100% REMOTE need for APRN/CRNP

Maximus is HIRING 100 % REMOTE Position as a Medical Expert Reviewer

Peer Review for Quality Management may only be used for improving the quality of health care or utilization of health care resources in VA medical facilities. Its primary focus is whether the clinical decisions and actions of a clinician during a specific clinical encounter met the standard of care.

• Provider must have access to their own computer to complete online training, complete written reviews using MS word software, be able to access VA EMR system to review medical records and be able to access Maximus’s secure email system to receive encrypted emails.

• Provider can accept or decline cases; must do so within 24 hrs. Once accepted the review must be submitted within 3-5 business days, expedited cases are within 24 hours.

Minimum Qualifications:

• Active license in any state
• 20 hours of direct patient care per month
• Board Certification within exact specialty requested
• MUST BE CURRENTLY WORKING IN GASTROLOGY FIELD FOR PAST 3 YEARS
• MUST have National Provider Identifier (NPI) number
• 3 years' experience in appropriate specialty post training (Non-MD/DO)

***CANNOT be a VA employee, active-duty military, or provide care in military facilities***

Veteran Affairs Clinical Peer Review (VACPR)

Rate Description of Service

$100/cs Audit Review 30 min-1 hour

$100/cs Clinical Appeals (rare) 30 min-1 hour

$50/cs Executive Summary Reports 30 min-1 hour

$125/cs Facility-Requested Review 30 min-1 hour

$200/cs Medical Advisory Opinion 2-3 hours

$100/cs Quality Review-Audit Review 30 min-1 hour

$125/cs Quality Review-Facility Requested Review 30 min-1 hour

$125/cs Quality Review-Routine Management Review 30 min-1 hour

$200/cs Quality Review-Medical Advisory Opinion 30 min-1 hour

**Volume of cases vary between 0-10 cases per month, dependent on the types/amounts of cases received by the VA.**?

***Providers will be required to obtain a Personal Identify Verification (PIV) card and fingerprints, project will support with this requirement. *** .

If interested in hearing more please forward a copy of your current CV to AndreaCota@maximus.com for review.

As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs. For more information, visit maximus.com.