Rockville, MD/ HRSA / Nurse Practitioner â Medical Case Reviewer

Rockville - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

Job Title: Nurse Practitioner - Medical Case Reviewer

Specialty: Family Adult-Gerontology Pediatrics or similar
Place of Work: Remote (U.S. only)
Duration: 6 months contract with a possibility of 6 months extensionLicense/Certifications: Active NP license national certification (FNP-C AGNP-C/BC PNP-BC etc.)
Education: Masters or Doctorate in Nursing from accredited U.S. program
Minimum Qualification/Experience: At least 5 years of advanced practice clinical experience

Responsibilities:

Perform comprehensive chart reviews of medical records for HRSA programs focusing on medical history diagnosis and treatment patterns.
Summarize findings into structured reports that support physician reviewers and program determinations.
Identify gaps in documentation and communicate the need for additional records when necessary.
Maintain consistency and accuracy while adhering to established templates and timelines. Collaborate with internal quality teams to refine processes and meet program standards.
Safeguard patient confidentiality and comply with all applicable legal and ethical guidelines.

Prime Physicians is a physician-led The Joint Commission (TJC) Accredited ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services offering comprehensive solutions to hospitals health systems and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning we enhance operational efficiency and streamline business processes. With Prime Physicians the future of patient care is in skilled and dedicated hands leading the way towards a more efficient effective and compassionate healthcare system.

Job Title: Nurse Practitioner - Medical Case Reviewer Specialty: Family Adult-Gerontology Pediatrics or similar Place of Work: Remote (U.S. only) Duration: 6 months contract with a possibility of 6 months extensionLicense/Certifications: Active NP license national certification (FNP-C AGNP-C/BC PNP-...