Perform independent, evidence-based peer reviews of geriatric cases remotely on an ad hoc, contractor basis, evaluating medical necessity and quality of care. Work is focused on specialty-specific determinations using current standards of practice and may involve reviewing cases for standard of care and related clinical questions. Reviews are submitted through provided IT systems, with a strong emphasis on timely, objective, and unbiased decision-making.
Key Responsibilities
- Conduct objective peer reviews of clinical cases within the geriatric specialty.
- Evaluate medical necessity and quality of care against current evidence-based standards.
- Make final determinations on reviewed cases in a fair and unbiased manner.
- Submit completed reviews promptly using the organization’s IT systems.
- Apply clinical expertise to assess standard of care and specialty-specific issues under review.
- Maintain professional, evidence-based documentation of review findings.
Required
- MD or DO with an unrestricted U.S. medical license.
- Board certification through ABMS, AOA, or another nationally recognized board, if applicable.
- At least 5 years of full-time equivalent direct patient care experience.
- Direct clinical care experience within the past 3 years.
- Active direct or virtual patient care for at least 20 hours per week.
- Clinical expertise in geriatric care or the condition being reviewed.
Preferred
- Experience with peer review or utilization review processes.
- Knowledge of evidence-based guidelines and novel treatments relevant to the reviewed cases.
- Active hospital medical staff privileges, if applicable.
Benefits & Perks
- Remote work from home or office.
- Independent contractor 1099 arrangement.
- Ad hoc case volume and schedule flexibility.
- Competitive compensation based on credential and specialty type.
- Opportunity to contribute to quality improvement and standards of care.