Orthopedics Nurse Practitioner
Provider Resources, LLC
New York, NY, 10016, USA
New York, NY, 10016, USA
- Healthcare
- Full-time
- Orthopedics Nurse Practitioner
- medical record review
- Veterans healthcare
The Orthopedics Nurse Practitioner conducts comprehensive medical record peer reviews to ensure quality and appropriateness of care for Veterans. This remote role requires clinical judgment as a Subject Matter Expert in orthopedics, adherence to regulatory compliance, and accurate documentation of review outcomes. Candidates must be board-certified, hold a current medical license, and have recent clinical experience.
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?
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




