PEER REVIEWER - Dentist - REMOTE

iMPROve Health; United States; Remote; USD 83,000 - 165,000; Part time

Benefits offered by this job

Remote work

Competitive compensation

Professional recognition

Job summary

iMPROve Health seeks a Dentist and/or Periodontist with implant experience to perform independent external medical reviews remotely as an independent contractor (1099).

As a peer reviewer, you will apply your clinical expertise to evaluate cases related to medical necessity and standard of care, supporting quality and integrity in health care. This is not an employed position.

Qualifications

• Must hold an unrestricted medical license in any U.S. state.
• Board Certification required through ABMS, AOA, or another recognized board.
• Five (5) years of full-time equivalent clinical care experience.
• Clinical care within the past three (3) years.
• Knowledge of current evidence-based guidelines and treatments.
• Active direct or virtual patient care for at least 20 hours per week.

Responsibilities

• Conduct objective, evidence-based peer reviews of clinical cases.
• Make final determinations regarding medical necessity and quality of care.
• Ensure decisions are fair, unbiased, and aligned with current standards of practice.
• Submit reviews in a timely and professional manner using the IT systems provided.

Skills

Clinical experience

Direct patient care

Remote review familiarity

Education

Medical license (unrestricted)

Board certification (ABMS/AOA or recognized)

Tools

IT systems proficiency

Job description

iMPROve Health is seeking a Dentist and or Periodontist with implant experience to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc basis. As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality and integrity of health care and your profession. Please note, this is not an employed position and our contracted fee is based on credential and specialty type.

BENEFITS

• Make a Difference: Use your clinical knowledge to improve the quality of care patients receive.
• Professional Recognition: Join a network of highly respected experts in your specialty.
• Competitive Compensation: Receive fair pay for your time and expertise.
• Protect Standards of Care: Help uphold the integrity of your profession.
• Work Remotely: Review cases from the convenience of your home or office.

DUTIES AND RESPONSIBILITIES

• Conduct objective, evidence-based peer reviews of clinical cases.
• Make final determinations regarding medical necessity and quality of care.
• Ensure decisions are fair, unbiased, and aligned with current standards of practice.
• Submit reviews in a timely and professional manner using the IT systems provided.

QUALIFICATIONS

• Medical License: Must hold an unrestricted medical license in any U.S. state.
• Board Certification: Required (if applicable), through a board recognized by:
  
  • The American Board of Medical Specialties (ABMS),
  • The American Osteopathic Association (AOA), or
  • Another nationally recognized board granting certification.
• Clinical Experience:
  
  • Have at least five (5) years full-time equivalent experience providing direct clinical care to patients.
  • Have experience providing direct clinical care to patients within the past three (3) years.
  • Knowledgeable of the issue under review, or of the current, evidence-based clinical guidelines and novel treatments for the medical or behavioral health condition, disease, treatment, or procedure under review.
  • Have the clinical expertise to manage the medical or behavioral health condition or disease under review.
  • Must be actively engaged in direct or virtual patient care for at least 20 hours per week. Administrative work does not qualify.

TECHNOLOGY REQUIREMENTS

• Reliable Wi-Fi access.
• Proficiency with Microsoft Word.
• Access to a computer compatible with iMPROve Health’s IT systems.

OTHER REQUIREMENTS

• Must complete the electronic credentialing application and receive organizational approval prior to performing a case review.
• Must complete a conflict of interest attestation upon credentialing and prior to performing a case review.
• Active hospital medical staff privileges may be required, as applicable.
• Notify the organization in a timely manner of an adverse change in licensure or certification status, including board certification status.
• Cannot have current employment or affiliation with any Veterans Affairs (VA) hospital, health care system, or medical center if applying to perform VA-related peer reviews.