Registered Nurse (1099 Independent Contractor) - Remote

Founded in 1983, the Medical Review Institute of America (MRIoA) is the market leader for technology-enabled utilization management and clinical medical review solutions. We have an outstanding reputation for excellence and achieve continual improvement.

We are seeking a qualified and detail-oriented Registered Nurse (RN) for a PRN (1099 Independent Contractor) Case Reviewer position. The role involves completing approximately 200 cases per month, with an expectation of working 15 hours per week. This is a paid per-case position, with a quality expectation of 95% or better. You will be responsible for reviewing cases in a timely manner and responding to supervisor correspondence within 48 hours.

To provide objective clinical utilization and peer review activities as requested by the company for cases submitted for independent external review. To provide objective clinical utilization management and peer review services as requested by the company for standard cases. To provide input and feedback and/or general comments to the company as requested Major Responsibilities or Assigned Duties: Complete a minimum of approximately 200 cases per month (approximately 15 hours per week). Maintain a 95% or better quality in case completion. Respond to supervisor correspondence within 48 hours. Will need to use your own computer and internet to perform the work. Demonstrate strong attention to detail and ensure accuracy in all cases reviewed. To carry out the terms and conditions of the Master Agreement between reviewer and company To carry out the policies and procedures as documented in the Reviewer Handbook and Code of Conduct To be familiar with the laws, regulations and accreditation standards that govern the activities of the company To be familiar with the legal and regulatory issues and requirements applicable for the company’s independent external review activities To complete initial company orientation and training activities To actively participate in ongoing company and/or client training and education programs at least annually. To actively participate in the company’s quality management and quality improvement activities related to the clinical review process