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Medical Review Manager
LivantaLLC Annapolis, MD
$90k-111k (estimate)
Full Time | Business Services 6 Days Ago
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LivantaLLC is Hiring a Medical Review Manager Near Annapolis, MD

SummaryThe MR Manager shall be primarily responsible for ensuring adherence with the MR function of the Contractor. The MR Manager shall be in direct communication with the Program Director and provide technical assistance to the CMS CERT staff, as necessary
Responsibilities
  • The MR Manager shall possess a combination of experience meeting the following criteria:
  • A minimum of three years of experience practicing nursing as a licensed Registered Nurse
  • A minimum of three years of supervisory/managerial experience in the health insurance industry, a utilization review firm, or another health care claims processing organization involving medical and coding reviews of a variety of medical and surgical claims from a variety of provider types
  • Extensive knowledge of the Medicare program, particularly the coverage and payment rules
Qualifications And RequirementsEducation, Licensure, and Certification:
  • Bachelor’s Degree in Nursing
  • Current Registered Nurse Licensure
  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) Certification or coding knowledge and experience with active enrollment in CPC/CSS certification course to be obtained within twelve months
Desired Characteristics
The ideal candidate will work well in a team environment.
Posted:7 days agoLocations:MarylandAnnapolis Junction, MD 20701
Career Level:ManagerDepartment:Medical ProfessionalsClearance Requirement:Not applicableTelecommuting options:Full-time telecommuting is okay
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$90k-111k (estimate)

POST DATE

06/22/2024

EXPIRATION DATE

07/18/2024

WEBSITE

livanta.com

HEADQUARTERS

ANNAPOLIS JUNCTION, MD

SIZE

200 - 500

FOUNDED

2004

TYPE

Private

CEO

MARIA CASCHETTA

REVENUE

$10M - $50M

INDUSTRY

Business Services

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About LivantaLLC

Livantais a consultancy firm that stores and analyses data related to health information technology.

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