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Utilization review nurse • pearland tx
Physician Reviewer - Orthopedic Spine (Utilization Review)
Dane Street, LLCTX, USRegistered Nurse
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Dane Street, LLCTX, US- serp_jobs.job_card.full_time
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Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an active Texas medical license and Workers’ Compensation Board Certification to conduct Utilization Reviews.
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests and appeals. No patient contact, no treatment, and no doctor-patient relationship is established.
Key Responsibilities :
- 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
Role Highlights :
Requirements :
About Dane Street :
Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physicians to ensure high-quality, evidence-based clinical decisions that support better outcomes across the healthcare system.
Apply today to join our Physician Review Panel and start earning on your schedule.