Medical Review Nurse II - Clinical Validation

WeekdayDoc's proprietary algorithm rates Medical Review Nurse II - Clinical Validation at Performant a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Ambulatory Care Nursing registered nurse listings evaluated on our platform. Contributing factors include no on-call duties, no weekend requirements, remote work flexibility.

This score reflects a generally positive work environment with some areas for improvement. Clinicians should evaluate scheduling and workload expectations carefully.

This Ambulatory Care Nursing position at Performant is open to registered nurse candidates.

Registered Nurses have diverse career pathways from bedside care to telehealth triage, care coordination, and leadership roles with increasingly flexible scheduling options.

Remote registered nurse positions in Ambulatory Care Nursing have grown significantly in recent years, offering clinicians the ability to maintain a full patient panel without geographic constraints or commute-related burnout.

This is a fully remote registered nurse position. Remote clinicians can practice from any state where they hold an active license, eliminating commute time and offering maximum schedule flexibility. Many remote healthcare positions also allow providers to establish a more sustainable long-term practice pattern.

Key skills and qualifications: Medical Claims Audit, ICD-9 Coding, ICD-10 Coding, CPT-4 Coding, HCPCS Coding, Utilization Management, Clinical Decision-Making Tools, Medical Review Guidelines. Candidates with experience in these areas may be especially well-suited for this Ambulatory Care Nursing role.

Core responsibilities: The Medical Review Nurse II primarily performs medical claims audit reviews, working on retrospective and prepayment audits for Government and Commercial Payers. Responsibilities include documenting findings, generating audit letters, and collaborating with the audit team to improve medical policies...

Benefits package: Medical, Dental, Vision, HSA/FSA Options, Life Insurance Coverage, 401(k) Savings Plans, Family/Parental Leave, Paid Holidays. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.