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
