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PRN Medical Consultant Reviewer Family Medicine
US · Remote · Full-time · Others
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About the role
ComplianceQuality Assurance
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a PRN Medical Consultant Reviewer – Family Medicine based in the United States.
The Medical Consultant Reviewer will provide expert clinical assessments and medical necessity reviews across multiple healthcare programs, including Medicaid, Workers’ Compensation, and private healthcare products. This fully remote, non-patient-facing opportunity is designed for a board-certified physician seeking flexible part-time or per-diem work. You will apply your clinical expertise and evidence-based medical knowledge to evaluate cases, review appeals, and support fair, defensible healthcare decisions. Working alongside utilization management professionals, case managers, and other clinical specialists, you will contribute to the quality and consistency of medical reviews. The role also involves physician-to-physician consultations, regulatory compliance, and participation in quality assurance activities. With a flexible schedule of 8–19 hours per week, this position offers an opportunity to make a meaningful impact while maintaining an active or reduced clinical practice.