remote

Dane Street is hiring a Kentucky Licensed Reviewers - Board Certified Psychiatry - Remote

About the Role

Dane Street is seeking independent contract reviewers (1099) for our physician panel. In this role, you will provide medical necessity reviews for behavioral health treatment requests and appeals, with a caseload customized to your schedule and average review times of 10-15 minutes.

What You'll Do

  • Assess the medical necessity of behavioral health treatment requests and previously denied services in appeals.
  • Conduct Prior Authorizations using MCG & ASAM Criteria, internal clinical policies, LOCUS, and relevant regulations.

What We're Looking For

  • Board Certified Psychiatry
  • Active Kentucky Medical License
  • Current, unrestricted license
  • Active practice

Nice to Have

  • BCBA Certification

Team & Environment

You will be an independent contract reviewer on our physician panel.

Benefits & Compensation

  • Schedule flexibility and predictable work hours.
  • You choose services and case types, dictate volume, and conduct work based on your scheduled availability.
  • A streamlined case flow and user-friendly work portal.
  • Dane Street facilitates all communication, organizes and sorts all medical records, supports administrative processes, and ensures quality and timely delivery of reports.
  • Medical records and treatment guidelines are provided in an easy, click-to-view format.
  • Initial training and ongoing point of contact for questions.

Work Mode

This is a fully remote position.

Dane Street is an equal opportunity employer.

Required Skills
Medical ReviewPsychiatryBoard CertificationKentucky Medical LicenseIndependent Medical Exam (IME)Peer ReviewClinical Case AnalysisMedical DocumentationTelemedicineMedical Guidelines
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About company
Dane Street

A fast-paced, Inc. 500 Company that processes over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. They provide customized Independent Medical Exams and Peer Review programs that assist clients in reaching the appropriate medical determination as part of the claims management process.

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Job Details
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Posted 8 months ago