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Medical Policy Coordinator Job Details

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Company:  Nurse Resolutions
Job Code:  1454
Categories:  Skilled Nursing / Nursing Home (SNF)
Job Role:  Other
Country:  United States
Region/Province:  Mississippi (MS)
City:  Jackson
Job Description:  Medical Policy Coordinator- Managed Care- Jackson, MS
The Medical Policy Coordinator is accountable for the research, formulation, implementation and revision of medical policy as directed by the Medical Policy Advisory Committee. (MPAC) This individual is responsible for the internal and external training of medical policies and procedures and participates in associated quality assurance/quality management initiatives as needed. In addition, this position will perform other duties as directed by the Manager of Provider Compliance.
 
 
Qualifications/Requirements:
Registered Nurse (RN), Nurse Practitioner or Physician Assistant licensed in the state of Mississippi with at least 3 years of clinical experience preferred. A bachelor’s degree in nursing is required.
Working experience with CTP4, HCPCS and ICD9 coding required.
Experience in quality review/management or clinical pathways are required.
 
Medical policy development experience is preferred.
Hospital experience preferred.
Intermediate PC skills in Microsoft Office preferred.

 
CONTACT:
Jason Edwards

888.411.2228 x 200
 
 
05/24/2012
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