Virginia, 23947
Job description
**Senior Nurse Reviewer**
The Senior Nurse Reviewer is responsible for performing detailed evaluations of medical records associated with Medicare claims to determine their legitimacy and investigate possible fraudulent activities. This role also involves providing technical guidance to colleagues and engaging in quality assurance and process enhancement efforts. Applicants should possess a Bachelor’s degree in nursing or a comparable discipline, along with an active and unrestricted RN license. A minimum of 5 years of clinical experience is necessary, which must include at least 3 years focused on Medicare utilization or claims review.
STEMHUNTER is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity, and gender expression), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law. We comply with all applicable equal employment opportunity and affirmative action regulations.
