What are the responsibilities and job description for the Nurse Review Coordinator position at National Medical Reviews?
Job Description
Job Description
Clinical Nurse Review Coordinator
This position is remote.
REQUIRED - active nursing license
National Medical Reviews, Inc. (NMR) is looking for a licensed RN for a full-time salaried position Monday-Friday for medical record review.
National Medical Reviews, Inc. (NMR) is an URAC accredited Independent Review Organization. NMR’s mission is to provide high-quality, objective, independent and expedient medical review services.
The core business of NMR is providing independent medical reviews for all types of benefit disputes and quality of care issues in both the medical management and workers’ compensation settings. NMR provides expedient, unbiased, and expert opinions in a full range of utilization review services for both medical / surgical and behavioral health coverage addressing adverse determinations at the first, second and third level of review, as well as initial determinations.
These reviews include issues pertaining to medical necessity, experimental / investigational, administrative and quality of care concerns (for fraud, waste and abuse).
The role of the Nurse Review Coordinator (RC) is to coordinate the case review process. The RC will work with our administrative staff and panel of physician peer reviewers to answer the questions posed by our clients. The RC is responsible for the quality review of the physician's report. We need your clinical knowledge – do not worry about the process. We will teach you that!
This position is hybrid.
1 hybrid position available now.
Responsibilities :
- Collaborate telephonically and electronically with industry professionals (case managers, appeals coordinators, physician reviewers etc.)
- Summarize and produce well-written reports
- Interact with clients and resources throughout the United States
- Coordinate with non clinical administrative support staff to ensure quality and strict timelines are maintained
Requirements :
Education & Background
NMR provides a supportive, team-oriented work environment with an ongoing mentoring process. Training on medical records review and appeals procedures is provided.'
Benefits :
This Company Describes Its Culture as :
Relocation Assistance Provided :
Schedule :
This Job Is Ideal for Someone Who Is :
Job Type : Full-time
Salary : $60-65,000.00 per year
Benefits :
Schedule :
License / Certification :
Work Location : Remote in Warminster, PA 18974
Salary : $60,000 - $65,000
