PA-C, Physical Medicine and Rehab, PRN Medical Review

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🔥 0 minutes ago

🦀 Maryland – Remote

🦀 Maryland – Remote

💵 $750 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

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LivantaLLC

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2004

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Livanta LLC is a technology-enabled organization dedicated to advancing healthcare quality through innovation. It specializes in providing services to patients, caregivers, healthcare providers, and payers, focusing on improving health outcomes, navigating healthcare systems, and ensuring payment accuracy. Livanta is recognized as the largest Medicare Quality Improvement Organization and offers a range of services including quality oversight, auditing, advocacy, and data analytics to enhance patient care and safety while managing healthcare costs effectively.

📋 Description

• 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 • Perform utilization reviews • Handle appeals and hearings • Review quality-of-care and standard-of-care concerns • Uphold clinical integrity, neutrality, and objectivity • Complete patient record reviews and accompanying reports • Meet case turnaround deadlines while working independently in a secure remote environment

🎯 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 • Ability to sit, read, work on a computer, and watch a computer screen for extended periods • Occasionally able to stand, walk, use hands and fingers, kneel, or crouch

🏖️ Benefits

• Fully remote work • Contract-based (1099) arrangement • Flexible workload with cases assigned based on availability and specialty • Compensation of $750 per completed case • Impactful work contributing to high-quality care and oversight