[Hiring] Medical Review Nurse @Broadway Ventures

Role Description

We are seeking a dedicated RN to conduct medical reviews to perform comparisons between End Stage Renal Disease patient medical records documentation and data submitted to the Centers for Medicare and Medicaid Services (CMS) End Stage Renal Disease Quality Reporting System (EQRS) and the Centers for Disease Control (CDC) National Healthcare Safety Network (NHSN) based on the approved data validation methodology.

• Determine and classify discrepancies found based on the type and severity of errors.
• Common error categories might include missing data, incorrect values, and data entered in the wrong fields.

Qualifications

• Active, unrestricted RN licensure in the United States and in the state of hire OR Active compact multistate unrestricted RN license (as defined by the Nurse Licensure Compact).
• Associate Degree in Nursing OR Graduate of an accredited School of Nursing.
• Two years of clinical experience plus two years of experience with utilization/medical review, quality assurance or end stage renal disease/dialysis.
• Strong clinical background in dialysis, managed care, home health, rehabilitation, and/or medical-surgical settings.
• Knowledge of specific criteria/protocol sets and the ability to use them effectively.
• Proficiency with word processing software and Microsoft Office.
• Ability to work independently, prioritize tasks, and make sound decisions.
• Excellent customer service, communication, organizational, and critical thinking skills.
• Ability to handle confidential information with discretion.
• Proficient with computers, including the ability to use multiple screens and programs simultaneously.

Requirements

• Job Type: 6 Month Contract, possibility for extension/conversion
• Duration: Target; November 2026 – May 2027
• Schedule: Monday-Friday, 8:00 AM – 4:30 PM (40 hours/week)
• Location: Remote U.S. (Work from home)
• Requirements for Remote Work: High-speed internet (non-satellite) and a private, lockable home office.

Benefits

• 401(k) and company match
• PTO that grows the longer you stay
• Health, Vision, Dental
• Company provided Life Insurance and Voluntary Life Insurance
• Short Term Disability and Long Term Disability