Orthopedics - Hand Surgery Physician Job at Provider Resources, LLC, New York, NY

V25yVnoyMzdQQmZST2lNTXc1NnlHQnF0
  • Provider Resources, LLC
  • New York, NY

Job Description

Orthopedics - Hand Surgery Physician at Provider Resources, LLC summary:

This role involves performing detailed medical record peer reviews to evaluate the quality and appropriateness of clinical care provided to Veterans. The physician makes clinical judgments as a Subject Matter Expert in Orthopedics - Hand Surgery, ensuring compliance with federal and state regulations. The position is remote and flexible, allowing clinicians to contribute expertise while maintaining their current practice.

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:

Keywords:

Orthopedic surgery, Hand surgery, Medical record review, Clinical peer review, Quality healthcare, Veterans health, Board-certified physician, Utilization review, Clinical compliance, Remote medical reviewer

Job Tags

Full time, Remote work, Flexible hours,

Similar Jobs

Philadelphia Housing Authority

Public Safety and Crime Analyst Job at Philadelphia Housing Authority

 ...evaluates data and information to assist in the resolution of criminal investigations and inform strategic decision making for the Philadelphia...  .... Minimum education Bachelors Degree in Criminal Justice, Information Systems, Public Administration, Computer Science... 

Helen Ross McNabb Center

Reimbursement Specialist Job at Helen Ross McNabb Center

 ...Job Description Job Description Reimbursement Specialist Help Others, Make a Difference, Save a Life. Do you want to make a difference in people's lives every day? Or help people navigate the tough spots in their life? And do it all while working where... 

J.P. Morgan

VP Product, Digital Payments & Blockchain (San Francisco) Job at J.P. Morgan

 ...A leading financial institution is seeking a Product Manager for its blockchain initiatives. The successful candidate will develop innovative payment solutions, managing the end-to-end product life cycle. Applicants must have over 5 years in product management within... 

Ross Downing Chevrolet, Inc.

Experienced Car Detailer - Hammond, LA Job at Ross Downing Chevrolet, Inc.

We are looking for an experienced automotive detailer to join our team! Full-time position with benefits.Call Ross Downing Chevrolet at (***) ***-**** and ask for Body Shop Manager Mark Bernard, or apply in-person at 600 South Morrison Blvd in Hammond

Quality Choice Solutions

Sr/Lead Golang/Python Developer (W2 Only) (Pasadena) Job at Quality Choice Solutions

 ...Title: Sr/Lead Golang/Python Developer Location: Pasadena, CA (Hybrid/Onsite - local candidates preferred) Duration: 6+ Months to support Telephony application requirements. Must Haves: ~4-yr Technical Degree (CS or related) AND ~8 yrs of IT/Engineering AND...