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Medical Records Reviewer Specialist

Miami, Florida

FL-Various Counties-FDEA-CARES-Community and Social Service Specialists - Desk reviews

** MUST INCLUDE SIGNED DEA ATTESTATION FORM WITH SUBMISSION - ATTACHED ON REFERENCE TAB **

*** LIST OF AVAILABLE WORK LOCATIONS ARE LISTED BELOW ***

***Vendor/Candidate must pay for level 2 fingerprinting - Cost of fingerprinting is approximately $73.00.***

Pay Rate: $20.97 hr.

Dress Code: Business Casual

Work Environment: In office, mostly cubicles.

CONTRACTOR RESPONSIBILITIES:

*** This position does NOT include any travel. Contractors complete "medical case file reviews" from the office. What they'll do is review a 17 page assessment for a client already on LTC Medicaid who is residing in the community. The contractor will then use the information contained in the assessment to determine whether the client still meets the medical criteria for our program Each case will require a detailed write up of the client's history, current circumstances as well as justification as to how/why they still meet medical criteria for the program.

Training will be through job-shadowing and connection with seasoned full time employees. We also have video and online trainings.

· Draws conclusions from reading/reviewing medical records, and then writes corresponding case- notes which highlight the key-points.

· Utilizes established guidelines and internal protocol to determine if client meets medical eligibility criteria based on review of medical records and client psychosocial history.

· Applies knowledge of aging process, activities for daily living and medical conditions to written case-notes.

· Justifies medical eligibility recommendation through written narratives which summarize client’s current situation, limitations and needs.

· Presents case-notes and medical eligibility recommendations to Registered Nurse for approval, and adjusts to professional feedback provided by Registered Nurse and/or Supervisor 

EDUCATION REQUIREMENTS
The candidates must meet the minimum qualification of:

  • a bachelor’s degree or higher from an accredited college or university with a major in a related field,
  • OR
  • professional experience totaling four (4) or more years in a related field

OR

  • a combination of education and professional experience totaling four (4) or more years in a related field.

Job Types: Full-time, Temporary

Pay: $20.00 - $20.97 per hour

Schedule:

  • 8 hour shift
  • Monday to Friday

Ability to Relocate:

  • Miami, FL: Relocate before starting work (Required)

Work Location: In person

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