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Orthopedics - Shoulder & Elbow Physician

Provider Resources, LLC

New York (NY)

Remote

USD 90,000 - 150,000

Full time

7 days ago
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Job summary

An established industry player is on a mission to ensure quality healthcare for Veterans. They are seeking board-certified clinicians for a remote position as a VA medical reviewer. In this role, you will leverage your clinical expertise to conduct comprehensive medical record reviews, ensuring compliance with regulations while maintaining your current practice. This flexible opportunity allows you to make a significant impact on the healthcare outcomes of our Nation's Veterans. If you are passionate about improving patient care and have the required qualifications, this role is perfect for you.

Qualifications

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

Responsibilities

  • Conduct thorough medical record peer reviews for Veterans' care.
  • Document review information and communicate results to supervisors.

Skills

Clinical Judgment
Evidence-Based Research
Medical Record Review

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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