We're looking for a Review Nurse, working in the Insurance industry in Albuquerque, New Mexico, United States.
Manage an assigned caseload of provider locations and provide verbal and written progress reports regarding the status of each provider’s submission of requested medical records.
Request medical records via most appropriate method, depending on each provider (fax, email, mail or site visits, using secure external drive or scanning, etc.) to abstract medical record documentation for Health Effectiveness Data and Information Set (HEDIS).
Organize, schedule, and conduct on-site medical record abstraction visits as needed.
Communicate with assigned providers to ensure compliance to requests.
The pay range we are offering is 31 to 32 per hour. This position may present an opportunity to go permanent.
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
Registered Nurse with unrestricted license
3 years of clinical experience
Knowledge of medical terminology and standard medical practices
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.