Remote Government Medical Review Nurse Team Lead

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Fri, Sep 25, 2020

This job expires in 1 days

Job Category: Financial, Healthcare

Remote Level: 100% Remote

Employer Type: Employer

Career Level: Experienced, Senior Level

Job Summary

A financial services company is searching for a person to fill their position for a Remote Government Medical Review Nurse Team Lead.

Candidates will be responsible for the following:

  • Supporting inventory management and makes staff assignment recommendations
  • Assisting in the development, maintenance, and training of Medical Review Guidelines
  • Actively providing recommendations for audit

Qualifications Include:

  • Current active unrestricted RN license in good standing
  • Minimum of 3 years diversified nursing experience providing direct care in an inpatient or outpatient setting
  • 5+ years progressive professional relevant experience in medical record utilization review function at a senior level
  • 5+ years experience in health care claims that demonstrates expertise in ICD-9/ICD-10 coding
  • Demonstrated strong verbal and written communication skills
  • Self starter /works with minimum supervision