Medical Review Nurse II - Clinical Validation

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Performant
16 days ago
United States — Remote$78k+Full TimeAmbulatory Care NursinginNot on LinkedIn
✓ No Call✓ No Weekends

Job Description

About the Role

Join Performant Corp as a Medical Review Nurse II - Clinical Validation in United States. ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans.

Key Responsibilities

  • making tools such as Medical Coverage Guidelines (MCG) or InterQual. Experience with and deep knowledge of ICD

Requirements

  • Active unrestricted RN license in good standing, is required.
  • Must not be currently sanctioned or excluded from the Medicare program by the OIG.
  • Minimum of five (5) years diversified nursing experience providing direct care in an inpatient or outpatient setting.
  • One (1) or more years' experience performing medical records review.

Benefits & Compensation

  • Salary range: $78,000 to $78,000 annually.

Work Schedule

  • Full-time position.
  • No explicit call, weekend, or night shift information provided.

Apply to join Performant Corp as a Medical Review Nurse II - Clinical Validation.

Key Skills

Medical Claims AuditICD-9 CodingICD-10 CodingCPT-4 CodingHCPCS CodingUtilization ManagementClinical Decision-Making ToolsMedical Review GuidelinesDocumentationCommunication SkillsQuality AssuranceTeam CollaborationRegulatory KnowledgeProvider EducationAudit WorkflowsAppeals Process
HealthcareAdministrativeConsultingvia Workday
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About Performant

Financial Services
Plantation, Florida
5-10

Benefits & Perks

Medical
Dental
Vision
HSA/FSA Options
Life Insurance Coverage
401(k) Savings Plans
Family/Parental Leave
Paid Holidays
6.0

Burnout Score

Top 50%

Protective Factors (3)

Remote work (RR 0.57; 14-23% ↓ burnout)

No on-call (β=6.95; p<0.001 for ↓ exhaustion)

No weekends (57% ↓ work-life conflict)

Interpretation: Position demonstrates strong burnout protection with 3 validated protective factors.

Job Details

Employment Type

Full Time

Posted

16d ago