Medical Review Nurse
B
Broadway VenturesHealthcare Consulting
Remote U.S., Monday-Friday, 8:00 AM – 4:30 PMContractMiddle
Salary31.25 USD per hour
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Job Details
- Experience
- Two years of clinical experience plus two years of experience with utilization/medical review, quality assurance or end stage renal disease/dialysis.
- Required Skills
- Microsoft OfficeQuality Assurance
Requirements
- Active, unrestricted RN licensure in the United States and in the state of hire or active compact multistate unrestricted RN license.
- Associate Degree in Nursing or graduate of an accredited School of Nursing.
- Two years of clinical experience.
- Two years of experience with utilization/medical review, quality assurance, or end stage renal disease/dialysis.
- Strong clinical background in dialysis, managed care, home health, rehabilitation, and/or medical-surgical settings.
- Proficiency with word processing software and Microsoft Office.
- Ability to work independently, prioritize tasks, and make sound decisions.
- Ability to handle confidential information with discretion.
- Proficient with computers, including the ability to use multiple screens and programs simultaneously.
- High-speed internet (non-satellite) and a private, lockable home office.
Responsibilities
- Conduct ESRD medical record reviews comparing medical record documentation to EQRS and NHSN to determine accuracy and timely reporting.
- Determine and classify discrepancies found based on the type and severity of errors.
- Categorize errors including missing data, incorrect values, and data entered in the wrong fields.
- Participate in quality control activities to support corporate and team objectives.
- Assist with special projects or responsibilities as assigned by management.
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