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Registered Nurse Medical Review ManagerVirtualVocations • Baltimore, Maryland, United States
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Registered Nurse Medical Review Manager

Registered Nurse Medical Review Manager

VirtualVocations • Baltimore, Maryland, United States
8 days ago
Job type
  • Full-time
Job description
A company is looking for a Medical Review Manager - Federal Health (CMS). Key Responsibilities Own and administer the quality assurance process for all medical record reviews Manage inter-reviewer reliability and ensure consistent clinical determinations across the review team Serve as the primary point of contact with CMS for medical review operations Required Qualifications Active Registered Nurse (RN) licensure required Minimum 5 years of clinical experience in an acute care hospital, skilled nursing facility, or office/clinic setting Extensive knowledge of Medicare program coverage and payment rules Demonstrated experience in the analysis and processing of Medicare claims Advanced degree in Nursing, Healthcare Administration, or a closely related field required
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Registered Nurse Medical Review Manager • Baltimore, Maryland, United States

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