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ADAPTED_NOW

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 . Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits .

This telework opportunity allows you 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. Physician Specialties: Clinical Genetics JOB SUMMARY Utilizes clinical expertise, 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: <ul><li> All of our physician reviewers are contractors with Dane Street. </li><li> A flat rate is offered for Group Health Record/Policy Reviews. </li><li> Reviews all medical records and addresses each question posed by the client utilizing client-specific criteria or other nationally recognized evidence-based criteria </li><li> Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision </li><li> 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 </li><li> Provides copies of any criteria utilized in a review with the report promptly </li><li> Makes telephone calls as mandated by the state and/or client specifics </li><li> Peer to Peer calls may be required. Dane Street will help arrange any Peer to Peer phone calls, if needed. </li><li> The average length of time to review each case is between 15-30 minutes. </li><li> The cases are prepared for you before they are provided for your review. </li><li> Some cases may REQUIRE a short turnaround time meaning some cases may need to be reviewed the same day!</li><li> Returns cases on or before the due date and time </li><li> Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job </li><li> Attends all required orientation and training </li><li> Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits </li></ul> 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.

Dane Street

Medical Doctor Emergency Room

Clinical Validation

Develop and Maintain Customers

Documentation

Emergency Medicine

Genetics

Healthcare

Insurance

Interviewing Skills

Medical Records

Purchasing/Procurement

Standards of Care

Work From Home

Easy Hiring FTP

FEED

With over a decade of expertise, Physicians Eyecare Group is focused on enhancing the eye care experience for both patients and doctors. Our mission is to make eye care easy by prioritizing patient needs through innovative solutions, cutting-edge technology, and a human approach.

YEAR

Optometrist Opportunity with Physicians Eyecare Group Location: In-Store Salary Range: Up to $200,000+ (location dependent) Why Join Physicians Eyecare Group? Join a dynamic team of eye care professionals committed to making eye care easy and accessible for all. We combine clinical excellence with innovative patient-centered solutions, supported by a streamlined, fast, and friendly experience. When you become part of our team, you’ll enjoy: <ul><li>Competitive Compensation: Enjoy a strong salary with daily bonus potential. </li><li>Comprehensive Benefits for Full-Time: Medical, dental, 401(k), disability insurance, paid time off, and more. </li><li>Work-Life Balance: Work stays at the office—no on-call hours. </li><li>Supportive Team Environment: Collaborate with a dedicated store team that enhances the patient's experience and reduces administrative tasks. </li><li>Flexibility: Full-time and part-time roles are available, with the option to work in any of our 26 state locations. </li><li>Centralized Support: Our best-in-class support center allows you to focus on patient care. </li><li>Opportunities for Growth: Monthly peer meetings, CE reimbursement (select locations), and community outreach opportunities. </li></ul>Who We Are Looking For: <ul><li>Licensed Doctor of Optometry (OD): Licensed in the practicing state, and open to additional licensure as needed. </li><li>Dynamic & Adaptable: Thrives in a fast-paced, evolving environment. </li><li>Patient-Centered: Passionate about delivering the best eye care solutions with a human touch. </li><li>Brand Ambassador: Represents our values within the organization and in the community. </li><li>Driven by Excellence: Maintains high standards and a commitment to going above and beyond. </li></ul>Your Role: <ul><li>Conduct comprehensive eye exams using innovative technology, both onsite and through our patented hybrid platform. </li><li>Diagnose ocular conditions and create personalized treatment plans. </li><li>Educate patients on preventative eye care, including the importance of: </li><li>Regular annual eye exams </li><li>Sun protection for eye health </li><li>Proper contact lens care and wearing current prescription glasses </li><li>Maintain all necessary state licensure and malpractice insurance. </li></ul>Who We Are: With over a decade of expertise, Physicians Eyecare Group is focused on enhancing the eye care experience for both patients and doctors. We emphasize our values of Integrity, Collaboration, Accountability, Respect, and Empowerment to ensure the highest level of care. Our purpose-driven decisions aim to modernize eye care, making it accessible and affordable to all. Join a Purpose-Driven Team Our mission is to make eye care easy by prioritizing patient needs through innovative solutions, cutting-edge technology, and a human approach. With a commitment to clinical excellence and best-in-class support, we’re here to empower our optometrists and improve the patient experience. Ready to make a difference? Join Physicians Eyecare Group today! Physicians Eyecare Group is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions at our company are based on business needs, job requirements and individual qualifications, without regard to actual or perceived race, color, religion, sex (including pregnancy), national origin, age, disability or certain classifications based on genetic information, or any other characteristic protected by federal, state, or local laws, regulations or ordinances.

Physicians Eye Care Group

Optometrist - Doctor of Optometry (Employee)

clearcompany

Doctor Jobs in Knoxville, TN

Doctor Jobs in Knoxville, TN

Dane Street

Physicians Eye Care Group

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