Remote - Medical Review Nurse (RN)

Charlotte, NC 28299

Posted: 09/05/2024 Category: Nursing Job Number: ademoss2890

Job Description

A-Line Staffing Solutions is looking to hire REMOTE Medical Review Nurse (RN)!!! Remote to North Carolina - Full-time! Starting ASAP!!

**MUST reside in North Carolina with an active state license as a RN in North Carolina**

Medical Review Nurse:

  • $38.00 - $42.00 p/hr - PAID WEEKLY with Heath benefits after 90 days of full time employment!
  • Full-Time: 8:00am - 5:00pm, EST-  8hours per day 40hours per week
  • Fully Remote: 100% Work From Home **Must Reside in North Carolina**
  • CONTRACT ONLY: 3-6+ months

What does the Medical Review Nurse do?

  • Assist with retrieval of medical records.
  • Works with the HEDIS team to collect member records by contacting providers and placing collected records into database utilized
  • Required to handle a high-volume of inbound and outbound calls with provider offices
  • Continued follow up on requested medical records until obtained
  • Excellent documentation of research and contact information
  • Labeling records with appropriate naming convention
  • Loading medical records to abstraction database
  • TBD but likely 40 – 50 calls/faxes per day

 Medical Review Nurse Requirements:

  • Active RN License required in the state of North Carolina
  • Prior HEDIS Medical Record Review experience HIGHLY preferred
  • Excel, Medical record software experience

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