Senior Nurse Reviewer

Mass General Brigham Incorporated

Boston, MA, US
Base: $79,560.00 - $115,720.80/annual; bonus/equit...
Fully remote
Clinical data interpretation
Electronic health record proficiency
Hipaa-compliant workstation
The Nurse Reviewer is responsible for the coordination, facilitation, and appeal of the clinical components of charge audits and forensic review findings

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, directly impacting MGB net revenue.
  • The position offers remote work, Monday-Friday, Eastern Standard Business Hours, requiring a quiet, secure, HIPAA-compliant working station.

Matching Summary

The Nurse Reviewer is responsible for the coordination, facilitation, and appeal of the clinical components of charge audits and forensic review findings.

Salary

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

Skills & Requirements

Must-have

  • Clinical data interpretation
  • Electronic health record proficiency
  • HIPAA-compliant workstation

Nice-to-have

  • Constructive feedback provision
  • Multidisciplinary team collaboration

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter