Peer Reviewer – Infectious Disease Physician
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Job Description
Infectious disease physician conducting remote, ad hoc peer reviews for iMPROve Health. Evaluating medical necessity and quality of care using evidence-based clinical expertise.
Responsibilities:
- Perform independent external medical reviews remotely on an ad hoc basis.
- Conduct objective, evidence-based peer reviews of clinical cases.
- Make final determinations regarding medical necessity and quality of care.
- Ensure decisions are fair, unbiased, and aligned with current standards of practice.
- Submit reviews in a timely and professional manner using the IT systems provided.
- Complete credentialing and conflict-of-interest requirements before performing case reviews.
- Notify the organization of adverse changes in licensure or certification status.
Requirements:
- Must hold an unrestricted medical license in any U.S. state.
- Board certification required, if applicable, through an ABMS-, AOA-, or other nationally recognized board.
- At least five (5) years of full-time equivalent experience providing direct clinical care to patients.
- Direct clinical care experience within the past three (3) years.
- Knowledge of the issue under review or current, evidence-based clinical guidelines and novel treatments.
- Clinical expertise to manage the medical or behavioral health condition or disease under review.
- Must be actively engaged in direct or virtual patient care for at least 20 hours per week; administrative work does not qualify.
- Reliable Wi-Fi access.
- Proficiency with Microsoft Word.
- Computer compatible with iMPROve Health’s IT systems.
- Must complete the electronic credentialing application and receive organizational approval before performing a case review.
- Must complete a conflict-of-interest attestation upon credentialing and before performing a case review.
- Active hospital medical staff privileges may be required, as applicable.
- Must notify the organization of adverse changes in licensure or certification status.
- Cannot have current employment or affiliation with any Veterans Affairs hospital, health care system, or medical center if applying to perform VA-related peer reviews.
Benefits:
- Make a Difference: Use your clinical knowledge to improve the quality of care patients receive.
- Professional Recognition: Join a network of highly respected experts in your specialty.
- Competitive Compensation: Receive fair pay for your time and expertise.
- Protect Standards of Care: Help uphold the integrity of your profession.
- Work Remotely: Review cases from the convenience of your home or office.
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