Casual Medical Review Nurse (USDA)

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Pay:

This position pays $32.00 - $33.17 per hour

Duties and 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.
• Use of a government-furnished PIV card and/or laptop will be required.

Acuity International is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, national origin, age, protected veteran status, or disability status.

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