Remote - Podiatry Utilization Review - 1099 (contract)
WFA Digital Insight
The shift towards remote healthcare has led to a significant increase in demand for professionals who can navigate the intersection of medicine and technology. With the healthcare industry projected to grow by 14% in the next five years, roles like Podiatry Utilization Review are becoming increasingly crucial. As a board-certified podiatrist, you'll leverage your expertise to conduct independent reviews, ensuring that patients receive the best possible care while adhering to regulatory requirements. MRIoA stands out for its commitment to excellence and continuous improvement, making this an attractive opportunity for those looking to make a meaningful impact in the healthcare sector.
Job Description
About the Role
As a Podiatry Utilization Review professional at Medical Review Institute of America, you will play a pivotal role in ensuring that healthcare services are delivered efficiently and effectively. Your primary responsibility will be conducting independent reviews of podiatry services, leveraging your clinical expertise to assess the necessity and appropriateness of care. This role is unique in its flexibility, requiring only 1-2 hours of commitment per week, making it an ideal opportunity for those seeking to supplement their income or explore a new challenge without a substantial time commitment.The day-to-day activities will involve meticulous review of patient records, application of clinical guidelines, and communication with healthcare providers to discuss review outcomes. Your work will be crucial in helping MRIoA maintain its high standards of service, ensuring that all reviews are conducted with the utmost professionalism and adherence to regulatory requirements.
Given the remote nature of this position, you will have the flexibility to work from anywhere in the United States, provided you have a reliable internet connection and can maintain confidentiality and security of patient records, in compliance with HIPAA regulations.
What You Will Do
- Conduct thorough and independent reviews of podiatry services to determine the medical necessity and appropriateness of care.
- Utilize clinical expertise and knowledge of current medical literature to assess the quality of care provided.
- Communicate review findings and recommendations to healthcare providers in a clear and professional manner.
- Collaborate with other reviewers and stakeholders to ensure consistency in review outcomes and to discuss complex cases.
- Maintain accurate and detailed records of reviews, including documentation of decisions and rationales.
- Participate in ongoing education and training to stay current with advancements in podiatry and changes in regulatory requirements.
- Apply Excel skills to manage data, track review metrics, and contribute to quality improvement initiatives.
- Adhere to all applicable HIPAA regulations and company policies regarding the confidentiality, privacy, and security of sensitive health information.
- Engage in peer-to-peer conversations during daytime hours as necessary for the review process.
What We Are Looking For
- A degree in Podiatry from an accredited institution.
- Current licensure as a podiatrist in the state of Pennsylvania.
- Board certification in Podiatry.
- A minimum of 5 years of clinical experience, with residency experience preferred.
- Proficiency in Excel and ability to learn and adapt to new software systems.
- Excellent communication and interpersonal skills, with the ability to engage in productive discussions with healthcare providers.
- Strong analytical and decision-making skills, with the ability to evaluate complex clinical information.
- Ability to work independently with minimal supervision and to manage time effectively in a remote work environment.
Nice to Have
- Experience with electronic health records (EHRs) and familiarity with utilization review processes.
- Knowledge of current healthcare trends, regulatory requirements, and accreditation standards.
- Participation in professional organizations or continuing education activities to stay updated on best practices in podiatry.
Benefits and Perks
- The opportunity to work with a nationally recognized Independent Review Organization.
- Flexible, remote work arrangement with minimal time commitment.
- Professional development through ongoing education and training.
- Coverage under MRIoA's Errors and Omissions policy.
- The satisfaction of contributing to the improvement of healthcare services and patient outcomes.
- Opportunity to work with a diverse range of healthcare professionals and contribute to a culture of excellence and continuous improvement.
- Access to a network of peers and professionals in the field for support and collaboration.
How to Stand Out
- Ensure your resume and cover letter highlight your clinical experience, particularly in areas relevant to podiatry utilization review.
- Be prepared to discuss your approach to independent reviews, including how you stay current with clinical guidelines and regulatory updates.
- Familiarize yourself with Excel and other software systems used in utilization review to demonstrate your proficiency during the application process.
- Develop a portfolio or examples of your review work, if possible, to demonstrate your skills and decision-making process.
- Practice discussing complex clinical cases and your rationale for review decisions to prepare for peer-to-peer conversations.
- Research MRIoA and its role in the healthcare industry to understand the company's mission and values, and be ready to discuss how your skills and experience align with these.
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