Join a growing SDVOSB and HUBZone-certified consulting company delivering innovative solutions for government and private sector clients. This role is ideal for experienced RNs with a background in medical review and utilization who want to contribute to meaningful work from home.
About Broadway Ventures
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business focused on program management, technology, and consulting. We partner with clients to transform challenges into opportunities, delivering sustainable, tailored solutions built on integrity, collaboration, and excellence.
Schedule
- Full-time (40 hours/week), Monday–Friday, 8:00 AM – 4:30 PM
- Remote with high-speed internet and private office required
- Occasional travel to Augusta, GA office (approx. 4 times per year)
- Preference given to candidates in Georgia or South Carolina, and those living in HUBZone areas
What You’ll Do
- Conduct medical reviews of claims across radiology, ambulance, physical therapy, surgical, and more
- Determine coverage, necessity, and appropriate payment based on protocols and clinical guidelines
- Document clinical rationale for approvals or denials
- Provide education on medical terminology, coverage determinations, and coding practices
- Support fraud/abuse detection and correct coding reviews
- Mentor LPN team members and assist in staff education
- Participate in quality control, special projects, and team-based initiatives
What You Need
- Active, unrestricted RN license (compact multistate NLC accepted)
- Bachelor’s degree in Nursing (required); Master’s preferred
- 5+ years of clinical RN experience
- 2+ years in utilization/medical review, quality assurance, or home health
- Strong clinical background in home health, rehab, and/or medical-surgical nursing
- Solid knowledge of managed care, protocols, and medical review processes
- Strong communication, analytical, and decision-making skills
- Proficiency with Microsoft Office and multitasking across multiple systems
Preferred Skills
- 5+ years in medical review, quality assurance, or home health
- Master’s degree in Nursing
- Experience with HUBZone employment programs
Benefits
- 401(k) with company match
- Medical, dental, vision, life, and disability insurance
- Flexible spending accounts
- Paid time off and holidays
- Remote work with required HUBZone participation
This is your chance to leverage your clinical expertise while contributing to a mission-driven small business making a difference in healthcare oversight.
Bring your nursing background and review expertise to Broadway Ventures.
Happy Hunting,
~Two Chicks…