It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
As a Nurse Reviewer - Remote (Kentucky Residents Only)at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.
We are seeking a talented individual for a Nurse Reviewer who will be responsible for performing clinical reviews to determine if the medical record documentation supports the need for the service based on clinical criteria, coverage policies, and utilization and practice guidelines as defined by review methodologies specific to the contract for which services are being provided. This involves accessing proprietary systems to audit medical records, accurately documenting findings, and providing policy/regulatory support for determination. This position is only for residents of Kentucky.
#LI-NB1
#LI-REMOTE
This position is intended for pipelining. We will accept applications on an ongoing basis.
The pay range for this position is $49,200 - $70,300 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
...Are you interested in becoming a Home-Based Virtual Assistant ? Look no further - Fud is... ...Mercari, Poshmark, and others E-Commerce - Amazon, Shopify, and personal online stores... ...using digital tools and technology for remote work Good written and verbal communication...
...MDS Registered Nurse Coordinator - Full time: On-site, Not remote. This position is responsible for ensuring the development and completion of the Resident Assessment Instrument through the completion of the(MDS) in accordance with state/federal requirements and...
...understand level, plumb, area and volume/square concepts~Understand construction terminology~Identify common construction materials, hand... ...to Safety~Work in an organized manner~Able to work night shifts when needed~Must have reliable transportation to/from the job...
...digital platform trusted by the worlds top airlines and business aviation companies to... ...understand customer's business processes. Works collaboratively in a team environment... ...conferences the possibility to work from home occasionally flexible schedules...
...ATHLETIC PROGRAM Los Angeles Mission College (LAMC) is a member in good standing of the Western State Conference (WSC) and the... ...Student-Athletes across our intercollegiate programs, supporting Fall Sports: Men's Soccer, Women's Basketball, Woman's Volleyball, Men's and...