Clinical Reviewer Opportunities

IPRO has always recruited a superb group of clinical consultants, and due to an increasing number of cases and the introduction of new technology and new treatment modalities, additional well-trained individuals are needed. Federal, state and private entities rely on IPRO to provide clinical reviews. IPRO conducts clinical review in the following areas:

Medicare - beneficiary reviews, quality of care reviews and utilization review;

Medicaid - state case referrals, quality of care reviews and utilization review;

External Review - third party appeals of care denied by insurance companies.

To be considered for IPRO's Clinical Reviewer Network, you must:

Hold a current, non-restricted license in a state of the United States;
Be certified by a specialty board of the American Board of Medical Specialties;
Be actively engaged in the practice of medicine and maintain active hospital privileges;
Be covered by malpractice insurance.

In addition, proof of academic appointments and publication of your work may be required.

IPRO guarantees its clients the highest possible level of quality, objectivity and consistency in medical review. Once assigned a case to review, the Clinical Reviewer is expected to render an accurate, impartial decision as to whether the service(s) provided to the patient were medically necessary and appropriate. The rationale for the decision must be documented in writing based on accepted clinical guidelines and issued within the time frame specified. The quality of a reviewer's work is monitored for all external appeal cases and on a quarterly basis for Medicare and Medicaid.

Clinical Reviewer FAQs

IPRO is seeking reviewers in the following areas:


Surgical specialties	Pediatrics and Internal Medicine, subspecialties only	Radiology - general and subspecialties
OB/Gyn and subspecialties	Psychiatric subspecialties	Anesthesiology
Neurology and subspecialties	Occupational Medicine/Toxicology	Dentistry and Oral and Maxillofacial Surgery
Chiropractic	Psychology	Speech and Language Pathology
Social Work	Nurse Midwives, Nurse Practitioners	Physical and Occupational Therapy
Podiatry	Neurological Surgery	Plastic Surgery

If you are interested in becoming a reviewer for IPRO, please complete the form below and e-mail your curriculum vitae to ccioffi@ipro.org. Please note: currently, we seek reviewers in the above-mentioned specialties only.

For more information, please contact Terese Giorgio, Senior Director, Corporate Programs at (516) 326-7767, ext. 223 or tgiorgio@ipro.org.