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? • Performs comprehensive medical record peer reviews for determination of appropriate clinical outcomes in accordance with all State and Federal mandated regulations • Make clinical judgments based on clinical experience and evidence-based medical research as a Subject Matter Expert (SME) in your clinical area of expertise • Maintain compliance with all regulation changes as they impact medical and utilization review practices • Document all review information as instructed • Communicate report results to the appropriate supervisor • 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 Website: • Email: 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? • Performs comprehensive medical record peer reviews for determination of appropriate clinical outcomes in accordance with all State and Federal mandated regulations • Make clinical judgments based on clinical experience and evidence-based medical research as a Subject Matter Expert (SME) in your clinical area of expertise • Maintain compliance with all regulation changes as they impact medical and utilization review practices • Document all review information as instructed • Communicate report results to the appropriate supervisor • 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 Website: • Email: Apply tot his job