PEER REVIEWER - Dentist - REMOTE

MICHIGAN PEER REVIEW ORGANIZATION• US,

2d•Remote

About The Position

iMPROve Health is seeking a Dentist and/or Periodontist with implant experience to perform independent external medical reviews remotely on an ad hoc basis as an independent contractor (1099). Peer reviewers use their clinical expertise to evaluate cases in their specialty, including medical necessity and/or standards of care, to support the quality and integrity of health care and the profession. This is not an employed position. Contracted fees are based on credentials and specialty type.

Requirements

Hold an unrestricted medical license in any U.S. state.
Hold board certification, if applicable, through a board recognized by the American Board of Medical Specialties (ABMS), the American Osteopathic Association (AOA), or another nationally recognized board granting certification.
Have at least five years of full-time-equivalent experience providing direct clinical care to patients.
Have provided direct clinical care to patients within the past three years.
Be knowledgeable about the issue under review or current evidence-based clinical guidelines and novel treatments for the condition, disease, treatment, or procedure under review.
Have the clinical expertise to manage the medical or behavioral health condition or disease under review.
Be actively engaged in direct or virtual patient care for at least 20 hours per week; administrative work does not qualify.
Have reliable Wi-Fi access.
Be proficient with Microsoft Word.
Have access to a computer compatible with iMPROve Health’s IT systems.
Complete the electronic credentialing application and receive organizational approval before performing a case review.
Complete a conflict-of-interest attestation upon credentialing and before performing a case review.
Maintain active hospital medical staff privileges when applicable.
Notify the organization in a timely manner of an adverse change in licensure or certification status, including board certification status.
Applicants performing VA-related peer reviews cannot have current employment or affiliation with a Veterans Affairs hospital, health care system, or medical center.

Responsibilities

Conduct objective, evidence-based peer reviews of clinical cases.
Make final determinations regarding medical necessity and quality of care.
Ensure decisions are fair, unbiased, and aligned with current standards of practice.
Submit reviews in a timely and professional manner using the IT systems provided.