Medical Review Nurse

Christian Care Ministry(1 month ago)

HybridFull TimeSenior$62,500 - $85,580Medical Review

About this role

The Medical Review Nurse (Senior Clinical Reviewer) evaluates clinical documentation to determine eligibility within the organization’s healthcare-sharing program. The position supports cost optimization and member outcomes through clinical review processes and cross-department collaboration. The role is faith-aligned with the Ministry’s mission and requires adherence to HIPAA and organizational policies.

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Required Skills

Medical Billing
Provider Negotiation
Systems Knowledge
Multitasking
Computer Proficiency
Medical Records
Report Writing
Negotiation Strategy
Third-Party Coordination
Bill Validation

+10 more

Qualifications

LPN/LVN License
RN License

About Christian Care Ministry

mychristiancare.org

Christian Care Ministry (CCM) is a nonprofit organization that administers Medi‑Share, a faith‑based healthcare cost‑sharing program for Christians. Rather than traditional insurance, Medi‑Share members contribute monthly to a pool that helps pay eligible medical expenses, guided by a statement of faith and lifestyle guidelines. CCM provides multiple sharing plans, claims administration, telehealth and member support, plus resources emphasizing preventive care and community/prayer support. The program markets itself as a lower‑cost, faith‑aligned alternative for individuals and families seeking to manage medical costs within a Christian community.