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Nurse Practitioner - Medical Case Review - Springfield, VA

Prime Physicians

  • Springfield, VA
  • 8 days ago

    Highlights

    Experience Needed: Minimum 5 years of direct, relevant experience in clinical practice, occupational health, and advanced case management, including experience in medical review, fitness-for-duty evaluations, and review of complex medical determinations. Place of Work (City/State): Remote - must reside within local commuting distance Springfield, VA (minimum 1 day per week onsite required after the first month onsite training.

    Numbers & Facts

    LocationSpringfield, VA

    Description

    Job Title: Nurse Practitioner Medical Case Review
    Specialty: Occupational Health / Advanced Case Management / Fitness-for-Duty & Complex Medical Determinations
    Place of Work (City/State): Remote - must reside within local commuting distance Springfield, VA (minimum 1 day per week onsite required after the first month onsite training
    Duration: One year (options for 6 months contract) + extendable
    Start Date: October 2026
    Shift Schedule:
    • Core business hours: Monday Friday, 9:00 a.m. 3:00 p.m.
    • First month: onsite training, 8 hours/day
    • Steady state: hybrid remote/onsite, minimum 1 day/week onsite
    • Additional onsite attendance as requested by OCMO (local, non-reimbursable travel)
    How Many Shifts Needed Per Month: Approximately 20 22 working days/month
    License: Active, unrestricted license as a Nurse Practitioner in Virginia, or multistate licensure
    Certifications: Current NP board certification consistent with MSN/DNP
    Experience Needed: Minimum 5 years of direct, relevant experience in clinical practice, occupational health, and advanced case management, including experience in medical review, fitness-for-duty evaluations, and review of complex medical determinations
    Special Skills Needed:
    • Strong clinical judgment for complex/abnormal/non-standard case review
    • Experience with electronic medical record review platforms
    • Strong written documentation skills for case files and determination summaries
    • Ability to meet high-volume production standards and 24-hour response requirements
    • Comfortable coordinating with government clinical leadership (Chief Medical Officer) on escalations
    Credentialing / Onboarding Time: Approximately 50 days
    Responsibilities:
    Review and adjudicate TSO applicant and reinstatement medical examination records, issuing pass/fail medical recommendations as part of a team averaging 300 medical recommendations processed per day. Conduct Fitness-for-Duty evaluations and collaborate with the TSA Chief Medical Officer on abnormal, complex, or non-standard cases and complex medical determinations. Support AMC questionnaire reviews, ad hoc FMLA record reviews, and EEO case support (including fact-witness participation, if requested).
    Misc:
    • Government-Furnished Equipment (GFE) provided
    • NP role is limited to recommendation, documentation, and coordination

    Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.

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