Broadway Ventures

Medical Review II (Medicare)

Broadway Ventures · United States

Posted 21 days ago · $62,000-$65,000

or apply directly on Broadway Ventures's site. We never take the application ourselves.

Is this posting real?

This role has been open
21 days
Broadway Ventures's roles stay open a median of 22 days
Reposted
No
Salary listed
Yes
55% of Broadway Ventures's roles list one
Ghost-job risk at Broadway Ventures
low
2 stale, 0 reposted of 20 open
Hiring momentum
31 roles opened in the last 90 days
↑ up vs. the prior 90 days
Last confirmed on the employer's board
2026-09-17

Measured from postings appearing on and disappearing from Broadway Ventures's own greenhouse board since 2026-08-03. Full hiring picture for Broadway Ventures.

About this role

In this remote role, the Medical Review II will be responsible for performing complex medical reviews of Medicare claims specifically for Inpatient Rehabilitation Facility (IRF) services. The position involves conducting pre-claim reviews, evaluating documentation requests, and communicating determinations to healthcare providers while adhering to strict deadlines and regulatory guidelines.

Our read on this posting4.0out of 5
benefits
3/5
freshness
4/5
career value
4/5
role clarity
4/5
pay transparency
5/5

Scored from the posting itself — how clearly the role is described, how much it says about pay and benefits, and how recently it was listed. Not a judgement of Broadway Ventures as an employer.

What you need

  • Active, unrestricted Registered Nurse (RN) license; compact license preferred
  • Minimum of 2–3 years of clinical nursing experience
  • Prior experience in Medicare medical review, utilization review, or claims review
  • Working knowledge of CMS coverage guidelines and IRF medical necessity criteria
  • Strong analytical and clinical decision-making skills
  • Excellent written and verbal communication skills

Nice to have

  • Direct experience with Inpatient Rehabilitation Facility (IRF) documentation and CMS Review Choice Demonstration (RCD) programs
  • Certification in case management, utilization review, or a related specialty

What you get

  • 401(k) and company match
  • PTO that grows the longer you stay
  • Health, Vision, Dental
  • Company provided Life Insurance and Voluntary Life Insurance
  • Short Term Disability and Long Term Disability

Worth weighing

  • Pay range provided is not a guarantee and depends on various factors
  • Position contingent upon contract award for some postings
  • Work is production-driven with strict turnaround requirements

Summarised from Broadway Ventures's posting. Read the full original.

Listed by Broadway Ventures on their greenhouse job board, last confirmed open on 2026-09-17. PitchMeAI is not the employer.

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