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3 дня назад

Peer Reviewer (Board Certified) (Remote-Maryland)

750 - 2Β 000$
Π€ΠΎΡ€ΠΌΠ°Ρ‚ Ρ€Π°Π±ΠΎΡ‚Ρ‹
remote (Ρ‚ΠΎΠ»ΡŒΠΊΠΎ USA)
Π’ΠΈΠΏ Ρ€Π°Π±ΠΎΡ‚Ρ‹
parttime
Π“Ρ€Π΅ΠΉΠ΄
senior
Английский
b2
Π‘Ρ‚Ρ€Π°Π½Π°
US
Вакансия ΠΈΠ· списка Hirify.GlobalВакансия ΠΈΠ· Hirify Global, списка ΠΌΠ΅ΠΆΠ΄ΡƒΠ½Π°Ρ€ΠΎΠ΄Π½Ρ‹Ρ… tech-ΠΊΠΎΠΌΠΏΠ°Π½ΠΈΠΉ
Для мэтча ΠΈ ΠΎΡ‚ΠΊΠ»ΠΈΠΊΠ° Π½ΡƒΠΆΠ΅Π½ Plus

ΠœΡΡ‚Ρ‡ & Π‘ΠΎΠΏΡ€ΠΎΠ²ΠΎΠ΄

Для мэтча с этой вакансиСй Π½ΡƒΠΆΠ΅Π½ Plus

ОписаниС вакансии

ВСкст:
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TL;DR
Peer Reviewer (Board Certified) (Remote-Maryland) (Healthcare): Conducting independent, evidence-based clinical reviews of medical necessity, quality of care, and appropriateness of services with an accent on complex medical records, established clinical guidelines, and written determinations. Focus on evaluating utilization reviews, appeals, hearings, and standard-of-care concerns while maintaining clinical neutrality and meeting case turnaround deadlines.

Location: Fully remote from Maryland, United States

Salary: $750–$2,000 per case, based on case type and complexity

Company

hirify.global provides data-driven healthcare solutions that combine technology and clinical expertise to support quality outcomes and more efficient care processes.

What you will do

  • Conduct independent remote clinical case reviews within the relevant specialty.
  • Evaluate medical necessity, appropriateness of care, quality of care, and standards of care.
  • Review medical records and supporting clinical documentation.
  • Apply clinical guidelines, evidence-based standards, and professional judgment.
  • Provide clear, well-supported written determinations for utilization reviews, appeals, hearings, and quality-of-care cases.
  • Maintain neutrality, objectivity, and confidentiality while completing reviews within established turnaround times.

Requirements

  • Active, unrestricted U.S. medical license required.
  • Board certification required in Family Medicine with pediatric experience, Rheumatology, Pain Management, Psychiatry, or Physical Medicine & Rehabilitation by an ABMS- or AOA-recognized board.
  • At least 5 years of clinical experience in the specialty.
  • Active direct patient care practice averaging at least 20 hours per week.
  • Strong written communication and clinical documentation skills, with the ability to evaluate complex medical records and provide evidence-based conclusions.
  • Ability to meet established case turnaround deadlines.

Culture & Benefits

  • 100% remote independent physician reviewer opportunity.
  • 1099 independent contractor arrangement.
  • Flexible case assignments based on specialty and availability.
  • Ability to maintain an existing clinical practice while performing supplemental review work.
  • Opportunity to support clinical oversight and quality of care for military members and their families.

Π‘ΡƒΠ΄ΡŒΡ‚Π΅ остороТны: Ссли Ρ€Π°Π±ΠΎΡ‚ΠΎΠ΄Π°Ρ‚Π΅Π»ΡŒ просит Π²ΠΎΠΉΡ‚ΠΈ Π² ΠΈΡ… систСму, ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΡ iCloud/Google, ΠΏΡ€ΠΈΡΠ»Π°Ρ‚ΡŒ ΠΊΠΎΠ΄/ΠΏΠ°Ρ€ΠΎΠ»ΡŒ, Π·Π°ΠΏΡƒΡΡ‚ΠΈΡ‚ΡŒ ΠΊΠΎΠ΄/ПО, Π½Π΅ Π΄Π΅Π»Π°ΠΉΡ‚Π΅ этого - это мошСнники. ΠžΠ±ΡΠ·Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎ ΠΆΠΌΠΈΡ‚Π΅ "ΠŸΠΎΠΆΠ°Π»ΠΎΠ²Π°Ρ‚ΡŒΡΡ" ΠΈΠ»ΠΈ ΠΏΠΈΡˆΠΈΡ‚Π΅ Π² ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΡƒ. ΠŸΠΎΠ΄Ρ€ΠΎΠ±Π½Π΅Π΅ Π² Π³Π°ΠΉΠ΄Π΅ β†’