Change Healthcare is looking for contract consultants for peer review
Change Healthcare develops and licenses industry leading InterQual® criteria which has been the gold standard for clinical decision support content and tools for over 40 years. There are over 4,300 providers and payers who utilize our InterQual criteria to help ensure that they make clinically appropriate medical utilization decisions grounded in evidence-based medicine.
Review InterQual evidence-based criteria specific to your specialty, contained within the following products:
Level of Care: Acute Adult, Acute Pediatric, Acute Rehabilitation, Long-Term Acute Care, Subacute and Skilled Nursing Facility, Home Care, Outpatient Rehabilitation and Chiropractic
Care Planning: Durable Medical Equipment, Imaging, Molecular Diagnostics, Procedures, Specialty Referral, Specialty Rx, Retrospective Monitoring
We expect our peer reviewer consultants to be experts in their respective fields. Content reviews are performed with a focus on high-quality medical evidence and standards of care in the field. We do not expect detailed research on any given topic, but rather commentary which reflects true clinical practice. Substantiating feedback with medical references to support comments is encouraged and highly valued, especially if you offer differences in opinion from our clinical content.
We would contact you intermittently to review content that is specific to your experience. At that time, we will present the particular project, what is required, the estimated time commitment, and expected turnaround time. Based on this information, you determine your availability for the project. There is no obligation on your part, and participation is based solely on your availability and interest.
Key Responsibilities include:
Reviewing criteria to ensure that it is in accordance with medical evidence and standard practice
Responding to targeted questions about the criteria based on your clinical expertise
The time needed to review a packet of clinical materials varies. We determine the deadlines for completion based on the amount of material sent. The time allotted for an individual project may take as little as 1 hour, or as many as 20 hours. However, it is not required that the entire time allotment be used.
Payment is determined on a scale based on contractor credentials (MD/DO, RN, DPT, PharmD, etc). Contractors are paid based on the hours spent in review.
Contractor performs work remotely.
Active license and/or certification in practice area
Practicing at least part-time (not retired or a fellow/resident) required
Experience in healthcare processes (e.g., utilization, case management) or academics (e.g., faculty, researcher) preferred, not required
Not a client decision-maker (e.g., nonpracticing Medical Director or CIO who influences the decision on which products their organization licenses)
Proficiency with various software applications, primarily Microsoft® Word and Adobe Acrobat