PA-C in Physical Medicine and Rehab for PRN medical review work (must be actively practicing)

Commence•Baltimore, MD

4d•Remote

About The Position

At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care. We’re growing our network of clinical reviewers and are actively seeking PA-C in Physical Medicine and Rehab (actively practicing) who are passionate about quality, accountability, and patient outcomes. As a member of our reviewer panel, you'll play a key role in ensuring the appropriateness, necessity, and quality of care delivered to members and their families.

Requirements

Hold an active, unrestricted U.S. certification as a PA-C
Minimum of 5 years of clinical experience
Currently practicing and seeing patients an average of at least 20 hours per week over the past 30 days
Strong written communication skills and attention to detail
Ability to review cases objectively and meet turnaround deadlines
Comfortable working independently in a secure, remote environment

Responsibilities

Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care.
Provide evidence-based assessments and written determinations following established clinical guidelines and review criteria.
Support case types including: Utilization review, Appeals and hearings, Quality of care and standard of care concerns
Uphold the highest standard of clinical integrity, neutrality, and objectivity.