Oral and Maxillofacial Surgery Physician

VA Medical Reviewer

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.

Job Description

• Perform 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

Requirements

• 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