Remote RN: Forensic Clinical Review & Billing
Sustainable World, Inc.
- Remote job
UnitedHealth Group's Optum is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analyses. You will document, research and identify adjustments for payment as part of a team delivering Forensic Reviews for clients. This role offers telecommuting from anywhere in the U.S. with limited supervision and requires an associate degree, active RN or LPN license, and 2+ years of clinical experience plus 1+ year in bill review. #J-18808-Ljbffr Sustainable World, Inc.
- UnitedHealth Group's Optum is seeking a Clinical Review Clinician to serve as a... ...matter expert for itemized bill reviews and hospital facility... ...as part of a team delivering Forensic Reviews for clients. This... ...an associate degree, active RN or LPN license, and 2+ years...Remote job
- ...part of UnitedHealth Group, is seeking a Clinical Review Clinician to analyze hospital facility bills and document adjustments as part of forensic reviews for clients. The role offers... ...flexibility within the U.S. and requires RN or LPN licensure and clinical experience...Remote job
- Optum is seeking a Clinical Review Clinician to act as a subject matter expert for itemized bill reviews and hospital facility bills. This role involves documenting, researching... ...for payment as part of a team preparing Forensic Reviews for specific clients. Join a...Remote job
- UnitedHealth Group is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis. You will document... ...for payments as part of a team preparing Forensic Reviews for clients. Role involves understanding...Remote job
- UnitedHealth Group seeks a Clinical Review Clinician to serve as the subject matter expert for itemized bill reviews and analysis of hospital facility bills. You will document... ...adjustments as part of a team preparing Forensic Reviews for clients. You will enjoy limited...Remote job
- UnitedHealth Group seeks a Clinical Review Clinician to analyze itemized hospital bills and document adjustments for forensic reviews. Telecommute from anywhere in the U.S. The role requires clinical experience, RN or LPN license, and bill review knowledge. You will support...Remote job
- UnitedHealth Group's Optum is seeking a Clinical Review Clinician to act as a subject matter expert in itemized bill reviews and hospital facility bills. You will document and research adjustments for Forensic Reviews for specific clients. This role offers telecommuting...Remote job
- UnitedHealth Group is seeking a Clinical Review Clinician to perform forensic reviews of hospital facility bills and document adjustments with clinical accuracy. You will analyze charge details, compare to guidelines, and participate in negotiations and appeals within...Remote job
- Optum is hiring a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis. The role involves documenting... ..., and supporting negotiations and appeals. Remote work is available nationwide with full benefits...Remote job
$29 - $52 per hour
...Clinical Review Clinician Optum is a global organization that delivers... ...subject matter expert for itemized bill reviews and analyzing... ...contributes to the preparation of Forensic Reviews for specific clients.... ...~ Active and unrestricted RN license OR LPN in the state of...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal area$29 - $52 per hour
...Program Integrity Clinical Compliance Auditor Optum... ...performing compliance reviews of medical and administrative... .... This position is Remote in Massachusetts. You... ...~ Nurse licensure (RN or LPN) with a current,... ...information, and healthcare billing practices Experience...Remote workHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work- UnitedHealth Group seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and analysis of hospital... ...as part of a team preparing Forensic Reviews for clients. Telecommuting... ...U.S. The position requires RN or LPN licensure, 2+ years...Remote job
- Optum, a UnitedHealth Group company, seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis.... ...identify adjustments for payment as part of Forensic Reviews for clients. This telecommute-friendly...Remote job
- Optum is hiring a Clinical Review Clinician to act as a subject matter expert for itemized bill reviews and hospital facility bills. The role includes documenting, researching... ...for payment as part of a team preparing Forensic Reviews for clients. Responsibilities include...Remote job
- ...comprehensive training curricula for clinical audit nurses and audit... ...IPF and IRF claim review, documentation requirements,... ...distinctions, and facility-specific billing rules. Maintain and update... ...for effective delivery in a remote environment. Training Delivery...Remote workFull timeWork at office
$69.3k - $78k
Overview Medical Review Nurse II - Clinical Validation At Performant, we’re focused... ...losses due to errant billing practices. We are the premier... ...Commercial Payers. You will work remotely in a fast paced and dynamic... ...Active unrestricted RN license in good standing, is...Remote workFor contractorsWork at officeWork from homeHome officeShift work$60 per hour
...discretion and completely remote. We require at least... ...be responsible for reviewing pertinent patient data,... ...received for accuracy of clinical and demographic... ...Reviewers, LPN Reviewers and RN Reviewers in building their... ...care plan sign off and billing. Identify...Remote workHourly payFor contractors- Medix is seeking a Clinical Review RN for Prior Authorization, with 2 years of acute care experience and 1 year in prior authorization. The role... ...physicians and analysts to ensure accurate authorizations. Onsite in Jericho or remote in RI is possible. #J-18808-Ljbffr Medix™Remote job
- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and document determinations. This role offers telecommuting from anywhere in the U.S. while maintaining rigorous screening criteria and...Remote job
- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and to document all determinations. The role emphasizes adherence to Federal, State and client requirements in a telecommuting setting...Remote jobHome office
- Comagine Health is seeking an RN to perform Clinical Review work and QIDP reviews. The role is remote, with half-time focus on QIDP reviews and half-time on nurse clinical review. The position requires licensure in Alabama, a BA/BS in Nursing, and at least 3 years of direct...Remote job
$31 - $35 per hour
...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations... ...Experienced with G suite applications This is a 100% remote role, and requires robust internet speeds (above 50 megabytes...Remote workFull timeFlexible hoursShift work$35 - $50 per hour
...seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for... ...contractors, focusing on chart reviews and clinical data analysis. Candidates should have an active RN license, at least 3 years of adult health...Remote workHourly payContract workFor contractors- Comagine Health is seeking an RN to perform Clinical Review work and QIDP reviews. The role will split time as a QIDP (.5 FTE) and a nurse clinical reviewer (.5 FTE); you will operate remotely from Alabama and hold an active RN license in the state with a minimum of 3...Remote job
- UnitedHealth Group seeks an experienced SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims. The role requires documenting determinations and maintaining screening criteria, contributing to efficient, compliant health...Remote job
- ...improve care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role in our... ...professionally. Position Overview We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team member will serve as the...Remote workContract work
- A leading organization in healthcare quality is seeking a Clinical Quality Reviewer to review clinical cases and identify potential quality or safety concerns. This remote position is ideal for licensed clinical professionals with a strong analytical mindset and a minimum...Remote job
- Comagine Health in Alabama is seeking Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent... ...retrospective utilization reviews. This is a full-time remote role supporting Alabama contracts. You will apply...Remote jobFull time
$45 - $50 per hour
...Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting... ...of accredited nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby.vecnakraska.sk...Remote jobHourly pay- NTT DATA, Inc. in Tampa, Florida seeks a BPO Clinical Review Specialist to perform clinical and medical necessity reviews supporting member... ...compliance with NCQA standards and Medicaid guidance. This remote Florida role offers benefits including medical, dental and vision...Remote job
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