Registered Nurse ( RN) Auditor

New York, NY
United States

MSG Staffing

51 to 200 employees

MSG STAFFING IS A PREMIER STAFFING & RECRUITMENT FIRM DEDICATED TO MATCHING TOP TALENT WITH GREAT COMPANIES NATIONWIDE.

MSG Staffing was founded in 2005 to provide top healthcare recruiting and medical personnel staffing services in New England. Today, we have grown and are now making quality connections for healthcare as well as other organizations and personnel from coast to coast. We pride ourselves on the quality of our candidates and the speed (sometimes in 30 minutes) at which we can have the right person in place to meet (and exceed!) our clients’ needs. At MSG, we believe in personal attention.

Improving lives through innovation and fun, one assignment at a time.

MSG Staffing, we like to think of ourselves as STEADY-always there for our candidates, employees, clients, and community.

Selective to our clients, candidates and MSG internal team.

Team is our greatest values allows us to accomplish greater goals.

Effective is more than getting a job done – it’s doing the job well – that’s the MSG motto.

Accuracy: We pride ourselves on our accuracy.

Dedication

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Company Info

Job description

Registered Nurse- Cost Outlier Auditor

Company Profile:

For over 43 years has been a mainstay here in NYC as a leading medical review organization. Their mission has been to provide health care assessment services that assist clients in improving the appropriateness, quality and cost effectiveness of health care. This organization has an outstanding reputation for medical reviews in programs for prospective , concurrent and retrospective monitoring. They continue to build successful and meaningful partnerships with labor organizations, corporations, insurance companies and managed care groups.

Today we are hiring a Cost Outlier RN Auditor to join are review team. This role is ideal for either someone with previous utilization review, or auditing work or for an experienced Medical Surgical registered nurse who is looking to step away from bedside to come to work in our office in the city. Looking for candidates with longevity with their employers. 

Features and Benefits

· Monday – Friday 8:00 AM -5:00PM No Weekends No Oncall

· Great Salary : $80,000.00

· Comprehensive Health Care Benefits

· Great PTO Plan

· 401K

· Working with a dedicated and knowledgeable team.

· Ability to leave bedside and work in a professional office environment.

· Many others.

The Role You Will Play

· Maintain and update training materials as needed

· Maintain and update all hospital profiles as needed.

· Communicates with external liaisons on issues specific to projects and with account reps specific to program process.

· Perform QA reviewers as assigned.

· Perform various reviews such as Cost Ouliers, Day Outliers, Pre and Post payment utilization review, quality reviews, and review of outpatient claims.

· Assists the operation department with data abstraction for special studies .

· Works closely with the VP of Review Operations to insure the completion of all assignments.

Ideal Background Profile

BSN or Equivalent Required.

3+ years recent nursing experience in a medical surgical or ICU unit.

1+ years experience in Utilization Review or Managed Care preferred but not required.

For more info and to apply: please contact : Kelly Moore, Manager of Recruitment- Direct Hire

MSG Staffing, Inc. / 508.799.7674 ext 118 / kellym@msgstaffing.com

Company Description

We are one of the only two Joint Commission certified Staffing Agencies in Massachusetts. We pride ourselves in connecting the top professionals to the best direct-hire/ permanent job opportunities. We work with hundreds of clients/companies across the nation, and have built great relationships with the nations top healthcare facilities and hospitals as a result of the great talent we've been able to provide to meet their staffing needs. We look forward to helping you make your next great career move!

Work location: New York, NY

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