Industry Specialist (Registered Nurse) Employment Type: Full-Time, Experienced Department: Healthcare CGS is seeking an experienced Industry Specialist (Registered Nurse). CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success: - Serves as a client Subject Matter Expert ("SME") on medical-related questions raised by the Claim Review and Appeals teams (client and contractor attorneys) and the Special Master. - Reviews medical records, documents findings using applicable forms, and recommends conditions for verification by the [CLIENT] Health Program following specific [CLIENT] Health Program guidelines and instructions. - May support the appeals process either through review of medical information submitted as part of the pre-appeal materials, through participation in hearings, or by providing expertise to the team as they draft the post-appeal recommendation for the Special Master's review. - Reviews medical records for identified claims to assess the severity of the claimant's physical health conditions, as evidenced in the records. Supports claim review in evaluating severity for non-economic loss awards; evaluating disabling conditions and the percentage attributable to the eligible condition; determining if conditions with different names are the same condition; and providing expertise to the team pertinent to clinical experience. Qualifications: - Must be a Licensed Medical Professional, with an active license. - Must be a Licensed Medical Professional, with an active license. - Five years recent Nursing/Case Management/Utilization Review or Legal Nurse Consulting experience - Background in pulmonary and/or oncology specialties preferred Ideally, you will also have: - Able to work independently to achieve performance standards in a hybrid work environment and reports to the client offices in Washington, DC per approved telework schedule, with additional days in-office as needed for trainings and meetings. Our Commitment: Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. - Health, Dental, and Vision - Life Insurance - 401k - Flexible Spending Account (Health, Dependent Care, and Commuter) - Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: https://cgsfederal.com/join-our-team/ For more information about CGS please visit: https://www.cgsfederal.com or contact: Email: ********
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