Clinical Reviewer - Remote Physician Reviewer (Utilization Review)

ProPeer Resources, Inc; United States; Remote; USD 65,000 - 75,000; Part time

Job summary

A leading company in healthcare services seeks a Clinical Reviewer to work remotely and provide clinical expertise in patient care decisions. Ideal candidates will have over 5 years of experience, be board certified, and maintain an active practice. This position allows for flexible scheduling and offers a competitive part-time salary.

Qualifications

• Minimum of 5 years of experience post medical school.
• Maintain active clinical or surgical practice.

Responsibilities

• Provide objective recommendations on patient care based on standards of care.
• Conduct all work electronically with no patient contact.
• Participate in a steady stream of clinical reviews.

Skills

Clinical expertise

Objective recommendations

Education

Board Certified in specialty

Active state license

Job description

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License Location:

• United States

About ProPeer:

Founded in 1992, ProPeer is one of the nation's oldest and most premier providers of independent specialty clinical reviews offering a comprehensive portfolio of solutions to insurance carriers, third party administrators, self-insured programs, government organizations, and legal entities. With over 30 years of experience, ProPeer understands the need for a clinical review partner who has both quality and the healthcare consumers' well-being as its service core. We have established highly efficient administrative workflows and processes that allow our physician reviewers the ability to optimize their reviewing resources and focus on the core clinical decision-making process. Our vision enables best-in-class clinical reviews, with highly accurate, defensible determinations delivered quickly.

Job Summary:

While working remotely as an independent contractor you will apply your clinical expertise to provide objective recommendations on patient care based on standards of care. There is no patient contact and all work is conducting electronically. As one of the largest clinical review panels in the nation, you will be connected with an extensive client portfolio of top carriers and third party administrators providing you with a steady stream of reviews. We enable our physicians to perform reviews quickly and accurately using our innovative technology-driven independent clinical review platform . Every aspect of our platform has been honed for efficiency. Our effective review process was designed to optimize the reviewer’s expertise and reduce the administrative burden from the decision process. This telework opportunity provides you with the ability to supplement your practice income by reviewing in between your practice schedule, nights, and/or weekends.

• Board Certified in your area of specialty
• Maintain active clinical or surgical practice
• Minimum of 5 years of experience post medical school
• Active and unrestricted state license

Seniority Level:

Not Applicable

Job Function:

Consulting

Employment Time:

Part-Time (Remote)

Insurance and Hospitals and Health Care

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Part-time

Job function

• Job function

  Research, Analyst, and Information Technology

• Industries

  Insurance

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