Physician Reviewer

United States

Apply with AI Apply

Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Part TimeJob Type

UnknownVisa

Healthcare, Medical ReviewIndustries

Requirements

Candidates must be Board Certified in Orthopaedic Spine Surgery, Neurosurgery, Neurology, or Physical Medicine & Rehabilitation, and possess a valid medical license in California, Georgia, Florida, Illinois, Kentucky, Louisiana, Nevada, or Texas. Worker’s Compensation experience is preferred, but not required.

Responsibilities

The Physician Reviewer will utilize clinical expertise to review workers’ compensation claims, interpreting the medical appropriateness of services provided by other healthcare professionals in compliance with state regulations and guidelines, nationally recognized evidence-based guidelines, client-specifics, policies, procedures, performance standards, and URAC guidelines. They will ensure the rationale for determinations is clear and concise, providing adequate supporting documentation, and returning cases on or before the due date. Additionally, they will make telephone calls as mandated, maintain proper credentialing and licenses, attend required training, perform quality assurance duties, respond to regulatory issues, and utilize current criteria and resources to support sound decision-making.

Skills

Orthopaedic Spine Surgery

Neurosurgery

Neurology

Physical Medicine & Rehabilitation

Utilization Reviews

Workers' Compensation

Medical Records Review

State Regulations

Evidence-based Guidelines

URAC Guidelines

Credentialing

State Licenses

Blank Street

Specialty coffee shop with efficient service

About Blank Street

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.

New York City, New YorkHeadquarters

2020Year Founded

$50.6MTotal Funding

EARLY_VCCompany Stage

Food & Agriculture, Consumer SoftwareIndustries

201-500Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Paid Vacation

Paid Sick Leave

Paid Holidays

Parental Leave

Flexible Work Hours

Company Equity

Risks

Rapid expansion may lead to operational inefficiencies and overextension.

Subscription program may not resonate with all customer segments, risking dissatisfaction.

Reliance on outsourced vendors poses risks if supply chain disruptions occur.

Differentiation

Automated espresso machines ensure consistent quality and enhance barista-customer interaction.

Small, cost-effective locations reduce overhead and allow competitive pricing.

Focus on high-quality, clean, and natural products at affordable prices.

Upsides

Rapid expansion into major cities increases brand visibility and market presence.

Subscription model provides steady revenue and enhances customer loyalty.

Partnerships with lifestyle brands boost brand visibility and customer engagement.

Land your dream remote job 3x faster with AI

Try Jobo Free