Review Coordinator

REVIEW COORDINATOR / DESKTOP MEDICAL REVIEW. Calling all Registered Nurses. Are you tired of long hours on your feet doing bedside care. Are you at a point in your career where you d rather use your clinical knowledge and skills in an office setting while still helping patients.

Then this opportunity is for you. Livanta is searching for empathetic, considerate, and responsive individuals to work directly with and assist Physician Reviewers and Medicare beneficiaries. The role of the Review Coordinator is to communicate with and support physician reviewers; summarizing case facts; preparing case questions, and providing assistance to resolve issues requiring physician input. You will also be informing Medicare beneficiaries, healthcare providers, and other partners, of the activities and responsibilities of the Quality Improvement Organization.

Livanta LLC is a Beneficiary and Family Centered Care (BFCC) Quality Improvement Organization (QIO) that serves Medicare beneficiaries in 19 states and US territories. The BFCC QIO program closely assists Medicare beneficiaries and their families in times of need. At Livanta, you will become a team member that uniquely affects and paves the way for the improvement of Medicare beneficiaries lives all over the United States. Review Coordinator Responsibilities Review Coordinator Duties include:Conducts all mandatory case review and quality assurance activities as stipulated by contract(s) and maintains required timeliness and accuracy within the review process:Performs desktop medical review.

Maintains responsibility for assuring an efficient case review process through the production system, and identifies and corrects problem areas on both a case-by-case and system-wide basis. Interprets and applies coverage and payment policies, standards of care, and/or utilization review criteria, as applicable to specific position. Review Coordinator Requirements:Graduation from an accredited school of nursing and current licensure as Registered Nurse (RN) or Licensed Practical Nurse (LPN) preferred. Individuals with a degree in a healthcare related field who possess professional clinical backgrounds with Medicare QIO experience with quality of care reviews or in performing medical reviews in support of MAC or RAC appeals, pre- and post-pay claims reviews, and utilization reviews may also qualify.

Minimum of 2-4 years of experience in clinical decision making, relative to Medicare patientsMust have strong computer skills and be able to type while talking on the phone. Livanta LLC s Nevada offices are located centrally in Las Vegas easily accessible from all points. Health insurance is available at hire no waiting period. Schedules may vary, and may include weekends & holiday shifts.

This position is ideal for individuals who wish to make a difference. You can be directly responsible for improving the lives and health of one of the most vulnerable groups in our country. Join our team and make a difference today. Organizational “Fit” Considerations:Schedules may vary, and may include weekends & holiday shifts.

Requires establishment and maintenance of good professional relationships with people at all levels within the company as well as physicians and others outside of the company. Please apply directly at: candidates will be contacted and interviews will be conducted quickly we have open positions now. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. Livanta is an equal opportunity employer of individuals with disabilities, as well as an equal employment opportunity employer of protected veterans.

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