Job Title Registered Nurse - Medical Affairs Coordinator
Job Profile
Kelly Healthcare Resources Kelly Healthcare Resources (KHR) is a specialty service of **MEMBERS ONLY**SIGN UP NOW***., a leader in providing workforce solutions. Launched in 1999, KHR services all levels of healthcare specialists and professionals in the following disciplines: medical laboratory, medical device, pharmacy and pharmacology, dental, nursing, allied health, behavioral health, healthcare billing/coding, utilization, case management, occupational health, special education, and physical therapy. Visit ****Current Needs: Currently seeking an experienced Registered Nurse to act as a Medical Affairs Coordinator for our client in Columbia, South Carolina. This is a full time, temporary position. Position Description: Provides clinical expertise, research, and judgment to develop local coverage determinations (LCDs) under the direction of medical director. Maintains local coverage determinations (LCDs) once developed. Educates providers and internal customers on local coverage determinations (LCDs). Communicates with other interdepartmental staff in appropriate coding and reimbursement guidelines to ensure coordination and compliance. Provides clinical input for internal requests. Serves as reviewer to determine inter-rater reliability. Performs other duties as assigned. Job Requirements: Bachelor degree in Nursing required OR an associate degree in Nursing with a 4 year degree in Science, Biology, or other health-related field required. Master degree in Nursing preferred. Active Registered Nurse license in South Carolina OR active compact multistate Registered Nurse license required. CONC required. Minimum of 5 years of clinical experience in medical insurance, managed care, case management, or claims management, or a combination of these areas required. 7 years of experience preferred. Knowledge of managed care or medical claims payment policy issues required. Working knowledge of Microsoft Word, Excel, or other word processing/spreadsheet software required. Knowledge of government/healthcare programs and contracts laws, regulations, coding, and approval practices preferred. Knowledge of corporate administrative/medical policy, guidelines, benefits, and coverage for all lines of business preferred. Working knowledge of Microsoft Access or other database software, DB2 and Easytrieve preferred. In addition to working with the worlds most recognized and trusted name in staffing, Kelly employees can participate in the following benefits: Highly competitive pay Access to eLearning Application & Contact Info: For immediate consideration, click the Apply Now button, or refer a friend by clicking the E-mail this job link provided. About Kelly Services® **MEMBERS ONLY**SIGN UP NOW***. (NASDAQ: KELYA, KELYB) is a leader in providing workforce solutions. Kelly® offers a comprehensive array of outsourcing and consulting services as well as world-class staffing on a temporary, temporary-to-hire and direct-hire basis. Serving clients around the globe, Kelly provides employment to more than 550,000 employees annually. Revenue in 2011 was $5.6 billion. Visit ****and connect with us on Facebook, LinkedIn, & Twitter. Visit ****to download The Talent Project, our free iPad app. Kelly Services: Celebrating 64 Years Kelly Services is an Equal Opportunity Employer.
