CPT Physician Reviewer Jobs
Physician Reviewer roles sit at the intersection of clinical judgment and administrative decision-making, making them a strong CPT fit for medical students completing utilization management or quality assurance rotations. Your DSO must confirm the role directly advances your degree requirements before CPT authorization is granted.
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Get Access To All JobsINTRODUCTION
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
ROLE AND RESPONSIBILITIES
As a leader in the care of older adults, we are seeking an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) who enjoys managing complex patients in a collaborative, highly coordinated home-based setting. The provider will work closely with physicians, advanced practice providers, social workers, case managers, nutritionists, and other members of our health care team, as well as participate in multidisciplinary conferences that focus on the most high-risk members. He/she will have access to advanced technology, including an innovative, patient-friendly home monitoring system, Epic EMR, and a proprietary decision support tool that synthesizes data from a variety of sources into actionable alerts that drive care.
General Duties/Responsibilities (May include but are not limited to):
- M-F Traditional Work Hours, No Call, and No Weekends.
- Schedule: 3.5 days a week Conduct in-home assessments (with some outpatient clinical work) on health plan members (Max 5 per day) and the other 1.5 days a week work from home
- In-Home Assessments will include obtaining comprehensive history, physical exam, medication review, and appropriate cognitive/depression/safety screenings.
- Comfort with End-of-life care discussions imperative.
- Laboratory specimen collection in the home setting when appropriate.
- Identify diagnoses to be used in active medical management and care management of patients with focus on chronic disease management.
- Communicate findings of the patient assessment to inform the PCP of potential gaps in care.
- Provide patient/family/caretaker education, with an emphasis on close monitoring and follow up of patient needs.
- Emphasis on knowledge of appropriate community resources for referral.
- Comply with all HIPAA regulations and maintain security of protected health information (PHI).
MINIMUM QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Experience:
- Computer literacy/EMR proficiency
- At least one (1) year prior clinical experience
Education/Licensure:
- Active California state license as a Nurse Practitioner/Physician Assistant
- Active Nurse Practitioner/Physician Assistant Board Certification
- Medicare Part D Prescriber
- Valid California driver license and current automobile insurance
NP (Nurse Practitioner):
- Active RN License (Must, upon hire)
- Active NP License (Must, upon hire)
- Furnishing number (Must, upon hire)
- NPI Number (Must, upon start)
- DEA Number (Must, within 6 months of start)
- Board Certification: AANP, ANCC (Must, within 6 months of start)
- Valid BLS (Basic Life Support) (Must, upon start)
- Valid ACLS (Advanced Cardiovascular Life Support) (Preferred)
PA (Physician Assistant):
- Active PA License (Must, upon hire)
- NPI Number (Must, upon start)
- DEA Number (Must, within 6 months of start)
- Board Certification: NCCPA (Must, within 6 months of start)
- Valid BLS (Basic Life Support) (Must, upon start)
- Valid ACLS (Advanced Cardiovascular Life Support) (Preferred)
Other:
- Knowledge of current clinical standards of care
- Ability to work independently
- Experience in care of older adult (geriatric) patients preferred
- Home care experience preferred
- Excellent administrative, organizational, and verbal skills preferred
- Effective communication skills especially with older adults preferred
- Previous EPIC experience preferred but not required
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
COMPENSATION
- Pay Range: $98,550.00 - $147,825.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.
If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com.
DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.
INTRODUCTION
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
ROLE AND RESPONSIBILITIES
As a leader in the care of older adults, we are seeking an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) who enjoys managing complex patients in a collaborative, highly coordinated home-based setting. The provider will work closely with physicians, advanced practice providers, social workers, case managers, nutritionists, and other members of our health care team, as well as participate in multidisciplinary conferences that focus on the most high-risk members. He/she will have access to advanced technology, including an innovative, patient-friendly home monitoring system, Epic EMR, and a proprietary decision support tool that synthesizes data from a variety of sources into actionable alerts that drive care.
General Duties/Responsibilities (May include but are not limited to):
- M-F Traditional Work Hours, No Call, and No Weekends.
- Schedule: 3.5 days a week Conduct in-home assessments (with some outpatient clinical work) on health plan members (Max 5 per day) and the other 1.5 days a week work from home
- In-Home Assessments will include obtaining comprehensive history, physical exam, medication review, and appropriate cognitive/depression/safety screenings.
- Comfort with End-of-life care discussions imperative.
- Laboratory specimen collection in the home setting when appropriate.
- Identify diagnoses to be used in active medical management and care management of patients with focus on chronic disease management.
- Communicate findings of the patient assessment to inform the PCP of potential gaps in care.
- Provide patient/family/caretaker education, with an emphasis on close monitoring and follow up of patient needs.
- Emphasis on knowledge of appropriate community resources for referral.
- Comply with all HIPAA regulations and maintain security of protected health information (PHI).
MINIMUM QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Experience:
- Computer literacy/EMR proficiency
- At least one (1) year prior clinical experience
Education/Licensure:
- Active California state license as a Nurse Practitioner/Physician Assistant
- Active Nurse Practitioner/Physician Assistant Board Certification
- Medicare Part D Prescriber
- Valid California driver license and current automobile insurance
NP (Nurse Practitioner):
- Active RN License (Must, upon hire)
- Active NP License (Must, upon hire)
- Furnishing number (Must, upon hire)
- NPI Number (Must, upon start)
- DEA Number (Must, within 6 months of start)
- Board Certification: AANP, ANCC (Must, within 6 months of start)
- Valid BLS (Basic Life Support) (Must, upon start)
- Valid ACLS (Advanced Cardiovascular Life Support) (Preferred)
PA (Physician Assistant):
- Active PA License (Must, upon hire)
- NPI Number (Must, upon start)
- DEA Number (Must, within 6 months of start)
- Board Certification: NCCPA (Must, within 6 months of start)
- Valid BLS (Basic Life Support) (Must, upon start)
- Valid ACLS (Advanced Cardiovascular Life Support) (Preferred)
Other:
- Knowledge of current clinical standards of care
- Ability to work independently
- Experience in care of older adult (geriatric) patients preferred
- Home care experience preferred
- Excellent administrative, organizational, and verbal skills preferred
- Effective communication skills especially with older adults preferred
- Previous EPIC experience preferred but not required
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
COMPENSATION
- Pay Range: $98,550.00 - $147,825.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.
If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com.
DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.
See all 276+ Physician Reviewer jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Physician Reviewer roles.
Get Access To All JobsPhysician Reviewer CPT: Frequently Asked Questions
Does a Physician Reviewer role qualify for CPT authorization?
It can, but qualification depends on how directly the work connects to your enrolled coursework. Physician Reviewer duties typically involve clinical decision-making, utilization management, or quality assurance review. If your program includes coursework in healthcare policy, clinical informatics, or population health management, your DSO has a strong basis to approve CPT. Roles focused purely on administrative scheduling are less likely to qualify.
Can I do CPT as a Physician Reviewer if I'm still in my first year of study?
Full-time CPT in your first academic year is prohibited under F-1 regulations unless your program explicitly requires it for all students. Part-time CPT, defined as 20 hours or fewer per week, is generally available after your first year. Most Physician Reviewer CPT placements are structured as part-time to preserve your full academic course load and avoid triggering the one-year full-time CPT rule that eliminates OPT eligibility.
How do I find Physician Reviewer employers that accept CPT students?
Migrate Mate is the most direct way to find Physician Reviewer roles filtered by employers who have previously hired F-1 students. Outside of that, health plan employer pages and managed care organization job portals sometimes list CPT or OPT eligibility directly in the posting. Targeting employers with established clinical review departments gives you better odds than approaching smaller practices unfamiliar with F-1 work authorization.
Does full-time CPT as a Physician Reviewer affect my OPT eligibility?
Yes. If you accumulate 12 or more months of full-time CPT at any point during your program, you lose eligibility for OPT after graduation. Part-time CPT, at 20 hours or fewer per week, does not count toward that limit regardless of how many semesters you use it. Many students completing Physician Reviewer rotations structure the engagement as part-time specifically to protect their post-graduation OPT eligibility.
What documentation does my employer need from me to hire me on CPT?
Your employer needs a copy of your valid I-20 with the CPT authorization printed on page two, your valid F-1 visa, and a completed I-9 form. The CPT section of your I-20 must list the employer's exact legal name, the work site address, and the authorized dates. Some managed care employers also request a letter from your DSO confirming the academic connection between the Physician Reviewer role and your degree program.
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