Empleos actuales relacionados con Medical Review Nurse - Ciudad de México, Ciudad de México - Acuity International

  • Vaccine Medical Manager

    hace 3 días

    Ciudad de México, Ciudad de México Pfizer A tiempo completo

    Use Your Power for PurposePfizer's Worldwide Medical and Safety colleagues are essential in bridging evidence-based medical decision support with colleagues and stakeholders to achieve better health and treatment outcomes. Whether you are developing the framework to ensure our evidence is scientifically robust, providing unbiased and medically necessary...

  • Vaccine Medical Manager

    hace 3 días

    Ciudad de México, Ciudad de México Pfizer A tiempo completo

    Use Your Power for PurposePfizer's Worldwide Medical and Safety colleagues are essential in bridging evidence-based medical decision support with colleagues and stakeholders to achieve better health and treatment outcomes. Whether you are developing the framework to ensure our evidence is scientifically robust, providing unbiased and medically necessary...

  • Medical Imaging Data Analyst I

    hace 3 días

    Ciudad de México, Ciudad de México ICON plc A tiempo completo

    Medical Imaging Data Analyst I - (Remote Mexico)ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development.Medical Imaging - Data Analyst IMexico City - Based...

  • Medical Advisor Manager Cardiorenal

    hace 3 días

    Ciudad de México, Ciudad de México Bayer A tiempo completo

    Bayer es una compañía global con competencias centradas en los campos de las ciencias de la vida de la salud y la agricultura. Sus productos y servicios están diseñados para beneficiar a las personas y mejorar su calidad de vida. En Bayer tienes la oportunidad de ser parte de una cultura en la que valoramos la pasión de nuestros colaboradores por...

  • Medical Advisor Manager Cardiorenal

    hace 3 días

    Ciudad de México, Ciudad de México Bayer A tiempo completo

    Bayer es una compañía global con competencias centradas en los campos de las ciencias de la vida de la salud y la agricultura. Sus productos y servicios están diseñados para beneficiar a las personas y mejorar su calidad de vida. En Bayer tienes la oportunidad de ser parte de una cultura en la que valoramos la pasión de nuestros colaboradores por...

  • Medical Planner

    hace 3 días

    Ciudad de México, Ciudad de México HKS, Inc. A tiempo completo

    Overview:Exercises independent judgment in evaluation, selection and use of standard techniques in the design and planning of medical and healthcare facilities and solves problems when encountered. Possesses and applies a diversified knowledge of architectural principles, practices and procedures to complete assignments with originality and ingenuity....

  • Data Analyst I

    hace 3 días

    Ciudad de México, Ciudad de México ICON plc A tiempo completo

    Medical Imaging Data Analyst I - (Remote Mexico)ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical developmentMedical Imaging - Data Analyst I Mexico City - Based...

  • Clinical Sales Specialist

    hace 2 semanas

    Ciudad de México, Ciudad de México Ambu A tiempo completo

    Clinical Sales Specialist (Cystoscopy), MexicoAre you looking to make a difference in your career and become part of an innovative, global medical device company? Ambu is a global industry leader in single-use endoscopy with the soul of a startup. Our dedicated and passionate team members are driven by our mission to save lives and improve patient care...

  • Analyst-Credit CBO

    hace 3 días

    Ciudad de México, Ciudad de México American Express A tiempo completo

    At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. As part of Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new...

  • Operations and Customer Engagement Coordinator

    hace 3 días

    Ciudad de México, Ciudad de México American Express A tiempo completo

    At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. As part of Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new...

Medical Review Nurse

hace 3 horas

Ciudad de México, Ciudad de México Acuity International A tiempo completo USD66,560 - USD70,000
Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today To see what career opportunities we have available, explore below to find your next career

Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information.

Job Summary:

Under general supervision of the Program Manager (PM) and reporting to the PM, the Medical Review Nurse (MRN) is responsible for the initial chart review and chart case management for medical exam/screening programs to verify that all medical information and exam components are accurate. 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.

Salary is $66,560-$70,000.

Duties and Responsibilities:


• Performs medical review of incoming charts to determine if additional medical information is needed.


• 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 as well as the on-site provider.


• 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).


• Serve as backup to other nurses for daily duties and assists with follow-up calls to facilities and Examinees as needed as well as other duties as assigned.


• Opportunity to travel and assist on medical mobile events as either a site lead and/or RN as work or personal schedule permit.


• 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, contract awards, and new policy requirements.


• Supports marketing and sales objectives and efforts as requested.


• 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.


• May serve on the OSHA VPP, Safety, and Wellness Committees.

Qualifications:  


• 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.

Preferred Qualifications: 


• COHN-S and/or CAOHC certifications


• Bachelor's Degree with 5 years of relevant experience


• Flexibility and availability to travel and assist to support medical mobile events as either site lead and/or RN

 

Physical Requirements and Work Conditions:  


• 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.

Acuity International is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, national origin, age, protected veteran status, or disability status.

For OFCCP compliance, the taxable entity associated with this job posting is:

Acuity-CHS, LLC