Demo

100% REMOTE need for APRN/CRNP

Maximus Federal
Mc Lean, VA Remote Full Time
POSTED ON 2/25/2025
AVAILABLE BEFORE 5/20/2025

Maximus is HIRING 100 % REMOTE Position as a Medical Expert Reviewer

Peer Review for Quality Management may only be used for improving the quality of health care or utilization of health care resources in VA medical facilities. Its primary focus is whether the clinical decisions and actions of a clinician during a specific clinical encounter met the standard of care.

  • Provider must have access to their own computer to complete online training, complete written reviews using MS word software, be able to access VA EMR system to review medical records and be able to access Maximus’s secure email system to receive encrypted emails.
  • Provider can accept or decline cases; must do so within 24 hrs. Once accepted the review must be submitted within 3-5 business days, expedited cases are within 24 hours.

Minimum Qualifications :

  • Active license in any state
  • 20 hours of direct patient care per month
  • Board Certification within exact specialty requested
  • MUST BE CURRENTLY WORKING IN GASTROLOGY FIELD FOR PAST 3 YEARS
  • MUST have National Provider Identifier (NPI) number
  • 3 years' experience in appropriate specialty post training (Non-MD / DO)
  • CANNOT be a VA employee, active-duty military, or provide care in military facilities
  • Veteran Affairs Clinical Peer Review (VACPR)

    Rate Description of Service

    100 / cs Audit Review 30 min-1 hour

    100 / cs Clinical Appeals (rare) 30 min-1 hour

    50 / cs Executive Summary Reports 30 min-1 hour

    125 / cs Facility-Requested Review 30 min-1 hour

    200 / cs Medical Advisory Opinion 2-3 hours

    100 / cs Quality Review-Audit Review 30 min-1 hour

    125 / cs Quality Review-Facility Requested Review 30 min-1 hour

    125 / cs Quality Review-Routine Management Review 30 min-1 hour

    200 / cs Quality Review-Medical Advisory Opinion 30 min-1 hour

  • Volume of cases vary between 0-10 cases per month, dependent on the types / amounts of cases received by the VA.
  • Providers will be required to obtain a Personal Identify Verification (PIV) card and fingerprints, project will support with this requirement.
  • If interested in hearing more please forward a copy of your current CV to AndreaCota@maximus.com for review.

    Salary : $50

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