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

• 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

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