Remote Nurse Reviewer - Medical Records & Compliance
Texas Health and Human Services
Austin, TX
- Remote job
Texas Health and Human Services is hiring a Nurse III – Nurse Reviewer in Austin, TX. The role involves conducting in-depth reviews of hospital and nursing facility records to ensure compliance with Texas Medicaid and state laws. Candidates must be licensed as Registered Nurses in Texas, with at least two years of relevant experience. This full-time position offers a generous benefits package including health insurance and retirement plans. #J-18808-Ljbffr Texas Health and Human Services
Vacancy posted 15 hours ago
Similar jobs that could be interesting for youBased on the Remote Nurse Reviewer - Medical Records & Compliance in Austin, TX vacancy
$40 per hour
...Nurse Reviewer PT (20‑30 hours week) – Remote Work Environment Non‑Exempt: $40.00 hour Supports Medical Review Services. The Nurse Reviewer plays a critical role in supporting... ...of claims and medical records to ensure compliance with established guidelines and...Remote workContract workWork at officeLocal areaImmediate startHealthcare Quality Strategies
Florida, NY15 hours ago- ...DOMA Technologies is seeking a Nurse Reviewer to support independent dispute resolutions at... ...levels. This role involves analyzing medical records, providing quality assurance checks, and... ...patient care experience. This is a remote position that offers the flexibility of...Remote workWork from home
DOMA Technologies
Virginia Beach, VA1 day ago - ...Description Description: The Medical Nurse Reviewer applies clinical nursing expertise to review claims, medical records, and provider documentation for compliance with Medicare, Medicaid, and hospice... ...Location and Environment 100% Remote PHI/PII Requirement: Yes. The...Remote workFull timeWork at officeFlexible hours
$90k - $99k
...DRG Nurse Reviewer Appeals and Hearings- Remote Date: Jan 9, 2026 Location: Any city, FL, US, 99999 Work Mode... ...(Exception only) It takes great medical minds to create powerful solutions... ...clinical experience or 5+ years medical record coding experience preferred ~...Remote workFull timeWork from homeFlexible hoursGainwell Technologies
Florida, NY15 hours ago$45k - $70k
...A healthcare services company is seeking a Utilization Management Nurse Reviewer to ensure medical services are used appropriately. The role involves reviewing medical records and coordinating care while adhering to guidelines. Candidates should possess an unrestricted...Remote workDane Street
New York, NY3 days ago- ...Strategies, Inc. (HQSI) is seeking a Nurse Reviewer for a remote position supporting Medical Review Services. The role... ...necessity reviews and ensuring compliance with established guidelines. The... ...years of experience in medical record review. Proficiency in medical terminology...Remote work
Healthcare Quality Strategies
Florida, NY1 day ago $78k - $85k
...Nurse Reviewer - Itemized Bill Review It takes great medical minds to create powerful solutions that solve some of healthcare... ...to perform reviews of medical records, healthcare claims, itemized... ...UB‑04 forms to ensure accuracy, compliance, and proper billing practices....Remote workFull timeWork from homeFlexible hoursGainwell Technologies
United States2 days ago$5,833.33 - $6,666.67 per month
...Job Title: Nurse III – Nurse Reviewer Location: Austin, TX – 4601... ...and nursing facility records to ensure adherence... ...records to validate medical necessity, accurate... ...software in a telework/remote environment. Minimum... ...ADA Accommodation In compliance with the Americans...Remote workFull timeWork at officeShift workNight shiftTexas Health and Human Services
Austin, TX4 days ago$45k - $70k
A healthcare management firm is seeking a Utilization Management Nurse Reviewer to ensure efficient use of medical services. The role involves reviewing medical records, assessing treatment necessity, and collaborating with healthcare providers. Candidates should possess...Remote job- Yourtexasbenefits is hiring a Nurse Reviewer (Nurse III) in Austin, Texas. This position involves conducting clinical reviews of hospital and nursing facility records to support Texas Medicaid compliance and identify potential fraud. A Texas RN license and RAC‑CT certification...Remote job
- A leading medical review company in Washington is seeking a Utilization Management Nurse Reviewer. The role involves assessing medical necessity, reviewing patient records, and collaborating with healthcare providers... ...salary range, remote work options, and a comprehensive...Remote job
- ...quality organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims... ...along with experience in medical record review. Responsibilities include... ...ongoing training. This is a part-time remote position, offering a flexible work...Remote jobHourly payPart timeFlexible hours
$65k - $75k
...(in days) to receive an alert: Nurse Reviewer (Registered Nurse) - Remote in US Date: Jul 25, 2025 Location... ..., AL, US, 99999 It takes great medical minds to create powerful solutions... ...reviews to determine if the medical record documentation supports the need for...Remote workPermanent employmentFull timeContract workTemporary workWork from homeMonday to FridayFlexible hoursGainwell Technologies
El Paso, TX15 hours ago- ...contractor position. We need a Nurse Practitioner who can... ...and completely remote. We require at least 5... ...will be responsible for reviewing pertinent patient data,... ...Specifically, you will review records to enable Remote... ...context of each patients’ medical history, care plan goals...Remote workFor contractors
Tapestry
New York, NY3 days ago $50 per hour
...About the Job Registered Nurse Clinical Reviewer - Remote (New York) Location: Remote (New York-based) Employment Type: Full-time... ...utilization reviews and quality study data collection, ensuring compliance and accuracy across healthcare documentation. Why You...Remote workFull timeGreenLife Healthcare Staffing
United States2 days ago$72.59k - $119.77k
...Clinical Nurse Reviewer Quality Management Saint Peter's is among the few hospitals... ...in the Surgery, Medicine, Nursing, Medical Records, Infection Control, Quality/Patient... ...Position located on-site with limited remote work hours as allowed based on Director...Remote workFull timeWork experience placementShift workSaint Peter's Healthcare System
New Brunswick, NJ3 days ago$115k - $125k
...force behind the highest level of innovative medical care for post-acute communities. Our team... .... You will be responsible for chart reviews, onboarding process, support APPRs with clinical... ...care, SNF/LTAC, chronic care management. Remote work experience beneficial. PCC, Teams,...Remote workWork experience placementWork at officeMonday to FridayWeekend workWeekday workTapestry
New York, NY3 days ago$64.5k - $92.2k
Gainwell Technologies LLC is seeking a Clinical Quality Nurse Reviewer, Sr. Specialist to perform ongoing quality assurance audits on clinical staff. This full-time remote position requires an active RN license and clinical experience in healthcare. Responsibilities include...Remote jobFull time$79.56k - $115.72k
...professionals, including doctors, nurses, business people, tech... ...drive groundbreaking medical discoveries and invite... ...The Senior Nurse Reviewer is responsible for the... ...Proficient in electronic health record (EHR) systems and... ...schedule: ~ Remote, M-F eastern standard business...Remote workShift workMass General Brigham
United States4 days ago- ...The Senior Nurse Reviewer is responsible for the coordination, facilitation, and appeal of the... ...teams. Proficient in electronic health record (EHR) systems and clinical documentation... ...staff. Working schedule: ~ Remote, M-F eastern standard business hours....Remote work
Mass General Brigham (Enterprise Services)
Somerville, MA2 days ago $50 per hour
Overview Registered Nurse Clinical Reviewer / IDR - Remote to Office-Based, Jericho, NY (... ...conducting comprehensive medical-legal reviews, research,... ...while ensuring regulatory compliance and producing accurate final... ...with electronic medical records; strong research and...Remote workHourly payFull timePrivate practiceWork at officeFlexible hours- ...Registered Nurse: Review and Evaluation Are you a registered nurse... ...program integrity through compliance management. Here, you'll champion... ...judgment to analyze medical records, documentation, and billing... ...vulnerable populations Remote work enjoy the convenience...Remote jobWork from home
- ...Are you a registered nurse ready to take your career... ...integrity through compliance management. Here, you'... ...traditional bedside setting to review and audit claims,... ...judgment to analyze medical records, documentation, and billing... ...populations Remote work - enjoy the convenience...Remote workFull timeTemporary workWork at officeWork from home
The CKHobbie Group
Harrisburg, PA2 days ago - ...schedules for long-term care residents, and ensure compliance with standard operating procedures while working remotely Monday through Friday from 8:00 am to 5:00 pm.... ...Microsoft Office Suite to maintain accurate medical records and documentation Required qualifications...Remote workFull timeWork at officeWork from homeHome officeMonday to Friday
Virtual Vocations Inc
United States4 days ago - ...Registered Nurse (RN) | Medical-Surgical Location: Uniontown, PA Agency: Concentric Healthcare... ...Monitor and manage patients on remote telemetry (no bedside monitors; monitoring... ...Medical Surgical units as needed Compliance with facility dress code: navy blue...Remote workWeekly payFull timeContract workTemporary workImmediate startFlexible hoursShift workNight shiftDay shift
TravelNurseSource
Uniontown, PA15 hours ago - ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of... ...with providers and payers to ensure compliance with clinical guidelines, regulatory... ...based) ~ Skilled experience with remote work Length of Assignment: 1...Remote workShift workWeekend work
AMN Healthcare
United States3 days ago - ...Description Develops and Implements Nursing Plan of Care: -Correlates findings... ...assessment with other pertinent date from the medical record. -Develops problem statements... ...as needed and chart. -Ensures compliance with Universal Precautions, Infection Control...Remote workFull timeRelocation packageShift work
The Centers
Harrison, AR15 hours ago $24.61 - $34 per hour
...accurate reimbursement, and compliance across large-scale healthcare... ...Whats in It for You? Work remotely in a structured, performance-... ...DRGs for acute care inpatient records across multiple facilities.... ...Utilize complete patient medical record documentation to ensure...Remote workHourly payFull timeWork from homeJenn Nguyen and Friends
Richmond, VA3 days ago$27 per hour
...Galileo is a team-based medical practice working to... ...Advocate (Licensed Practical Nurse) is an integral part of... ...Isle, with some remote work from home possibilities... ...accurate vaccine records Assist providers with... ...protocols and maintain compliance with safety standards...Remote workHourly payContract workPart timeWork at officeLocal areaWork from homeMonday to FridayGalileo Financial Technologies
Brunswick, ME3 days ago- ...oriented Coding Specialist III to support accurate outpatient hospital coding and ensure compliance with ICD-10-CM, CPT, and HCPCS guidelines. In this role, you will review medical record documentation, assign appropriate codes, apply modifiers, and use standard query...Remote workFull timeLocal areaWork from homeMonday to Friday
BELLIN
United States2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Nurse Reviewer - Medical Records & Compliance. Be the first to apply!
Related searches
- program coordinator remote Austin, TX
- automation engineer remote Austin, TX
- remote customer service advisor Austin, TX
- it manager remote Austin, TX
- remote financial planning Austin, TX
- remote banking Austin, TX
- remote 3d animation Austin, TX
- tableau developer remote Austin, TX
- software engineering manager remote Austin, TX
- system engineer remote Austin, TX