Remote Utilization Review Jobs in Clearfield, UT

Job Description:

When you join us, you'll become a part of a nationally recognized health system dedicated to our mission of "helping people live the healthiest lives possible."

As an Advanced Practice Provider on our Safe and Healthy Families team, you will use your pediatric expertise to help protect children and guide appropriate, evidence-based care in complex medical child abuse cases.

About Safe and Healthy Families

Safe and Healthy Families is a multidisciplinary program that provides medical and mental health services to children with suspected abuse or neglect and to their families across the Intermountain West. Guided by Primary Children's Hospital's philosophy, "The Child First and Always," our team brings together child abuse pediatricians, advanced practice providers, child and adolescent psychiatrists, psychologists, nurses, social workers, and therapists to evaluate and manage the needs of children affected by abuse and trauma.

About this role:

This specialized, non-direct-care position focuses primarily on referrals involving suspected medical neglect and factitious disorder imposed on another, formerly known as Munchausen Syndrome by Proxy. You will conduct comprehensive medical-record reviews and provide clinical consultation to help treating providers determine whether past and proposed care is necessary, appropriate, and safe.

Referrals and consultation requests come from across the intermountain region. Cases may involve fabricated or induced symptoms, altered test results, unnecessary utilization, or patterns of care across multiple clinicians or facilities. Caseload varies, with review of up to approximately 30 cases each year.

Your Responsibilities

• Perform detailed, longitudinal reviews of medical records from across the health system and external providers.
• Assess whether care already provided-and care being considered-is medically necessary and appropriate.
• Identify concerning patterns, inconsistencies, or possible fabrication, induction, or tampering.
• Develop clear, objective clinical summaries and recommendations.
• Plan and participate in multidisciplinary case conferences and collaborate closely with our team's three pediatricians specialized in child abuse medicine.
• Provide consultation to providers and other partners involved in complex cases.
• Prepare for and provide expert testimony in court proceedings when required.
• Support education, quality improvement, and research activities as appropriate.
  

Schedule and Work Location

• Part-time schedule, you'll average 20 hours per week.
• Significant flexibility to design your work schedule.
• Most work will be completed remotely.
• Initial training will take place at Primary Children's Hospital in Salt Lake City, Utah.
• Occasional travel to Utah may be required for court proceedings and other business needs.
• Of note, in this role you will not provide direct patient care.
  

Remote Work Eligibility

We are committed to offering flexible work options where approved and identified in the job posting. At this time, we cannot consider candidates who reside or plan to reside in California, Connecticut, Hawaii, Illinois, Maine, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia, Vermont, or Washington.

How We'll Support You

Your well-being and professional growth matter to us. Our comprehensive support includes a generous benefits package, paid time off, license reimbursement, quality incentives, malpractice insurance coverage, and an annual continuing medical education allowance.

What You'll Bring

• Current Utah licensure as a Physician Assistant or Advanced Practice Registered Nurse, or the ability to obtain licensure before starting employment.
• Current national board certification as a Pediatric or Family Nurse Practitioner or Physician Assistant.
• Utah controlled-substance license.
• Federal DEA Registration Schedules II-V.
• Current BLS certification for healthcare providers
• Substantial pediatric advanced practice experience; newly graduated APPs cannot be considered at this time.
  Preferred Qualifications:

• Extensive experience caring for pediatric patients in a complex clinical setting.
• Demonstrated skill synthesizing large volumes of clinical information and producing concise, defensible conclusions.
• Strong written and verbal communication skills, sound clinical judgment, and comfort working with multidisciplinary and legal partners.
• Ability to work independently while collaborating effectively across specialties and locations.
  

About us:

Intermountain Healthis a model health system providing extraordinary care and superior service at an affordable cost. We are an integrated not-for-profit system of 33 hospitals, 400 clinics, and a medical group with more than 5,000 employed physicians and advanced practice providers across six states in the mountain west.

Our value statements are core to our culture. They reflect the behavior and attitudes that are important to us, are an agreement for how we treat each other, help us make decisions on how to act, and are a promise of what people can expect from us. Learn more about our Mission, Vision, and Values at: About Intermountain.

Intermountain Health was recently recognized by the American Medical Association's Joy in Medicine award for our commitment to physician wellbeing. We also received the Lorna Breen Wellbeing First Champion award.

What does it mean to be a part of Intermountain Health?

It means joining the Power of We, building an environment where providers and caregivers can deliver the best in healthcare. Realizing each caregiver, learner, and volunteer is vital to providing care to our patients, because WE can only achieve the extraordinary together. Committed to the best in medical education, research and most advanced technology, the results are better clinical patient outcomes.

Location:

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Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we usethe artificial intelligence ("AI") platform, HiredScore to improve your job application experience.HiredScore helps match your skills and experiences to the best jobs for you. WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.