RN Clinical Reviewer

#LI-HW1 #LI-RemoteResponsibilitiesEssential Functions and Primary DutiesReview resident medical records for accuracy, completeness and consistency with professional standardsParticipate in remote and on-site field examinations of Medicaid providers to review clinical documentationSuccessfully interact with providers in a professional manner, developing rapport and enhancing business relationshipsMaintain security of and confidentiality of all Protected Health Information (PHI)Additional responsibilities as assigned Preferred QualificationsBachelor’s degree in Nursing or other related health care field required (Associate’s Degree from accredited nursing school with related experience may be substituted in lieu of a bachelor’s degree)Must be a licensed Registered Nurse (RN)Minimum 3 years of long term care experience required; 5 years preferredMDS experience preferredExperience and knowledge of State and Federal healthcare regulations in long term careKnowledge of Medicaid reimbursement and coverage policies desiredProficient use of applicable software programs, including Microsoft Windows, Word, ExcelStrong verbal and written communication skillsAbility to manage multiple deadlines and prioritize assignmentsAbility to work in a team environmentWell organized with a high degree of accuracy and attention to detailMust be able to travel based on client and business needs (up to 20% Travel)QualificationsMinimum QualificationsHigh school diploma or GEDCompanyMyers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 21 offices and have over 900 associates nationwide.
At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government health and human service clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team. Our firm takes pride in the welcoming and collaborative culture we have throughout our offices. We are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.
What We Offer:


Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates
Vacation time, sick time, and paid holidays
Paid Parental Leave and available support resources
401K with company matching for eligible employees
Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks
A combination of technical and leadership development training at each career milestone
Up to six counseling sessions per year for eligible employees through our Employee Assistance Program


We understand that changing or learning a new industry can discourage strong candidates from applying. Please do not hesitate to apply, as you may be the right fit for this position or another position we have open.

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