Medical Reviews RN
- Complete retrospective review of medical records to flag findings of potential quality of care and/or utilization issues
- Support other elements of project delivery including backup support for medical necessity appeals and standard of care reviews
- Ability to work independently and collaborate as part of a team
- Effective written and verbal communication skills
- Meticulous attention to detail and quality of work product
- Ability to build and sustain professional relationships
- Ability to lead projects or workstreams
- Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
- Strong interpersonal skills and professional demeanor
- Ability to meet deadlines
- Ability to provide clear guidance to others
- High school diploma, GED, or equivalent experience
- 3+ years of experience as a Registered Nurse
- Active Secret security clearance required
- Ability to travel 0-30%, on average, based on the work you do and the clients and industries/sectors you serve
- Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
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