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Medical Review Nurse (3207) buy in US, Free Classifieds Ads

CHSi has more than 35 years' experience applying best practices to help employers to reduce health care costs, reduce lost time, assure 100% Medical compliance through tailored services to various workforce configurations--consolidated, dispersed, mobile, or virtual. Employing a three-fold service delivery model, CHSi fulfills occupational health services through worksite health programs, extensive national network of health care providers, and Medical readiness teams domestically and internationally.
CHSi has a full time Medical Review Nurse opening in our Cape Canaveral, FL office.
SCOPE:
Under general supervision, this position is responsible for the initial chart review on a medical exam/screening program. Works directly with physicians and candidates to ensure all medical information is gathered for a final medical determination of employment eligibility/examination satisfaction. Reports to the Nurse or Program Manager.
Qualifications:
Fully unencumbered nursing license in the state of FL is required. Bachelor's degree, COHN-S, CAOHC, and/or case management experience a plus. Proficiency with computer and common office equipment, as well as with MS Office products required. Must be able to multitask, be flexible, be organized and have excellent oral and written communication skills as well as exceptional attention to detail.
DUTIES AND Responsibilities:
o Performs medical review of incoming charts to determine if additional medical information is needed.
o Collaborates with physician(s) and other internal nursing staff members for chart review
o Performs Quality Assurance (QA) on all charts in various process stages.
o Interfaces with client's Medical Department as well as the on-site provider.
o Contacts examinee via telephone or email to clarify information necessary to complete the chart.
o Develops a very good understanding of the specific contract's guidelines and addendums as
o Masters the various software programs specific to the functioning of the exam program.
o Implements and follows up on requests for further evaluation from examinee when required.
o Works closely with other departments to provide accurate and quality outcomes.
o Thoroughly cognizant of metrics and organizes workload to meet them.
o Consistently learns and applies codified state and federal regulations specific to particular contract(s).
We are an equal opportunity employer. Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, color or any other protected class.
Interested canidates should apply online today!
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