Peer Reviewers (MDs/DOs/DDS)
Visual Connections, LLC
Visual Connections, LLC is seeking Peer Reviewers (MDs/DOs/DDS) . The Peer Reviewer (MDs/DOs/DDS) will provide clinical, subject matter expertise to conduct comprehensive peer review of selected episodes of care performed in accordance with all applicable laws and State and Federal mandated regulations. Access electronic health information as assigned and make clinical judgments based on clinical experience and evidence-based standards of care as a Subject Matter Expert (SME) in your clinical area of expertise. Document all review information as instructed. Requirements Board-certified in the specialty and subspecialty of the case being reviewed according to the American Board of Specialties or equivalent (e.g., American Board of Physician Specialties). In active practice, within the specialty and subspecialty of the case being reviewed, at least 20 hours per month. Actively seeing patients in the above area of Board certification within the last 3 years Not currently employed by VA Current, verifiable credentials Minimum of 5 years' experience in clinical area Full Time Remote Position Benefits Full Medical, Dental, Prescription and Vision health care 11 Paid Holidays annually Paid time off Short Term, Long Term Disability and Life Insurance Employee Assistance Program (EAP) Training and Development opportunities including professional certification and educational reimbursement Visual Connections, LLC provides employment opportunities for all employees and applicants in accordance with applicable federal, state and local laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. We are a Service-Disabled, Veteran-Owned Small Business; and a Certified Maryland Business Enterprise. We were established in 2007 to provide public and private sector clients with robust web-based applications, Health IT and Portfolio and Program Management services. We have proven ourselves to be valuable partners who can deliver both qualitative and quantitative results to our clients. Our versatile, efficient and experienced team has a stellar record of past performance, working with the Department of Defense (DoD), Department of Health and Human Services (DHHS), Veterans Health Administration (VHA), Centers for Medicare and Medicaid Services (CMS), Centers for Disease Control and Prevention (CDC) and , Blue Cross Blue Shield (BCBS). With an employee base well versed in different disciplines, we are able to deliver high quality customizable solutions. #J-18808-Ljbffr Visual Connections, LLC
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- A healthcare consulting firm is seeking a full-time remote Peer Reviewer (Non-physician) to provide clinical expertise for comprehensive peer reviews. Candidates must be licensed, actively practicing within their specialty, and have a minimum of 5 years of clinical experience...SuggestedRemote jobFull time
- ...is partnering with PRI to deliver expert retrospective clinical reviews for the U.S. Department of Veterans Affairs (VA). As a Pharmacist... ...Complete VA quality reviews using PRI/VC templates: Peer Review for Quality Management (audit), Facility‑Requested Reviews...SuggestedHourly payPrice workTemporary workTraineeshipLocal areaRemote workFlexible hours
- ...is partnering with PRI to deliver expert retrospective clinical reviews for the U.S. Department of Veterans Affairs (VA). As a Gastroenterologist... ...Complete VA quality reviews using PRI/VC templates: Peer Review for Quality Management (audit), Facility‑Requested Reviews...SuggestedHourly payPrice workTemporary workTraineeshipLocal areaRemote workFlexible hours
- The Peer Support Specialist supports individuals in their recovery through individual and group meetings that provide information, dispel myths, and inspire hope. The Peer Support Specialist assists with care coordination. Responsibilities Meets individually and in groups...SuggestedContract work
$90k - $100k
...MDS Coordinator (RN) - Day Schedule Annapolis, MD 21401 Overview Salary Range $90,000.00 - $100,000.00 Salary/year Position Type Full Time Job Shift Day Shift Category Nurse Description MDS Coordinator (RN) Full-Time Salary Range: $90,000$100,000 annually...Full timeShift workWeekend workDay shift- ...communication and clinical domain expertise, Commence cuts straight to better care. Responsibilities Conducts all mandatory case review and quality assurance activities as stipulated by contracts. Maintains the required timeliness and accuracy within the review process...For contractorsWork at officeRemote workShift work
- MD Addiction & Behavioral Health Professional Certification Board is hiring a Peer Support Specialist in Maryland. This role focuses on supporting individuals in their recovery through individual and group meetings, providing education, and assisting with care coordination...
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- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer in Gastroenterology to join its remote utilization management team. The ideal candidate will have over 5 years of clinical experience and be responsible for conducting medical reviews, interacting...Remote job
$90.87 - $154.33 per hour
A healthcare services company is seeking a remote Physician Clinical Reviewer to evaluate service requests for medical necessity. The ideal candidate will possess a DO, MBBS, or MD with at least 5 years of experience in clinical review. Responsibilities include collaborating...Remote work- DOMA Technologies is seeking healthcare professionals to conduct mandatory case reviews, ensuring quality assurance and compliance in Maryland. Ideal candidates must graduate from an accredited nursing program and hold a current RN or LPN license. Experience working with...Remote jobFlexible hours
$83.2k - $178.8k
...including segmentation and assessment of our exposures under normal and stressed scenarios. Within Credit Administration, the Appraisal Review team supports Commercial, Small Business and Consumer Lending. As a Senior Commercial Review Appraiser, you will ensure compliance...Local areaFlexible hours$223.8k - $313.1k
Become a part of our caring community The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work- Peer Support Specialist - JRDC, ORCC An entry‑level position that consists of a network of people with lived experience related to drug use. Provide recovery support services in partnership with community providers to offer consumers direct recovery community support....
- The Maryland Addiction and Behavioral-health Professionals Certification Board is seeking a dedicated Peer Support Specialist to support individuals in their recovery journey. The role involves facilitating individual and group meetings, providing crucial information,...
$17.75 - $20.5 per hour
...respected. All members of our organization have a responsibility to uphold these values. What We’re Looking For Santé is seeking a MRSS FT Peer Recovery Specialists to join our frontline crisis intervention team in Dorchester, MD. As a Peer Recovery Specialist, you will...Hourly payFlexible hoursShift work- Position Summary The Peer Recovery Specialist II provides peer recovery support to clients diagnosed with or identified as having a substance abuse disorder, mental health disorder, or co-occurring disorder. The Specialist supports clients throughout their recovery process...Trial period
- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology to join their utilization management team remotely. The ideal candidate will have a DO, MBBS, or MD degree and over 5 years of clinical experience. Responsibilities include...Remote job
$90.87 - $154.33 per hour
...those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Endocrinology - REMOTE Job Description The Physician Clinical Reviewer is a key member of the utilization management team and...Remote jobWork experience placementInternshipWork at officeLocal areaVisa sponsorshipWork visa$112k - $179k
Specialized Cybersecurity Reviewer job at Peraton. Maryland. Program Overview About The Role Peraton seeks Specialized Cybersecurity Reviewer to support the Department of Defense Cyber Defense Command. Location: Fort Meade, MD. In this role, you will perform assessments...Internship$90.87 - $154.33 per hour
A leading pharmacy benefit management company is seeking a Physician Clinical Reviewer for a remote position focusing on pediatric neurology. The ideal candidate will possess an MD, DO, or MBBS with a minimum of 5 years of clinical experience. Responsibilities include...Remote job$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer in Endocrinology. This remote role is pivotal for timely medical reviews of service requests. Candidates must hold an MD or DO degree, a current medical license, and have at least a year of clinical...Remote job$90.87 - $154.33 per hour
A national health services provider is seeking a Physician Clinical Reviewer for remote work. This role requires extensive experience in medical review, providing timely evaluations of service requests. Candidates must have a Doctor of Osteopathy, MBBS, or MD and at least...Remote job- A healthcare organization is seeking a Physician Clinical Reviewer - Pediatric Gastroenterology to provide remote medical reviews of service requests. The ideal candidate has an MD or equivalent, at least 5 years of clinical experience, and expertise in pediatric gastroenterology...Remote job
$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Dermatology to conduct medical reviews and ensure adherence to clinical guidelines. This remote position requires an MD/DO with at least 5 years of clinical experience. Responsibilities include...Remote job- A leading pharmacy benefit management firm is looking for a Physician Clinical Reviewer specializing in Pediatric Rheumatology. This remote role requires 5+ years of clinical experience and involves reviewing service requests for medical necessity. You will work closely...Remote job
- A healthcare services company is seeking a remote Nurse Educator/Review Coordinator to facilitate provider education related to claim reviews. Responsibilities include identifying billing issues, providing recommendations, and conducting education sessions on Medicare...Remote jobContract work
- ...healthcare technology company is seeking passionate Physicians (MD/DO) for a fully remote position evaluating medical necessity in case reviews. This contract-based role involves conducting independent assessments while maintaining clinical integrity. Ideal candidates must...Remote jobContract workFlexible hours
- Anne Arundel County Government is currently hiring for a full‑time permanent Engineering and Site Development Reviewer (Engineer III) position in the Office of Inspections and Permits. The Engineering Division is responsible for the review and approval of commercial and...Permanent employmentFull timeFor contractorsCurrently hiringWork at office
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