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Board Certified - IME/RR Optometry - Spruce, MI

Dane Street is expanding our physician panel!  This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

The ideal candidates will hold an MI license and be Board Certified in Optometry.

**Independent Medical Exam must be completed within 40 miles of Spruce, MI.**

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize 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
  • Board certification required, active practice required

PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. 

  • Robust opportunity for supplemental income
  • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
  • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions.
  • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise
  • Expanded credentials as an expert in Independent Medical Exams and physician advisor services
  • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal

Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.  

What You Should Know About Board Certified - IME/RR Optometry - Spruce, MI, Dane Street, LLC

Are you a Board Certified Optometrist looking for a unique opportunity to expand your expertise while earning supplemental income? Look no further! At Dane Street, we're thrilled to announce that we're expanding our physician panel, and we're looking for skilled individuals like you to join us in this exciting telework role based out of Spruce, MI. This position allows you the flexibility to manage your own caseload customized to your schedule—all while working as a Physician Reviewer/Advisor for Independent Medical Exams (IME). If you’re passionate about utilizing your clinical expertise to review insurance appeals and evaluate claims, you’ll love the responsibilities that come with this role. You will carefully review medical records, interpret the medical necessity of services provided by other healthcare providers, and ensure your decisions align with nationally recognized guidelines and client-specific policies. With the assurance of a predictable work schedule and the ability to dictate your case volumes, this role optimizes the balance between your professional and personal life. Please note that this is advisory-only work; no direct doctor-patient relationships are established. Join us to enhance your medical practice's industry expertise and gain expanded credentials as an expert in IME services. At Dane Street, we provide a supportive environment that streamlines the case flow process, handles all medical records, and ensures you have the resources to focus on providing top-notch reviews. If you’re ready to take the next step in your career, we can’t wait to hear from you!

Frequently Asked Questions (FAQs) for Board Certified - IME/RR Optometry - Spruce, MI Role at Dane Street, LLC
What responsibilities does a Board Certified Optometrist have at Dane Street?

As a Board Certified Optometrist at Dane Street, your primary responsibilities include reviewing medical records, interpreting medical necessity, and evaluating claims within Independent Medical Exams (IME). You'll need to provide clear and concise rationales for your decisions based on established guidelines and conduct thorough reviews to ensure compliance and quality.

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What qualifications are required for the Board Certified Optometrist position at Dane Street?

To qualify for the Board Certified Optometrist position at Dane Street, candidates must hold a valid Michigan license, be Board Certified in Optometry, and maintain active practice. Experience in medical necessity and utilization reviews is preferred but not mandatory.

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What type of flexibility does the Board Certified Optometrist role offer at Dane Street?

The Board Certified Optometrist role at Dane Street offers significant flexibility as you can customize your caseload based on your availability. You choose the services and case types you want to work on, enabling you to maintain a predictable work schedule that suits your lifestyle.

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What does the Independent Medical Exam process involve for Board Certified Optometrists at Dane Street?

During the Independent Medical Exam process at Dane Street, Board Certified Optometrists are expected to review medical records and write interpretations regarding the medical necessity of services. You'll also adhere to client-specific policies and nationally recognized evidence-based guidelines to ensure thorough and objective evaluations.

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How does Dane Street support Board Certified Optometrists in their roles?

Dane Street supports Board Certified Optometrists by handling all referral processes and scheduling, extensively preparing cases, and providing transcription services at no cost. This allows you to focus on providing exceptional reviews without getting bogged down by administrative tasks.

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Common Interview Questions for Board Certified - IME/RR Optometry - Spruce, MI
How do you ensure your decision-making process is objective while reviewing cases at Dane Street?

In responding to this question, emphasize your commitment to adhering to nationally recognized guidelines and client-specific criteria. Explain how you utilize peer-reviewed literature and current professional standards to maintain objectivity in your reviews.

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Can you walk us through your experience with Independent Medical Exams?

Here, illustrate your experience by detailing specific cases you've reviewed in the past. Highlight how you utilized your clinical knowledge to make informed decisions and navigate any challenging aspects of the IME process.

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What challenges do you anticipate in the role of Board Certified Optometrist at Dane Street?

Discuss potential challenges such as balancing caseloads and adhering to client-specific requirements. Frame your response by expressing your enthusiasm for overcoming these challenges through effective time management and utilizing the resources provided by Dane Street.

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How do you maintain your credentials and stay updated with industry standards?

Explain your commitment to ongoing professional development. Mention specific resources such as webinars, workshops, or professional organizations that help you stay updated with best practices within optometry and medical review.

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Describe a time when you had to communicate a complex medical decision to a non-medical audience.

Share a specific example where you had to simplify a medical explanation for clarity, focusing on your ability to break down complex terms and present the information in an understandable manner. This will demonstrate your communication skills.

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What strategies do you use for effective time management when handling multiple cases?

Detail the time management techniques you employ, such as prioritizing urgent cases, using productivity tools, and setting strict deadlines for yourself. Illustrate how these approaches lead to efficient case reviews and timely submissions.

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What is your approach to handling disagreements in case assessments with peers?

Emphasize your collaborative approach to resolving disagreements. Discuss how you engage in open discussions, valuing evidence-based practices, and are willing to consider alternative perspectives while ensuring that patient care remains the focus.

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How would you ensure compliance with client-specific policies during your review process?

Explain the importance of understanding each client's specific policies and guidelines and how you ensure compliance by utilizing checklists and documentation throughout the review process to meet expectations effectively.

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What role do evidence-based guidelines play in your decision-making process?

Discuss how evidence-based guidelines serve as the foundation for your evaluations. Emphasize your commitment to using these guidelines to inform your decisions and provide substantiated rationales within your reports.

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How do you prepare for an Independent Medical Exam to ensure thoroughness in your reviews?

Describe the steps you take to prepare for IMEs, such as reviewing relevant medical literature, familiarizing yourself with case backgrounds, and ensuring you have a solid understanding of the specific client parameters to provide the most accurate assessments.

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Headquartered in Boston, MA, Dane Street is a national IME and Peer Review provider to the Workers Compensation, Disability, Auto and Group Health market segments. Thier nationwide panel of active-practice, board-certified health care professional...

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DATE POSTED
December 26, 2024

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