The Role: Care Without the Clutter Are you a Board-Certified PMHNP who loves clinical work but hates the administrative grind? We are looking for independent, patient-focused practitioners to join our telehealth network. As a 1099 Contractor, you aren't just an employee; you are the captain of your own schedule. We provide the secure platform and the patient flow—you provide the expertise. Why Join Our Network? - True Sovereignty: You set your hours. Whether you want a full-time caseload or a few hours in the evenings, the "when" and "how much" is entirely up to you. - Zero Administrative Burden: Forget the insurance credentialing nightmares and billing cycles. We handle the logistics so you can spend your energy on psychiatric evaluations and treatment. - Location Independent: Practice from your home office, a quiet studio, or anywhere with a secure connection. - Premium Reimbursement: Earn a high-tier rate that reflects your specialized expertise. Unlike traditional practices, we provide 100% guaranteed payment for last-minute cancellations and no-shows, ensuring your time is valued even when patients don't show up. Your Impact - Comprehensive Care: Conduct high-quality psychiatric evaluations and develop individualized, evidence-based treatment plans. - Medication Management: Provide ongoing support and monitoring for a diverse, nationwide client base. - Clinical Excellence: Maintain precise, HIPAA-compliant documentation through our streamlined telehealth platform. - Collaborative Spirit: While you work independently, you remain part of a broader mission to expand mental health access across the country. What You Bring - Credentials: Active PMHNP Certification and licensure in at least one state (multiple state licenses are a major plus). - Tech-Savvy: Comfort navigating telehealth software and a reliable, high-speed internet connection. - The "Independent" Mindset: A proactive approach to managing your own caseload and a commitment to maintaining professional standards.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. As a Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review medical records provided and return an independent, professional opinion on the claimant’s functionality and restrictions or limitations as it relates to an application for disability benefits or the current status of disability. Determinations are based on the clinical evidence within the medical records provided. - On a contract basis, as individual schedule permits, accepts cases, reviews all medical records, and addresses each question posed utilizing client-specific criteria or other nationally recognized evidence-based criteria, and opines on disability status. - Ensures a clear rationale for the determination that is concise and contains adequate supporting documentation to substantiate the decision. - Identifies and employs 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. - Provides a report and copies of any criteria utilized within the review promptly. - Returns cases on or before the due date and time specified. - Completes peer-to-peer calls/call attempts as required based on client-specific protocol with the goal of obtaining information not included in medical records as well as any necessary clarification. - Performs other duties as assigned, including addressing any necessary clarification, providing addendum as required (with additional compensation), identifying and responding to potential quality assurance issues, complaints, and regulatory issues. Qualifications - US Board certification required, active practice preferred. Requirements - Robust opportunity for supplemental income. - Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability. - No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions. - Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise. - Expanded credentials as an expert in Independent Medical Exams and physician advisor services. - Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal. - Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Benefits - Flexible schedule and predictable work hours. - Supplemental income opportunity.

Where You’ll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Job Summary and Responsibilities This is a remote position As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case management staff and/or other health care professionals to meet regulatory requirements and, in accordance with the hospital’s objectives for providing quality patient care, to assure effective and efficient utilization of health care services. The PA communicates remotely with case and utilization management to discuss selected cases and make recommendations regarding level of care, as well as, communicates remotely with medical staff members and medical directors of third-party payers to discuss the needs of patients and options/alternatives for care. The PA acts as a consultant to, and resource for, attending physicians regarding their decisions relative to appropriateness of hospitalization, appropriate level of care for initial hospitalization and continued stay days, clinical documentation, and use of healthcare resources. The PA further acts as a resource for the medical staff regarding federal and state utilization and quality regulations. The PA must demonstrate interpersonal and communication skills and must be clear, concise and consistent in the message to all constituents. Key Responsibilities - Conducts medical record review in appropriate cases for medical necessity of hospital admission, continued hospital stays, adequacy of discharge planning and quality care management. - Understand the intricacies of the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations on severity of illness, acuity, risk of mortality, and communicate with treating physicians in cooperation with the utilization team and health information staff. - Understand the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS-DRG, and APR-DRG. - Contacts Case and Utilization Management Teams: Makes telephonic/electronic contacts with case and utilization management to discuss clinical aspects of hospital encounters, as well as, medical necessity and appropriate levels of care. - Contacts Attending Physicians: Makes telephonic/electronic contacts with Attending Physicians to discuss clinical aspects of hospital encounters, as well as, medical necessity and appropriate levels of care. Discussion may also include education for improved clinical documentation, in addition to, governmental and commercial guidelines for reimbursement. - Conducts Peer to Peer discussions with payers as needed. Job Requirements - MD or DO required - Unrestricted license in field of practice. - Minimum of 1 year of experience as a Physician Advisor preferred. - Minimum of 5 years of clinical practice required. - Experience performing Peer to Peer Reviews, preferred - Broad-based knowledge regarding clinical practice. - Broad knowledge base with trust and respect of medical staff physicians. - In-depth knowledge of CMS regulations, including understanding of the 2-midnight rule. - Utilization management experience. - Education in quality and utilization management through continuing medical education programs and self-study. - Knowledge of and practical use of good business English, spelling, arithmetic, practices and the ability to communicate effectively using written and verbal skills. #LI-CSH #LI-Remote

Company Overview At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth. Be part of a team that makes a real difference. Job Description This is a full-time, field position, remote when not working from home. The candidate must be located in the Wilmington, NC area due to regular local travel for in-person patient appointments. Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers’ compensation case management training. Join our compassionate team and help make a positive difference in an injured person’s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will: - Demonstrate knowledge, skills, and competency in the application of case management standards of practice. - Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan. - Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational. - Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient. - Work with employers and physicians to modify job duties where practical to facilitate early return to work. - Evaluate and modify case goals based on injured/disabled person’s improvement and treatment effectiveness. - Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively. - Complete other duties, such as attend injured worker’s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned. Qualifications - Education: Associates Degree or Bachelor’s Degree in Nursing or related field. - Experience: 2+ years clinical practice preferred. Workers’ compensation-related experience preferred. - Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills. - Certifications, Licenses, Registrations: - Active Registered Nurse (RN) license required. Must be in good standing. - URAC-recognized certification in case management (CCM, CDMS, CRC, CVE, CRRN or COHN). - Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography. - Internet: Must have reliable internet. Benefits We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $70,600 - $80,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. #LI-VH1 #FCM Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager