Remote Medicare Set-Aside Certified Consultant RN – Michigan

Job Overview

  • Clinical License RN
  • State(s) MI

Job details

Salary

$34 – $45 an hour

Job Type
Full-time
Part-time
Number of hires for this role
1

Qualifications

    • Michigan RN (Required)

    • CLCP, CNLCP, CCM, or Legal Nurse Consulting Certification (Preferred)

Full Job Description

Medicare Set-Aside Certified Consultant RN Positions

Quadriga Group, Inc., is hiring self-motivated, experienced RNs to perform Medicare Set-Aside reviews and create reports for MedShield Settlement Solutions. MedShield Settlement Solutions is a National provider of Medicare Set-Asides for Workers’ Compensation carriers, TPAs and self-insured companies.

This position is 100% remote allowing you to set your own hours. Part Time to begin working towards Full Time. Requirements include experience with preparing Medicare Set-Asides by reviewing medical records and pharmacy reports, preparing the narrative, and determining the future medical allocations for future medical treatments and medications. Our preferred team member will possess excellent attention to detail, strong writing skills and in-depth knowledge of CMS policies and guidelines and Workers Compensation Rules.

Responsibilities

Review of medical records and pharmacy reports to create future medical allocations related to Workers’ Compensation guidelines

  • Utilize industry standard tools to identify rated ages, medical coding, treatment guidelines, and prescription medication pricing
  • Analyze cost drivers and identify cost mitigation strategies on files where applicable

Qualifications

  • RN license in good standing with the applicable Board of Nursing
  • 2-4 years’ experience in the Workers’ Compensation industry preparing Medicare Set-Asides
  • Certification in Medicare Set-Aside Certified Consultant (MSCC) required.
  • Certified Life Care Planning (CLCP or CNLCP), Certified Case Manager (CCM) and Legal Nurse Consulting certifications are useful along with your extensive experience.

Skills

  • Strong written communication skills and ability to create narratives and itemized spreadsheets via prepared templates
  • Review and analyze medical information, claims payment histories/billing and pharmacy reports to identify appropriate future treatment allocations
  • Work effectively both independently and as a member of a supportive team
  • Must be able to meet time deadlines

Pay

  • $34-45/hourly for Part Time
  • $72,000-$90,000 Full Time benefits available
  • Salary commensurate with experience

For further details please reach out to Dani Sequin!

Dani Sequin

(248) 919-1633

Please submit cover letter, resume and redacted work samples with your application

Job Types: Full-time, Part-time

Pay: $34.00 – $45.00 per hour

Experience:

  • Worker’s Comensation: 2 years (Preferred)

License/Certification:

  • Michigan RN (Required)
  • Medicare Set-Aside Certified Consultant (MSCC) (Required)
  • CLCP, CNLCP, CCM, or Legal Nurse Consulting Certification (Preferred)

Work Location:

  • Fully Remote

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