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Medical Review Nurse

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The Opportunity

We're looking for a Medical Review Nurse, working in the Insurance industry in Albuquerque, New Mexico, United States.

  • Performs medical record reviews and abstracts HEDIS data according to the HEDIS technical specifications to include over-reads.
  • Collaborates with the HEDIS vendor and performs over-read on reviews.
  • Performs administrative functions including medical record request, faxes, and calls to members and providers as needed.
Details

The pay range we are offering is 34 to 35 per hour. This position may present an opportunity to go permanent.

Our Client

Our client is a fast-growing industry-recognized staffing firm.  Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent.  With 20+ years’ experience and growth. 

Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services.  Working to bring top talent together with premier organizations.

Big enough to have great opportunities.  Small enough to care about finding the right one for you. 

It’s about relationships based on mutual interest.  The results are low turnover, long-lasting partnerships and growth.  Want to work for a company invested in your success?

Experience Required for Your Success
  • 2 years of related work experience
  • Active RN/LPN License
  • Experience with medical record/quality review experience
  • Experience applying nationally recognized criteria
  • HEDIS/Stars experience preferred
  • Knowledge of medical terminology
  • Proficient in Microsoft Office (Word, Excel, Outlook) as well as Internet research skills
What Do You Think?

Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible? Apply here.

Not exactly? Join Our Talent Community, and we'll let you know of additional opportunities.