Medical Review Nurse (Rails)

Acuity International•Cape Canaveral, FL

2d•Onsite

About The Position

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. Job Summary: Under general supervision of the Program Manager (PM) and reporting to the PM, the Medical Review Nurse (MRN) is responsible for the initial chart review and chart case management for medical exam/screening programs to verify that all medical information and exam components are accurate. The RN works directly with Physicians and Examinees to ensure all medical information is gathered and performs medical Quality Assurance on all charts in various process stages leading to a final determination. Candidate must be local to the Cape Canaveral, Florida area.

Requirements

5-7 years of relevant experience.
Fully unencumbered nursing license required.
Proficiency with computer and common office equipment, as well as with MS Office products.
Must be able to multitask, be flexible, be organized, and have excellent oral and written communication skills as well as exceptional attention to detail.

Nice To Haves

COHN-S and/or CAOHC certifications
Bachelor’s Degree with 5 years of relevant experience
Flexibility and availability to travel and assist to support medical mobile events as either site lead and/or RN

Responsibilities

Performs medical review of incoming charts to determine if additional medical information is needed.
Collaborates with Physician(s) and other internal nursing staff members for chart review.
Performs medical Quality Assurance (QA) on all charts in various process stages.
Interfaces with Client’s Medical Department as well as the on-site provider.
Contacts Examinee via telephone or email to clarify information necessary to complete the chart.
Develops a very good understanding of the specific contract’s guidelines and addendums as required.
Masters the various software programs specific to the functioning of the exam program.
Implements and follows up on requests for further evaluation from the Examinee when required.
Works closely with other departments to provide accurate and quality outcomes.
Thoroughly cognizant of metrics and organizes workload to meet them.
Consistently learns and applies codified state and federal regulations specific to particular contract(s).
Serve as backup to other nurses for daily duties and assists with follow-up calls to facilities and Examinees as needed as well as other duties as assigned.
Opportunity to travel and assist on medical mobile events as either a site lead and/or RN as work or personal schedule permit.
May participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems, and maintain a specific level of knowledge pertaining to new developments, new task efforts, contract awards, and new policy requirements.
Supports marketing and sales objectives and efforts as requested.
Performs duties in a safe manner. Follows the corporate safety policy. Participates and supports safety meetings, training, and goals. Ensures safe operating conditions within an area of responsibility. Encourages co-workers to work safely. Identifies “close calls” and/or safety concerns to supervisory personnel. Maintains a clean and orderly work area.
Assists in the active implementation of company initiatives to ensure compliance with OSHA VPP, ISO, JCAHO, AAAHC, and other mandated regulations/standards.
May serve on the OSHA VPP, Safety, and Wellness Committees.