Hepatology Physician

Provider Resources, LLC; New York (NY); Remote; USD 80,000 - 120,000; Full time

Job summary

A leading company is seeking board-certified clinicians for a remote VA medical reviewer role. This position allows healthcare professionals to leverage their clinical expertise while ensuring quality care for Veterans. Responsibilities include performing medical record reviews and making clinical judgments based on regulations and evidence-based research.

Qualifications

• Minimum 5 years full-time experience in direct care.
• Must be actively seeing patients within the last 3 years.

Responsibilities

• Conduct thorough, objective case reviews for Veterans' care.
• Document review information and communicate results to supervisors.
• Maintain compliance with regulations impacting review practices.

Skills

Clinical Judgment

Evidence-Based Medical Research

Education

Medical License

Board Certification

Job description

Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation's Veterans.

As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.

What Should I Expect?

1. Performs comprehensive medical record peer reviews for determination of appropriate clinical outcomes in accordance with all State and Federal mandated regulations.
2. Make clinical judgments based on clinical experience and evidence-based medical research as a Subject Matter Expert (SME) in your clinical area of expertise.
3. Maintain compliance with all regulation changes as they impact medical and utilization review practices.
4. Document all review information as instructed.
5. Communicate report results to the appropriate supervisor.
6. Access electronic health information, as assigned/granted.

Do I Qualify?

• Must hold a current medical license.
• Must be board certified within their clinical specialty (as appropriate).
• Currently works a minimum of 20 hours per month within their area of clinical specialty.
• Must have a minimum of 5 years full-time experience in direct care.
• Must be actively seeing patients within the last 3 years.

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