Talent.com
Medical Review Specialist
Medical Review SpecialistChristian Healthcare Ministries • Barberton, OH, US
Medical Review Specialist

Medical Review Specialist

Christian Healthcare Ministries • Barberton, OH, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

The Medical Review Team at Christian Healthcare Ministries (CHM) is entrusted with representing the organization’s vision and mission, particularly regarding the determination of pre-existing conditions and alternative treatment protocols. Equipped with specialized training under the guidance of the Medical Director, this team continuously updates their insights into traditional medical standards and medical record reviews.

The Medical Review Specialist is responsible for reviewing, analyzing, and interpreting medical documentation to ensure accuracy, compliance, and alignment with CHM’s eligibility guidelines. This position requires a detail-oriented professional who can manage complex cases with compassion and uphold the values of CHM while working directly with members and staff.

WHAT WE OFFER

  • Compensation based on experience.
  • Faith and purpose-based career opportunity!
  • Fully paid health benefits
  • Retirement and Life Insurance
  • 12 paid holidays PLUS birthday
  • Lunch is provided DAILY.
  • Professional Development
  • Paid Training

ESSENTIAL JOB FUNCTIONS

  • Review medical records thoroughly to assess eligibility and appropriateness of medical services provided.
  • Analyze medical documentation to determine necessity, compliance, and alignment with CHM guidelines.
  • Conduct literature reviews and research to support evidence-based recommendations.
  • Stay abreast of medical research, industry trends, and regulatory changes to maintain current and relevant recommendations.
  • Communicate effectively with members, demonstrating compassion and professionalism while de-escalating tense situations.
  • Collaborate with CHM leadership, the Eligibility Review Supervisor, and the Medical Director to ensure consistency in decision-making.
  • Maintain strict confidentiality and safeguard all protected health information (PHI) in compliance with HIPAA and CHM policies.
  • Perform other job duties as assigned by management.
  • QUALIFICATIONS & COMPETENCIES

  • Strong analytical and critical thinking skills with the ability to interpret complex medical documentation.
  • Effective communication skills (written and verbal) with the ability to explain complex medical information clearly and with empathy.
  • Strong organizational skills with the ability to prioritize multiple cases and meet deadlines.
  • Proficiency in Microsoft Office Suite and ability to learn internal CHM systems and databases.
  • Collaborative spirit with the ability to work effectively within a team environment while upholding CHM’s mission.
  • Demonstrated integrity, trustworthiness, and commitment to CHM’s values.
  • EXPERIENCE REQUIREMENTS

  • Prior experience in medical record review, utilization review, or related healthcare role preferred.
  • Familiarity with HIPAA regulations and compliance standards.
  • Experience working with medical coding, health information systems, or EMR / EHR platforms is a plus.
  • Strong attention to detail and commitment to accuracy in all review processes.
  • PERFORMANCE EXPECTATIONS

  • Complete reviews accurately and within established timelines.
  • Maintain a high level of confidentiality, professionalism, and compliance with CHM policies.
  • Ensure positive interactions with members and staff through clear, compassionate communication.
  • Consistently support CHM’s mission and organizational goals through collaborative problem-solving and member-focused service.
  • PERFORMANCE EXPECTATIONS

  • Standard hours : Monday–Friday, 9 : 00 AM – 5 : 00 PM
  • Hybrid work potential available after successful completion of training and demonstration of performance standards.
  • Work is primarily sedentary, requiring extended periods of computer-based review and communication.
  • PHYSICAL & ENVIRONMENTAL REQUIREMENTS

  • Ability to remain in a stationary position for long periods while reviewing medical records.
  • Frequent use of computer, keyboard, and other office equipment.
  • Occasional lifting of up to 20 pounds (e.g., files or records).
  • Work performed in a professional office environment with moderate noise levels.
  • About Christian Healthcare Ministries

    Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other’s medical bills. The mission of CHM is to glorify God, show Christian love, and experience God’s presence as Christians share each other’s medical bills.

    Create a job alert for this search

    Medical Review Specialist • Barberton, OH, US

    Related jobs
    Local Contract CVOR Technologist

    Local Contract CVOR Technologist

    Ethos Medical Staffing • Akron, OH, US
    Full-time
    Ethos Medical Staffing is seeking a local contract CVOR Technologist for a local contract job in Akron, Ohio.Job Description & Requirements. Ethos Medical Staffing Job ID #35043238.Posted job ti...Show more
    Last updated: 27 days ago • Promoted
    Travel Medical-Surgical Telemetry RN

    Travel Medical-Surgical Telemetry RN

    CrossMed • Akron, OH, US
    Full-time
    CrossMed is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Akron, Ohio.Job Description & Requirements. At CrossMed Healthcare Staffing, we aim to create lasting impre...Show more
    Last updated: 30+ days ago • Promoted
    Travel Medical-Surgical Telemetry RN

    Travel Medical-Surgical Telemetry RN

    Nightingale Nurses • Akron, OH, US
    Full-time
    Nightingale Nurses is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Akron, Ohio.Job Description & Requirements. You may not realize it, but as an RN with real world ...Show more
    Last updated: 30+ days ago • Promoted
    Locum Physician (MD / DO) - Urgent Care in Massillon, OH

    Locum Physician (MD / DO) - Urgent Care in Massillon, OH

    LocumJobsOnline • Massillon, OH, US
    Full-time
    LocumJobsOnline is working with Lancesoft Inc to find a qualified Urgent Care MD in Massillon, Ohio, 44646!.We are currently seeking a Locum Tenens Urgent Care Physician for coverage at the Client’...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    Fusion Medical Staffing-Nursing • Akron, OH, US
    Full-time
    Fusion Medical Staffing-Nursing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Akron, Ohio. Job Description & Requirements.Fusion Medical Staffing is seeking a Med...Show more
    Last updated: 30+ days ago • Promoted
    Travel Medical / Surgical RN with Epic Experience

    Travel Medical / Surgical RN with Epic Experience

    Planet Healthcare • Akron, OH, US
    Full-time
    Planet Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Akron, Ohio.Job Description & Requirements. Planet Healthcare Job ID #74138034.Pay package is based on 12 hour...Show more
    Last updated: 13 days ago • Promoted
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    Reliant Staffing Solutions / RSS Medical • Akron, OH, US
    Permanent
    Reliant Staffing Solutions / RSS Medical is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Akron, Ohio. Job Description & Requirements.Resume must include EPIC usage fo...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Med Surg

    Travel Nurse RN - Med Surg

    Junxion Med Staffing • Akron, OH, US
    Permanent
    Junxion Med Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Akron, Ohio.Job Description & Requirements. Junxion Med Staffing is looking for a Med surg RN to take an as...Show more
    Last updated: 30+ days ago • Promoted
    RN Clinical Consultant - ADA Medical Accommodation Review - $85 / hr (Remote)

    RN Clinical Consultant - ADA Medical Accommodation Review - $85 / hr (Remote)

    KMG Healthcare • Cleveland, OH, United States
    Remote
    Full-time
    RN Clinical Consultant - ADA Medical Accommodation Review.This is a 100% remote / work from home position.Monday to Friday / 40 hours per week. Work from home / remote position.End Date : 12 / 31 / 2025 (pos...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    Trustaff • Akron, OH, US
    Full-time
    Trustaff is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Akron, Ohio.Job Description & Requirements. As a MS / Telemetry RN, you'll provide care for adult patient...Show more
    Last updated: 30+ days ago • Promoted
    Travel Medical-Surgical Telemetry RN

    Travel Medical-Surgical Telemetry RN

    Reliable Nurse Staffing • Akron, OH, US
    Full-time
    Reliable Nurse Staffing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Akron, Ohio.Job Description & Requirements. Reliable Nurse Staffing Job ID #58091816.Pay pac...Show more
    Last updated: 15 hours ago • Promoted • New!
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    Bestica • Akron, OH, US
    Full-time
    Bestica is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Akron, Ohio.Job Description & Requirements. We are a trusted provider of solutions in Information Technology...Show more
    Last updated: 8 days ago • Promoted
    Travel Med / Surg Telemetry RN

    Travel Med / Surg Telemetry RN

    Go Healthcare • Akron, OH, US
    Full-time
    Go Healthcare is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Akron, Ohio.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 hours per we...Show more
    Last updated: 9 days ago • Promoted
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    The Good Life MedStaff • Cleveland, OH, US
    Full-time
    The Good Life MedStaff is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Cleveland, Ohio.Job Description & Requirements. The Good Life MedStaff Job ID #34961008.Pay p...Show more
    Last updated: 30+ days ago • Promoted
    Medical Review Specialist

    Medical Review Specialist

    Christian Healthcare Ministries • Barberton, OH, US
    Full-time
    The Medical Review Team at Christian Healthcare Ministries (CHM) is entrusted with representing the organization's vision and mission, particularly regarding the determination of pre-existing condi...Show more
    Last updated: 30+ days ago • Promoted
    Travel Medical-Surgical Telemetry RN

    Travel Medical-Surgical Telemetry RN

    LRS Healthcare - Travel Nursing • Akron, OH, US
    Permanent
    LRS Healthcare - Travel Nursing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Akron, Ohio. Job Description & Requirements.LRS Healthcare - Travel Nursing Job ID #...Show more
    Last updated: 22 days ago • Promoted
    Travel Nurse - RN - MS / TELE - Medical Surgical / Telemetry - $1897.2 / Week

    Travel Nurse - RN - MS / TELE - Medical Surgical / Telemetry - $1897.2 / Week

    CrossMed Healthcare • Akron, OH, US
    Full-time
    CrossMed Healthcare is seeking an experienced Medical Surgical / Telemetry Registered Nurse for an exciting Travel Nursing job in Akron, OH. Shift : 12 hr nights Start Date : 12 / 14 / 2025 Duration : 13 wee...Show more
    Last updated: 10 days ago • Promoted
    Travel Medical-Surgical Telemetry RN

    Travel Medical-Surgical Telemetry RN

    GHR Healthcare - Travel Division • Akron, OH, US
    Full-time
    GHR Healthcare - Travel Division is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Akron, Ohio. Job Description & Requirements.GHR Healthcare - Travel Division Job ID...Show more
    Last updated: 30+ days ago • Promoted