Tennessee Licensed Senior Medical Reviewer
VirtualVocationsBaltimore, Maryland, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
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job_description.job_card.job_description
A company is looking for a Registered Nurse Senior Medical Reviewer (Medicare Part B).
Key Responsibilities
Lead and provide guidance to staff in specialty programs, medical review, and utilization management
Monitor workflow and assist in managing workloads and quality reviews
Ensure compliance with quality plans and participate in special projects as needed
Required Qualifications, Training, and Education
Active, unrestricted RN licensure in the United States or a compact multistate 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 • Baltimore, Maryland, United States
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