Orthopedic Medical Reviewer - PRN - Sate of Washington

Qualis Health

Seattle, WA

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JOB DETAILS

JOB TYPE

Full-time, Employee

SKILLS

Case Management, Clinical Support, Clinical Validation, Communication Skills, Compensation and Benefits, Consulting, Dental Insurance, Dentistry, Driver's License, Government Contracts, Healthcare Providers, Healthcare Quality, Medical Affairs, Medical Assistance, Medical Conditions, Medical Treatment, Medicine, Microsoft Office, Nonprofit, On Call, Orthopedics, Patient Care, Physical Demands, Quality Management, Quality of Care, Time Management, Vision Plan, Work From Home, Writing Skills

LOCATION

Seattle, WA

POSTED

30+ days ago

Why Comagine Health?

Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years.

We are leaders in assisting front-line providers and engaging health care partners to improve care delivery and patient outcomes.

Our talented remote workforce spans the country and plays a vital role in our success. We go beyond merely providing a remote work option; we support and embrace it. We offer opportunities to make a difference from anywhere in the U.S. and enjoy better work-life balance. An annual stipend gives you the freedom to enhance your workspace with options that suit your needs.

We believe in an environment that allows you to thrive both personally and professionally. That's why we offer benefits that include:

Medical, dental and vision insurance
Paid time off for vacation, illness and volunteering
Retirement savings plan with employer contribution
Adoption financial assistance
Paid parental leave
And much more!

Assistant Medical Director

Remote (Washington)

PRN or .50 FTE

Comagine Health has two opportunities within Orthopedic Review to render clinical opinions about the medical conditions, procedures, and/or treatments under review.

We have an on-call position and a .50 FTE up to a 1.0 FTE position available. These persons will need to be board certified with the State of Washington.

Our Medical Affairs team, consisting of 30 physicians/dentists and a network of over 35 physician consultants, provide medical review, quality of care oversight, and consultation for various contracts with government and private sector benefit programs. In collaboration with our clients we develop and implement review criteria to insure patients get evidence based care at the right time. In this role, you would:

Apply clinical judgment, evidenced-based medicine, and other resources to render timely decisions on clinical peer reviews.
Interact with attending physicians regarding potential decertification and related matters.
Provide appropriate and timely subject matter expertise and other support to clinical reviewers, case managers, and consultants.
Ensure that reviews meet standard for clarity of decision-making and recordkeeping.

Active, current, valid, and unrestricted M.D. or D.O license or certification in the State of Washington.
Board certification by the American Board of Medical Specialties

Dr. Orthopedics

Competencies

Possess the qualifications, as determined by the National Medical Director or designee, to render clinical opinions about the medical conditions, procedures, and/or treatments under review.
Basic MS Office Suite proficiency
Excellent writing and communication skills

Equal Opportunity Employer

Comagine Health is an equal opportunity employer and is committed to creating a diverse, equitable, and inclusive workplace.

Physical Requirements & Work Environment

This position is primarily remote and performed in a home-based setting, requiring reliable internet access and a workspace free from significant distractions. The role involves frequent use of computers, phones, and virtual communication tools. Employees must be able to sit for extended periods, communicate effectively.

Some positions may require operating a motor vehicle for business purposes; in such cases, employees must maintain a valid driver's license and meet the organization's driving eligibility requirements. Occasional travel may be required for meetings, training, or other work-related events.

Reasonable accommodations will be provided to enable individuals with disabilities to perform essential functions.

Equal Employment Opportunity Employment Comagine Health is an Equal Employment Opportunity/Affirmative Action Employer that embraces and practices diversity, reflecting the communities we serve. We encourage minorities, protected veterans and individuals with disabilities to apply.

About the Company

Qualis Health

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