- Performs medical review of incoming charts to determine if additional medical information is needed.
- Input of medical data for employees in the Electronic Health Records (EHR) portals.
- Collaborates with Physician(s) and other internal nursing staff members for chart review.
- Performs medical Quality Assurance (QA) on all charts in various process stages.
- Interfaces with Client's Medical Department.
- Contacts Examinee via telephone or email to clarify information necessary to complete the chart.
- Develops a very good understanding of the specific contract's guidelines and addendums as required.
- Masters the various software programs specific to the functioning of the exam program.
- Implements and follows up on requests for further evaluation from the Examinee when required.
- Works closely with other departments to provide accurate and quality outcomes.
- Thoroughly cognizant of metrics and organizes workload to meet them.
- Consistently learns and applies codified state and federal regulations specific to particular contract(s).
- Serves as liaison between the client and Acuity International.
- Serve as backup to other nurses for daily duties.
- May participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems, and maintain a specific level of knowledge pertaining to new developments, new task efforts, and new policy requirements.
- Performs duties in a safe manner. Follows the corporate safety policy. Participates and supports safety meetings, training, and goals. Ensures safe operating conditions within an area of responsibility. Encourages co-workers to work safely. Identifies "close calls" and/or safety concerns to supervisory personnel. Maintains a clean and orderly work area.
- Assists in the active implementation of company initiatives to ensure compliance with OSHA VPP, ISO, JCAHO, AAAHC, and other mandated regulations/standards.
- 5-7 years of relevant experience.
- Fully unencumbered nursing license required.
- Proficiency with computer and common office equipment, as well as with MS Office products.
- Must be able to multitask, be flexible, be organized, and have excellent oral and written communication skills as well as exceptional attention to detail.
- Must be able to obtain a Secret Security Clearance or an interim Secret Security Clearance granted by appropriate U.S. security department prior to their first day of work. The RN must maintain the level of security required for the life of the contract.
- COHN-S and/or, CAOHC certifications.
- Bachelor's Degree with 5 years of relevant experience.
- Work is normally performed in a typical interior/office work environment.
- Work involves sitting and standing for prolonged periods of time.
- May require bending and lifting up to 15 lbs.
- Constant use of computer and common office equipment required.
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Description
Job Description
Job DescriptionSCOPE:
Under general supervision of the Program Manager (PM) and reporting to the Registered Nurse Lead, Administrative Registered Nurse is responsible for collecting, reviewing and evaluate/audit exams performed at our Network Facilities. The RN will be embedded within our client's medical department at a specified location. The RN works directly with Physicians and Examinees to ensure all medical information is gathered and performs medical Quality Assurance on all charts in various process stages leading to a final determination. LOCATION: Candidate must be local to Ft. Bragg, North Carolina area with an opportunity to work a hybrid schedule.
DUTIES AND RESPONSIBILITIES:
OTHER DUTIES:
BASIC QUALIFICATIONS:
PREFERRED QUALIFICATIONS:
PHYSICAL REQUIREMENTS: