Medical Case Reviewer PHRN (Remote)

Job Title

Responsibilities:

• Accountable for daily management of assigned cases, adhering to client turnaround time, and department Standard Operating Procedures.
• Complete preliminary review of medical cases ensuring all tasks are completed in a timely fashion.
• Maintain productivity standards with speed and accuracy.
• Support non-clinical staff with clinically related questions or issues that arise related to case review.
• If needed, actively cross-trains to perform reviews of multiple case types to provide a flexible workforce to meet client needs.
• Assist team members with questions, participates in team meetings.
• Participates in ongoing training programs to ensure quality performance in compliance with applicable standards and regulations.
• Recommend new methods to improve departmental procedures.
• Follows company policies and procedures.
• Respects and maintains HIPAA confidentiality guidelines.
• Must be able to work independently, with minimal supervision.
• Must be flexible in work schedule changes, as needed.
• Must be accountable for all assigned cases.
• Assists in the creation of process-related templates, if needed.
• Other duties as assigned

Qualifications:

• A Bachelor's degree in Nursing; Preferably PHRN and holds an active PH License.
• Preferably with experience in the use of EMR and doing medical summaries.
• Good computer skills and the ability to use business support software.
• Project management, and quality control skills.
• Good resource planning skills.
• Strong teamwork skills and attention to detail.

Computer specs Requirement (work from home set up):

• Fiber connection and has at least 20mbps download and upload speed
• Has available backup internet minimum of 15mbps download and upload speed
• Main desktop/laptop must be i5 to i7 w/ 8GB RAM; 4th generation and above
• Backup desktop/laptop must be i3 to i5 w/ 8GB RAM; 4th generation and above