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

About the role

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.

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.

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.

Benefits

• Fully remote, contract-based (1099).
• Flexible workload – cases assigned based on your availability and specialty.
• Impactful work that contributes to high-quality care and oversight.

Pay

Compensation is structured on a per-record basis and is contingent upon completion of the patient record review and accompanying report. Most cases take 1–3 hours to complete; shorter reviews may take less than 1 hour.

Work Environment / Physical Demands

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• This is a remote position.
• While performing the duties of this job, the employee regularly works in a climate-controlled environment.
• Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time.
• Occasionally required to stand, walk, use hands and fingers, kneel or crouch.