Senior Nurse Reviewer

Mass. Eye And Ear

Unknown, Unknown, US
Base: $79,560.00 - $115,720.80/annual; bonus/equit...
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Clinical data interpretation
Ehr systems proficiency
Hipaa-compliant working station
** Mass. Eye And Ear is seeking a Senior Nurse Reviewer to coordinate clinical audits and appeals, requiring a Bachelor's degree in Nursing and experience in clinical review. This fully remote position is ideal for candidates with strong analytical, communication, and organizational skills. **

Job Summary

  • The Nurse Reviewer is responsible for the coordination, facilitation, and appeal of the clinical components of charge audits and forensic review findings.
  • This role plays an important part in appealing challenges to charging policy and practice, responding to the impact of pre- and post-payer audits on MGB net revenue.
  • Mass General Brigham relies on a wide range of professionals to advance its mission of patient care, research, teaching, and community service.

Matching Summary

Match Score: 75

** Mass. Eye And Ear is seeking a Senior Nurse Reviewer to coordinate clinical audits and appeals, requiring a Bachelor's degree in Nursing and experience in clinical review. This fully remote position is ideal for candidates with strong analytical, communication, and organizational skills. **

Salary

Base: $79,560.00 - $115,720.80/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Clinical data interpretation
  • EHR systems proficiency
  • HIPAA-compliant working station
  • Charge audit response preparation
  • Clinical documentation defense

Nice-to-have

  • Multidisciplinary team collaboration
  • Constructive feedback provision
  • Facilitate nursing staff training

Key Requirements

  • Bachelor's Degree in Nursing
  • Registered Nurse [RN - MA State License]
  • 3+ years clinical nursing experience
  • 2+ years quality assurance/clinical review experience

Work Rights

Not specified

Tailored Resume

Cover Letter