Medical Review Manager
Medical Review Manager
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Saratoga Medical has an immediate opening for a Medical Review Manager for a program supporting the Centers for Medicare and Medicaid Services (CMS) in Catonsville MD. The work hours are Monday to Friday from 8:30 am to 5:00 pm.
Qualifications:
* Board Certified in Nursing and licensed to practice nursing in the U.S. and a currently licensed RN
* Minimum of five years of experience practicing as an RN in either an acute hospital skilled nursing facility or an office/clinicbased medical practice
* Minimum of two years of experience of supervisory experience with Medicares program coverage and payment rules
* Experience in MR processes of Medicare Administrative Contractors (MACs) CERT Supplemental Medical Review Contractor (SMRC) or Railroad Retirement Board (RRB) MAC is preferred
Responsibilities:
*Supervise the Nurse Review staff
* Development oversight and implementation of the CERT accuracy medical review processes while supervising the medical review nurses
* Collaborate with the Program Manager CMD and other contract staff
Saratoga Medical Center Inc. is an equal opportunity employer and will not discriminate in recruiting hiring training promotion transfer discharge compensation or any other term or condition of employment on the basis of race religion color age (over age 39 sex national origin or on the basis of disability if the employee can perform the essential functions of the job with a reasonable accommodation if necessary.
Required Experience:
Manager
Employment Type
Full Time
