Broadway Ventures

Medical Reviewer (Remote)

New Mexico: eligible, according to the employer's posting.
Who can apply: Open in US states except: California, Colorado, Connecticut, District of Columbia, Hawaii, Illinois, Massachusetts, Maryland, North Dakota, New Jersey, New York, Ohio, Oregon, Rhode Island, Washington, Wyoming.
Location as listed by the employer: “United States - Remote”
Apply on Broadway Ventures's site ↗

Opens the employer's official application page.

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About this role

Broadway Ventures is hiring for a Medical Reviewer (Remote) role. See the official posting for full details.

Requirements

  • License: Active, unrestricted RN license in the U.S. and in the state of hire, or an active, unrestricted multistate RN license under the Nurse Licensure Compact.
  • Education: Associate’s degree in nursing or graduate of an accredited school of nursing.
  • Experience: 2 years of clinical experience plus 2 years in utilization or medical review, quality assurance, or home health.
  • Clinical Background: Home health, rehabilitation, and/or broad medical-surgical experience.
  • Skills: Working knowledge of criteria and protocol sets, managed care, and health care delivery systems; proficiency in Microsoft Office; strong written and verbal communication; sound judgment and critical thinking; ab…
  • Clearance: Must be able to pass the CMS background investigation and complete fingerprinting and EUA/system access clearance in a timely manner.
  • Bachelor of Science in Nursing (BSN)
  • 5 years of clinical experience plus 3 years in utilization or medical review, quality assurance, or home health

Summarized from the employer's posting — check the full posting for every requirement.