Job Description
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?
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
- 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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