury (T...Show more
    Last updated: 30+ days ago • Promoted
    Physician / Physical Medicine and Rehab / Washington / Permanent / Physiatrist Opportunity - Seattle

    Physician / Physical Medicine and Rehab / Washington / Permanent / Physiatrist Opportunity - Seattle

    Department of Veterans Affairs • Seattle, WA, US
    Full-time +1
    The VA Puget Sound Health Care System (VAPSHCS) and the University of Washington (UW), Department of Rehabilitation Medicine, are recruiting a Physiatrist for Rehabilitation Care Services.The succe...Show more
    Last updated: 30+ days ago • Promoted
    Therapist / Physical Therapist Job in Redmond, Washington

    Therapist / Physical Therapist Job in Redmond, Washington

    Therapy Host • Redmond, WA, US
    Full-time
    This unique opportunity is at a prestigious facility looking to hire a traveling therapist.This exciting area offers many recreational activities. As a premier travel therapy company, Host Healthcar...Show more
    Last updated: less than 1 hour ago • Promoted • New!
    Physical Therapist

    Physical Therapist

    Assured Home Health • Seattle, WA, United States
    Full-time
    We are hiring a Physical Therapist (PT) inSeattle, WA!.LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it : for the whole patient,...Show more
    Last updated: 30+ days ago • Promoted
    Physician / Physical Medicine and Rehab / Washington / Locum Tenens / Locums / Physical Medicine and R

    Physician / Physical Medicine and Rehab / Washington / Locum Tenens / Locums / Physical Medicine and R

    MD Staff, LLC • Seattle, WA, US
    Full-time
    An urgent need for a Physical Medicine and Rehabilitation physician in Washington.This is an outpatient practice setting. If you are interested in hearing more about this opportunity, please call or...Show more
    Last updated: 30+ days ago • Promoted
    Physical Medicine and Rehabilitation Doctor - Bellevue WA

    Physical Medicine and Rehabilitation Doctor - Bellevue WA

    MRG Exams • Seattle, WA, US
    Full-time
    MRG Exams is a premier provider of independent medical examinations, dedicated to supporting United States Veterans through the VA's disability benefits process. Our mission is to deliver thorough, ...Show more
    Last updated: less than 1 hour ago • Promoted • New!
    Per Diem (PRN) Pediatrics RN

    Per Diem (PRN) Pediatrics RN

    Aya Healthcare • Snohomish, WA, US
    Full-time
    You’re one step away from freedom and flexibility around your current schedule.We have immediate per diem (PRN) shifts available for the following position : Pediatrics Registered Nurse in Edm...Show more
    Last updated: 30+ days ago • Promoted