Tennessee Licensed Senior Medical ReviewerVirtualVocations • Garden Grove, California, United States
Tennessee Licensed Senior Medical Reviewer
VirtualVocations • Garden Grove, California, United States
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A company is looking for a Registered Nurse Senior Medical Reviewer (Home Health and Hospice).
Key Responsibilities
Acts as team leader for medical review and case management, providing guidance and training to staff
Monitors workflow and workloads, ensuring timely completion of tasks and addressing any issues
Participates in quality reviews and compliance initiatives, ensuring adherence to quality plans
Required Qualifications, Training, and Education
Active, unrestricted RN licensure in the state of hire or compact multistate RN license
Associate Degree in Nursing or graduation from an accredited school of nursing
Four years of clinical experience or a combination of clinical and medical review experience totaling four years
Working knowledge of managed care and healthcare delivery systems
Proficiency in Microsoft Office software
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Medical Reviewer • Garden Grove, California, United States
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