This role reviews ophthalmology cases remotely, evaluating medical records and answering client questions through advisory-only peer review. The work centers on producing clinical summaries and case determinations rather than providing direct patient care.
Key Responsibilities
- Conduct thorough reviews of ophthalmology clinical cases and medical records.
- Provide concise clinical summaries and written determinations based on the case materials.
- Answer specific questions posed by clients during the review process.
- Engage in peer-to-peer communications as needed to clarify clinical issues.
- Work within a telework workflow using a case management portal and organized record packets.
- Follow provided treatment guidelines and review materials when forming opinions.
Required
- Board certified in Ophthalmology.
- Current, unrestricted District of Columbia medical license.
- At least 5 years of clinical practice experience.
- Completion of required orientation and training.
- Maintenance of required credentialing, state licenses, and certifications.
Preferred
- Experience with medical record review or utilization review work.
- Prior telework or independent contractor experience.
Benefits & Perks
- Telework role with schedule flexibility.
- Independent contractor arrangement.
- Ability to choose services, case types, and case volume based on availability.
- Streamlined case flow and user-friendly work portal.
- Administrative support for record organization, communication, and report delivery.
- Chronological medical record listings and click-to-view treatment guidelines.
- Initial training and ongoing support contact.