Medical Director - Medicare Grievances and Appeals - Weekend
Humana- Full Time
- Senior (5 to 8 years)
Employment Type: Contract Location Type: Remote Workplace: Remote Language: English Published: 2025-03-06
Dane Street, a national provider of Utilization Review services, is expanding its physician panel, offering opportunities for physicians seeking non-traditional work and supplemental income. This is a telework opportunity for physicians to provide a caseload customized to their schedule. Our physician panel consists of independent contract reviewers (1099) compensated on a per-case basis.
Contact Dane Street today about joining our panel of specialty reviewers!
Dane Street is an Independent Review Organization.
Highlights:
Benefits of the Independent Consultant Role:
IMR serves as a binding appeals process for disputes arising from the denial or modification of workers’ compensation treatment requests. Since July 1, 2013, all medical treatment disputes—regardless of the date of injury—are resolved through IMR rather than the traditional court system, streamlining the process significantly. In California’s workers’ compensation system, all treatment requests undergo utilization review (UR) to determine medical necessity. If a request is denied, delayed, or modified due to lack of medical necessity, the injured worker has the right to appeal the decision through IMR. This review is conducted by physicians who assess the case using evidence-based guidelines.
Specialty coffee shop with efficient service
Blank Street provides a unique coffee shop experience by offering high-quality coffee and food at affordable prices. The company started with a small coffee cart in Brooklyn and has since expanded to major cities like New York, London, Boston, and Washington, D.C. Their product offerings include specialty coffees sourced from around the world and fresh, locally-sourced food. Customers can enjoy a quick yet premium experience, thanks to the efficiency of their small locations that help keep costs down. Blank Street differentiates itself from competitors by focusing on customer convenience through technology, such as their app that allows for ordering ahead, customizing drinks, and participating in loyalty programs. They also prioritize employee satisfaction by paying baristas above-market wages. The goal of Blank Street is to redefine the coffee shop experience by combining quality, affordability, and exceptional service, making it a significant player in the specialty coffee market.