RN Clinical Reviewer jobs in United States
cer-icon
Apply on Employer Site
company-logo

Myers and Stauffer LC · 1 month ago

RN Clinical Reviewer

Myers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services. They are seeking an RN Clinical Reviewer to independently review and audit nursing facility medical records relating to the Minimum Data Set (MDS).

AccountingConsultingData ManagementFinancial ServicesHealth Care
check
Work & Life Balance

Responsibilities

Review resident medical records for accuracy, completeness and consistency with professional standards
Participate in remote and on-site field examinations of Medicaid providers to review clinical documentation
Successfully interact with providers in a professional manner, developing rapport and enhancing business relationships
Maintain security of and confidentiality of all Protected Health Information (PHI)
Additional responsibilities as assigned

Qualification

Licensed Registered Nurse (RN)MDS experienceLong-term care experienceHealthcare regulations knowledgeMedicaid reimbursement knowledgeMicrosoft WindowsMicrosoft WordMicrosoft ExcelVerbal communication skillsWritten communication skillsTeamworkOrganizational skillsAttention to detail

Required

High school diploma or GED

Preferred

Bachelor's degree in Nursing or other related health care field required (Associate's Degree from accredited nursing school with related experience may be substituted in lieu of a bachelor's degree)
Licensed Registered Nurse (RN)
3 years of long-term care experience; 5 years preferred
MDS experience preferred
Experience and knowledge of State and Federal healthcare regulations in long term care
Knowledge of Medicaid reimbursement and coverage policies desired
Proficient use of applicable software programs, including Microsoft Windows, Word, Excel
Strong verbal and written communication skills
Ability to manage multiple deadlines and prioritize assignments
Ability to work in a team environment
Well organized with a high degree of accuracy and attention to detail
Must be able to travel based on client and business needs (up to 20% Travel)

Benefits

Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates
Vacation time, sick time, and paid holidays
Paid Parental Leave and available support resources
401K with company matching for eligible employees
Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks
A combination of technical and leadership development training at each career milestone
Up to six counseling sessions per year for eligible employees through our Employee Assistance Program

Company

Myers and Stauffer LC

company-logo
Myers and Stauffer LC is a nationally-based public accounting firm specializing in accounting, consulting, data management and analysis services to state and federal agencies managing government-sponsored health care programs.

Funding

Current Stage
Late Stage

Leadership Team

leader-logo
Jennifer Isleib
Chief Financial Officer
linkedin
leader-logo
Joe Miles
Chief Information Officer
linkedin
Company data provided by crunchbase