Medical Review Supervisor – Registered Nurse

Job Summary

A company is looking for a Medical Review Supervisor.

Key Responsibilities:

• Oversight and assistance to ensure sound clinical judgment is applied to claim payment decisions
• Establishing goals, objectives, and plans for the team
• Developing, administering, and controlling a budget

Required Qualifications:

• Bachelor’s Degree in Nursing
• Current Registered Nurse Licensure
• Six years of professional experience with an active Registered Nurse license
• Extensive knowledge of the Medicare program, particularly the coverage and payment rules
• Two years of previous supervisory experience preferred