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Medical Review Nurse

  • Location: Jacksonville
  • Salary: 27.59-27.59
  • Contract hours: ZeroHour

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About the job

Perform medical record reviews to support improvement and compliance, abstract HEDIS data, to include over-read of reviews, working collaboratively with internal HEDIS STARs Team and the Quality Team.Perform administrative functions to include; medical record request, faxing and calls to members and providers as needed. Maintain organized, updated reporting of activities with clear documentation. Required to track, monitor and report on the status of records and volume of work.Complete claim research to identify the service performed, dates of service, provider type, and place of service. Research may include multiple systems and reports.

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