Orthopedics Physician

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

Job summary

An innovative firm is on a mission to ensure quality healthcare for Veterans, seeking board-certified clinicians for a remote role. As a VA medical reviewer, you will leverage your clinical expertise to conduct comprehensive case reviews, ensuring compliance with regulations and making clinical judgments based on your experience. This flexible position allows you to maintain your current practice while contributing to an important cause. If you have a passion for quality care and a desire to make a difference, this opportunity is perfect for you.

Qualifications

• Must hold a current medical license and be board certified in your specialty.
• 5+ years of full-time experience in direct patient care required.

Responsibilities

• Conduct thorough medical record peer reviews to assess care quality.
• Document review findings and communicate results to supervisors.

Skills

Clinical Judgment

Medical Record Review

Evidence-Based 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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