Reviews and interprets healthcare information, synthesizes data, resolves complex issues, prepares accurate documentation, and supports internal and external clients. The Nurse Reviewer researches procedural and subject-matter questions, recommends actions, assists with escalations, improves workflows, develops SOPs, supports special projects, and contributes to training. The role requires nursing or related healthcare expertise, strong analytical and communication skills, sound judgment, and the ability to meet deadlines independently and collaboratively.
This is a remote position.
Paradigm is seeking an experienced Nurse Reviewer to support our client in a detail-oriented role combining subject-matter expertise, data review, problem solving, client service, and process improvement.
The ideal candidate brings experience in nursing, healthcare, or a related specialized field and is comfortable interpreting information, resolving complex issues, preparing accurate documentation, and working collaboratively across teams. This position is well suited for someone who can work independently, exercise sound judgment, meet critical deadlines, and serve as a knowledgeable resource to colleagues and internal or external clients
Type: 3-month contract, with potential for extension
Pay: $31–$38/hour, based on experience and credentials
Benefits: Medical, dental, vision, life, 401(k), PTO, and sick leave
Location: Alabama, Arizona, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington DC, Wisconsin
Job No.: Para_1497
As a Nurse Reviewer, you will:
- Apply subject-matter expertise to review information, interpret and synthesize data, and make recommendations that support team and program objectives.
- Provide excellent service and support to internal and external clients.
- Prepare required reports, documentation, and other program materials accurately and within established deadlines.
- Research and resolve technical, procedural, and subject-matter issues.
- Serve as a knowledgeable resource for assigned projects and assist with escalated or complex matters.
- Collaborate with colleagues and other departments to identify issues, coordinate service delivery, and meet client needs.
- Identify opportunities to improve processes, workflows, and overall team effectiveness.
- Help develop, document, and implement departmental procedures and standard operating procedures (SOPs).
- Support the planning and execution of special projects and departmental initiatives.
- Assist management with escalations and serve as an initial escalation resource for junior team members when appropriate.
- Assist with training and knowledge sharing across the team.
- Participate actively in meetings and contribute to collaborative problem solving.
- Protect confidential and sensitive information and follow applicable procedures and security requirements.
Requirements
You bring:
- Bachelor's degree in a relevant field or an equivalent combination of education and related work experience; a nursing degree is preferred.
- 3+ years of experience in a specialized area relevant to the position.
- Strong analytical and problem-solving skills, including the ability to interpret information and recommend appropriate action.
- Excellent written and verbal communication skills.
- Strong internal and external client-service skills.
- Ability to manage priorities and meet critical deadlines in a changing environment.
- Ability to work effectively both independently and collaboratively as part of a team.
- Sound judgment and the ability to identify and escalate issues.
- Proficiency with Microsoft Office Suite.
Additional Requirement: Candidates must successfully complete the MRR assessment to be considered for an interview.
Benefits
Paradigm offers medical, dental, vision, life, 401K, PTO, and sick days.
About Us, Paradigm
Paradigm Information Services is an established staffing company that has been connecting talented people with great opportunities for more than 25 years. We work with clients across a variety of industries and positions, giving our recruiting team the opportunity to work on interesting and sometimes challenging searches.
Paradigm Information Services does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.
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