Talent.com
RN Clinical Reviewer

RN Clinical Reviewer

CBIZUSA, Indiana, Indianapolis
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Myers and Stauffer LC is a certified public accounting and health care reimbursement consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 20 offices and have over 900 associates nationwide.

At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government healthcare clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team.

What We Offer :

  • Health, Dental, and Vision insurance along with other competitive employee benefits
  • Vacation time, sick time, paid holidays, and two floating holidays
  • Paid Parental Leave and available support resources
  • 401K with company matching for eligible employees
  • Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks
  • A combination of technical and leadership development training at each career milestone
  • Up to six counseling sessions per year for eligible employees through our Employee Assistance Program

Position Overview :

The RN Clinical Reviewer will independently review / audit nursing facility medical records relating to the Minimum Data Set (MDS). Applicant may be a 100% remote employee.

Essential Functions :

  • Review resident medical records for accuracy, completeness and consistency with professional standards
  • Participate in remote and on-site field examinations of Medicaid providers to review clinical documentation
  • Successfully interact with providers in a professional manner, developing rapport and enhancing business relationships
  • Maintain security of and confidentiality of all Protected Health Information (PHI)
  • Additional responsibilities as assigned
  • Requirements :

  • Bachelor's degree in Nursing or other related health care field required (Associate's Degree from accredited nursing school with related experience may be substituted in lieu of a bachelor's degree)
  • Must be a licensed Registered Nurse (RN)
  • Minimum 3 years of long term care experience required; 5 years preferred
  • MDS experience preferred
  • Experience and knowledge of State and Federal healthcare regulations in long term care
  • Knowledge of Medicaid reimbursement and coverage policies desired
  • Proficient use of applicable software programs, including Microsoft Windows, Word, Excel
  • Strong verbal and written communication skills
  • Ability to manage multiple deadlines and prioritize assignments
  • Ability to work in a team environment
  • Well organized with a high degree of accuracy and attention to detail
  • Must be able to travel based on client and business needs (up to 20% Travel)
  • The Team :

    Myers and Stauffer takes pride in the welcoming and collaborative culture we have throughout our offices. For this position, the employee will report to one of our Senior Managers on the Nursing Facility Rate Setting & MDS engagement team.

    Work Style :

    This is a fully remote position with a hoteling option available for candidates who live near one of our 20 office locations. Our general business hours are Monday through Friday 8am-5pm, but can vary based on business needs. Dependent on performance, our in-office associates are eligible for a hybrid work schedule after their initial 90-day training period. As a company, we are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.

    Typical Interview Process :

  • Phone Screen with a Recruiter
  • In person or remote interview with the hiring manager & team
  • Hiring decision and job offer
  • In compliance with states that have an active pay transparency law, the annual salary target for this job in this market is $78,000-$85,000. The specific compensation for this role will be determined based on education, experience and skill set of the individual selected for this position.

    The compensation above is not representative of an employee's total compensation. Beyond income, you have access to : comprehensive medical and dental insurance, retirement savings, life and disability insurance, health care and dependent care reimbursement accounts, certification incentives, education assistance, referral program and much more.

    #LI-HW1

    #LI-Remote

    serp_jobs.job_alerts.create_a_job

    Clinical Rn • USA, Indiana, Indianapolis

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    RN Clinical Quality Manager

    RN Clinical Quality Manager

    VirtualVocationsIndianapolis, Indiana, United States
    serp_jobs.job_card.full_time
    A company is looking for a Clinical Quality Manager - Population Health - Medicare Advantage (MA).Key Responsibilities Lead system-wide population health projects and initiatives, developing impl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    RN National Clinical Auditor

    RN National Clinical Auditor

    VirtualVocationsSouthport, Indiana, United States
    serp_jobs.job_card.full_time
    A company is looking for a National Clinical Compliance Auditor.Key Responsibilities Plan and conduct operational, compliance, and regulatory audits Prepare detailed audit reports and present fi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    RN

    RN

    ASSISTING YOUR LOVED ONES HOMECARE LLCFishers, IN, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Assisting Your Loved Ones HomeHealth is looking for a Registered Nurse to join our team.This person is responsible for assisting physicians while providing treatment to patients with a variety of m...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse - RN - ER - Emergency Room - $2198.23 / Week - Hiring Now

    Travel Nurse - RN - ER - Emergency Room - $2198.23 / Week - Hiring Now

    Medical SolutionsFranklin, IN, US
    serp_jobs.job_card.full_time
    Medical Solutions is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Franklin, IN. Shift : 3x12 hr days Start Date : 12 / 22 / 2025 Duration : 13 weeks Pay : $21...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    RN

    RN

    Fresenius Medical CareIndianapolis, IN, United States
    serp_jobs.job_card.full_time
    Indy North Acutes – Hospital Setting.Paid Training in dialysis provided!.Coverage for area hospitals in Northern Indianapolis IN. The professional registered nurse Inpatient Services RN CAP 1 is an ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Texas Licensed Clinical Genetics Reviewer

    Texas Licensed Clinical Genetics Reviewer

    VirtualVocationsIndianapolis, Indiana, United States
    serp_jobs.job_card.full_time
    A company is looking for Board Certified Physician Reviewers in Clinical Genetics with a Texas license.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in peer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    RN Clinical Auditor

    RN Clinical Auditor

    VirtualVocationsSouthport, Indiana, United States
    serp_jobs.job_card.full_time
    A company is looking for an RN Clinical Auditor.Key Responsibilities Perform clinical audit reviews for government and commercial payers to ensure compliance and quality standards Analyze medica...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Acute Inpatient Registered Nurse - RN

    Acute Inpatient Registered Nurse - RN

    Fresenius Medical CareAnderson, Indiana, US
    serp_jobs.job_card.full_time
    Anderson Acutes – Hospital Setting Paid training in dialysis provided! Full-Time (40 hours per week) Coverage for area hospitals in Anderson IN PURPOSE AND SCOPE : The professional registered nurse ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    RN Licensed Clinical Quality Manager

    RN Licensed Clinical Quality Manager

    VirtualVocationsIndianapolis, Indiana, United States
    serp_jobs.job_card.full_time
    A company is looking for a Clinical Quality Manager for Population Health focused on the Medicare Shared Savings Program (MSSP). Key Responsibilities Leads system-wide population health projects a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Indiana Licensed Clinical Supervisor RN

    Indiana Licensed Clinical Supervisor RN

    VirtualVocationsSouthport, Indiana, United States
    serp_jobs.job_card.full_time
    A company is looking for a Clinical Supervisor - RN - Full-time (Remote U.Key Responsibilities Lead and oversee all Utilization Management (UM) activities, ensuring accuracy and timely completion...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    RN Clinical / Branch Manager

    RN Clinical / Branch Manager

    Interim HealthCareGreenwood, IN, US
    serp_jobs.job_card.full_time +1
    Our Home Health RN Branch Manager / Clinical Manager have been called to lead when they're needed most.As a member of our home health leadership team, you'll provide oversight to a team that is pro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse - RN - ER - Emergency Room - $2272 / Week

    Travel Nurse - RN - ER - Emergency Room - $2272 / Week

    Cynet HealthFranklin, IN, US
    serp_jobs.job_card.full_time
    Cynet Health is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Franklin, IN. Shift : 3x12 hr days Start Date : 12 / 22 / 2025 Duration : 13 weeks Pay : $2272 / ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Registered Nurse Clinical Reviewer

    Registered Nurse Clinical Reviewer

    VirtualVocationsSouthport, Indiana, United States
    serp_jobs.job_card.full_time
    A company is looking for a Clinical Reviewer RN - PRN.Key Responsibilities Review medical records for accuracy and compliance with contract requirements Manage daily workload and adjust schedule...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Travel Nurse - RN - ER - Emergency Room - $2198.23 / Week

    Travel Nurse - RN - ER - Emergency Room - $2198.23 / Week

    Medical SolutionsFranklin, IN, US
    serp_jobs.job_card.full_time
    Medical Solutions is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Franklin, IN. Shift : 3x12 hr days Start Date : 12 / 22 / 2025 Duration : 13 weeks Pay : $21...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    RN Clinical Manager

    RN Clinical Manager

    CenterWell Home HealthAvon, IN, US
    serp_jobs.job_card.full_time
    Become a part of our caring community and help us put health first.This is not a remote or work-from-home position.This position requires you to sit on-site at our. This role is a focused on both ho...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    North Carolina RN Coordinator

    North Carolina RN Coordinator

    VirtualVocationsIndianapolis, Indiana, United States
    serp_jobs.job_card.full_time
    A company is looking for an RN Coordinator - Utilization Review Behavioral Health Remote PRN Days.Key Responsibilities Identify clinical, financial, and psychosocial needs of patients and guide t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Travel Nurse - RN - ER - Emergency Room - $2196 / Week

    Travel Nurse - RN - ER - Emergency Room - $2196 / Week

    Host HealthcareFranklin, IN, US
    serp_jobs.job_card.full_time
    Host Healthcare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Franklin, IN. Shift : Inquire Start Date : 12 / 22 / 2025 Duration : 13 weeks Pay : $2196 / We...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Travel Nurse - RN - ER - Emergency Room - $2070 / Week

    Travel Nurse - RN - ER - Emergency Room - $2070 / Week

    Fusion Medical StaffingFranklin, IN, US
    serp_jobs.job_card.full_time
    Fusion Medical Staffing is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Franklin, IN. Shift : Inquire Start Date : 12 / 22 / 2025 Duration : 13 weeks Pay : $2...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day