Advanced Practice RN Peer Reviewer

Job Summary

A company is looking for a Peer Reviewer - Advanced Practice RN to conduct independent medical reviews remotely.

Key Responsibilities

• Conduct objective, evidence-based peer reviews of clinical cases
• Make final determinations regarding medical necessity and quality of care
• Submit reviews in a timely and professional manner using the IT systems provided

Required Qualifications

• Must hold an unrestricted medical license in any U.S. state
• Board certification required through a recognized board
• At least five (5) years of full-time equivalent clinical experience
• Experience providing direct clinical care within the past three (3) years
• Must be actively engaged in direct or virtual patient care for at least 20 hours per week