Board Certified Physician Reviewer – Urology

Dane Street

. Address the medical necessity of treatment requests .

Posted 9/19/2026contractRemote • Tennessee • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical necessity determinations, appeals processes, and utilization reviews while maintaining compliance with treatment guidelines. Possesses strong analytical skills to review medical records and provide advisory determinations.

Highest-signal resume keywords

Medical Necessity DeterminationUtilization ReviewPeer-To-Peer CommunicationBoard CertificationActive Medical License

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record ReviewTreatment Guideline AnalysisAppeals Process ManagementAdvisory Determination ReportingCustomized Caseload Management

Certifications & Qualifications

Tennessee Medical LicenseTexas Medical LicenseBoard Certification

Industry Keywords

Medical NecessityUtilization ManagementHealthcare ComplianceTreatment RequestsDenial Appeals

About the role

Key responsibilities & impact

Address the medical necessity of treatment requests
Address the medical necessity of previously denied services in appeals
Complete utilization reviews and provide advisory-only determinations/reports
Review medical records and treatment guidelines to make determinations
Complete a customized caseload according to scheduled availability
Participate in peer-to-peer calls when necessary

Requirements

What you’ll need

Current, unrestricted Tennessee or Texas Medical License
Active Practice
Board Certified

Benefits

Comp & perks

Independent consultant role allows for schedule flexibility and predictable work hours. You choose services and case types, dictate volume, and conduct this work based on your scheduled availability
No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions
Typical TAT is 1-5 business days depending on the level of review. Same-day cases are rare but do occur. Dane Street keeps you apprised of required turn-around time and carefully coordinates all administrative tasks so your time is spent on clinical decision-making
Dane Street offers a streamlined case flow and a user-friendly work portal. We facilitate all communication, organize and sort all medical records, support all administrative processes, prep cases extensively, and ensure the quality and timely delivery of all determinations/reports
A chronological listing of medical records as well as all treatment guidelines used to make a determination are provided in an easy, click-to-view format
In cases where peer-to-peer calls are necessary (adverse determinations), Dane Street’s peer coordinators secure provider availability
Dane Street offers initial training as well as an ongoing point of contact should you have any questions about completing reviews