Family Practice - Without OB Physician
Provider Resources, LLC
New York, NY, 10016, USA
New York, NY, 10016, USA
- Healthcare
- Full-time
- family medicine
- medical reviewer
- veterans healthcare
This role involves conducting remote peer reviews of medical records to assess the quality and appropriateness of care provided to Veterans, emphasizing family medicine specialties. The position requires a board-certified clinician with current medical licensure and significant clinical experience in direct patient care. Responsibilities include making clinical judgments, ensuring regulatory compliance, and documenting findings as part of utilization review processes.
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. We are actively recruiting specialists in the following areas:
What Should I Expect?
- Family Medicine - Geriatric
- Family Medicine - Hospice & Palliative Care
- Family Medicine - Pain Medicine
- Family Medicine - Sleep Medicine
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




