Research and Review Nurse
Cardon Outreach - The Woodlands, TX

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Cardon Outreach works tirelessly to reduce the financial burden of medical costs on Americans and on the healthcare providers who serve them. Our work makes a positive difference to thousands of people and hundreds of hospitals and clinics, in communities all over the nation, every day.

We are seeking a Research and Review Nurse (RN or LVN) to work in our Social Security Disability Hearing Department located in our corporate office in The Woodlands, TX.

DUTIES:
Review medical records for claims forwarded to the Hearing Department for validity
Request removal of claim from inventory if warranted
Conduct Medicaid denial appeals through HHSC
Prepare written briefs to judges and OTR’s (on the record) based on medical listings and Federal case law, DOT’s (Dictionary of Occupational Titles) and federal GRIDS (Medical Vocational Guidelines) prior to hearing
The RN or LVN would report directly to the Hearing Department manager.
Current state license to practice nursing is required.

REQUIRED SKILLS/TRAITS:
Professional appearance and demeanor.
Excellent verbal and written communication skills.
Attention to detail.
Strong organizational skills.
Ability to multi-task.
RN or LVN license

Employing over 800 employees in 26 states, Cardon Outreach has over 20 years of experience in recovering hospital revenues associated with underinsured and unfunded hospital patients. Cardon Outreach offers a suite of services and technology solutions designed to aid healthcare facilities avoid costs, recover revenue,reduce operating and capital expenses, increase productivity, develop staff resources, and apply new strategies for revenue cycle management. www.cardonoutreach.com.

Cardon Outreach is an equal opportunity employer.

Cardon Outreach - 11 months ago - save job - block
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About this company
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It is this mission that enables our success at over 800 facilities across 39 states. Over our 20+ years of service we have helped over 24...