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Remote Medical Review Nurse (Full-time Temporary)

Company: Integrity Management Services, Inc.
Location: Las Vegas
Posted on: January 16, 2022

Job Description:

  • This is a remote full-time employee temporary position, December 2021 through July 2022, with the possibility to extend*
  • Candidates MUST have 3-5 years of prior Medical Review experience.*

    Integrity Management Services, Inc. (IntegrityM) is an award-winning woman-owned small business specializing in assisting government healthcare organizations prevent and detect fraud and abuse in their programs.

    At IntegrityM, we offer a culture of opportunity, recognition, and collaboration. We thrive off of these fundamental elements that make IntegrityM a great place to work. We offer the flexibility our employees need to challenge themselves and focus on advancing their professional development and careers. Large company perks. Small company feel.

    We are seeking a Medical Review Nurse (RN) with medical review experience to join our team. The position requires the individual to conduct medical record reviews and to apply sound clinical judgment to claim payment decisions.

    Responsibilities may include additional research on medical claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools to detect situations of potential fraud and to support the ongoing fraud investigations and requests for information.

    • Current RN license
    • 3+ years' clinical experience
    • 3+ years in Medical Review work
    • Working knowledge of Medicare
    • Excellent communication skills
    • Demonstrated prioritization, problem solving, and organization skills
    • Strong computer skills including Microsoft Office proficiency

      Enthusiastic individuals who can work effectively in a dynamic environment both in a team as well as independently is a must!

      All candidates MUST pass a background check and drug screening prior to employment. Local candidates preferred.

      With a highly professional staff of data analysts, statisticians, medical professionals, auditors, investigators, evaluators, and regulatory analysts, IntegrityM focuses on helping ensure the integrity of healthcare program regulations and policy.

      Services offered by IntegrityM include:
      • Data aggregation and claims analysis
      • Regulatory Analysis
      • Audits
      • Investigations
      • Medical Review
      • Evaluations
      • Program compliance, oversight, and review

        Integrity Management Services, Inc. does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.

Keywords: Integrity Management Services, Inc., Las Vegas , Remote Medical Review Nurse (Full-time Temporary), Healthcare , Las Vegas, Nevada

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