Remote RN Clinical Auditor - Behavioral Health
RADcube
- Remote job
RADcube is seeking a Registered Nurse Clinical Auditor with extensive Behavioral Health experience to support IHCP medical record reviews and billing compliance audits. This fully remote role includes occasional travel to Downtown Indianapolis, IN (expenses covered) to collaborate with the audit team and key stakeholders. You will evaluate care quality, review policies, identify compliance issues, prepare documentation, and assist with appeals in behavioral health and substance use disorder #J-18808-Ljbffr RADcube
- ...role as a trusted partner for large-scale government digital initiatives and more. Job Description This is a remote position. RN Clinical Auditor - Behavioral Health Location: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered) Job Summary...Remote workContract work
- RADcube - A NLogix Company is seeking an experienced RN Clinical Auditor with extensive Behavioral Health expertise for a fully remote role. The position includes occasional travel to Downtown Indianapolis, IN (expenses covered) to support Indiana Health Coverage Programs...Remote job
- Guidehealth is hiring a Registered Nurse (RN) Clinical Compliance Auditor II for a remote, full-time role. You will conduct comprehensive audits, monitor adherence to UM/PHM plans and client obligations, and lead audit programs with senior clinical leadership. The position...Remote jobFull time
- EXL is seeking a Clinical Validation Auditor to review inpatient records, ensuring DRG codes align with... ...identify potential overpayments. This fully remote, U.S.-based role leverages clinical... ...productivity and quality goals. A RN with 5+ years of acute care experience...Remote job
- ...data-powered healthcare company, seeks a Clinical Compliance Auditor II to lead complex audits ensuring UM/... .... Qualifications include an active RN license and 3-5 years in utilization management... ...plans is preferred. This is a fully remote role. #J-18808-Ljbffr GuidehealthRemote job
- Guidehealth, a remote-first healthcare company, is seeking a Clinical Compliance Auditor II to ensure compliance across clinical operations, utilization management, and delegated services. The role partners with Clinical Leadership, Compliance, and Operations to identify...Remote job
- Guidehealth, a data-powered healthcare company, seeks a Clinical Compliance Auditor II to ensure adherence to UM/PHM plans and... ...staff, and help refine audit tools within a remote-friendly, collaborative team. The role requires RN licensure, 3-5 years in utilization management...Remote job
$35 - $63 per hour
...do with our team will directly improve health outcomes by connecting people with the... ...together. In this position as a Clinical DRG RN auditor , you will apply your expert knowledge... ...Ability to work independently in a remote environment and deliver exceptional results...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal area- UnitedHealth Group is seeking a Senior Clinical Administrative RN to review member appeals and fair hearing requests from a Texas-based remote location. The role focuses on clinical and chart review, audits, and regulatory alignment within a managed care setting. The ideal...Remote job
- Optum is seeking a Clinical DRG RN auditor who will validate ICD-10-CM/PCS codes and DRG assignments for inpatient claims. You will write clear... ...contributing to accurate reimbursements. The role supports remote work from anywhere in the U.S. and requires strong coding...Remote job
- Registered Nurse - Clinical Documentation Integrity (CDI) Auditor Location: Fort Worth, TX Work Arrangement: Hybrid Remote Assignment: 13-Week Contract... ...experienced Registered Nurse (RN) - Clinical... ...understanding of medical and/or behavioral health documentation, ICD-10 and...Remote workContract workWork at officeMonday to Friday
$82k - $87k
...healthcare affordable, improve the health of patients, and restore... ..., Guidehealth leverages remotely-embedded Healthguides™ and... .... Job Description The Clinical Compliance Auditor II is responsible for ensuring... ...unrestricted Registered Nurse (RN) license required. Strong...Remote jobBi-weekly payFull timeTemporary workFor contractorsWork at officeLocal areaWork from home$60.2k - $107.4k
...Senior Clinical Administrative Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities... ...and guide members regarding behavioral health and substance use disorder... ...~ Current and unrestricted RN compact license ~ Ability...Remote workMinimum wageFull timeWork experience placementLocal areaWeekday work- ...MES Solutions is seeking a self-driven RN or LPN to join our team as a Clinical Quality Assurance Nurse Auditor. The role involves evaluating clinical information received... ...regulatory standards. The position is 100% remote with a Monday through Friday schedule (7:00am–3...Remote workMonday to Friday
- ...MES Solutions is seeking a self-driven Clinical Quality Assurance Nurse Auditor (RN or LPN) to join our remote team. You will evaluate clinical information from providers and write high-quality reports in compliance with client contracts and regulatory standards. The position...Remote workMonday to Friday
- Michael Hill, MD and Associates (MHMDAA) is seeking a Nurse Auditor to perform clinical validation on draft Claim Review reports. You will verify... ...and collaboration skills are required. The role is fully remote within the United States, with a minimum of 15 hours per week...Remote jobPart timeMonday to FridayFlexible hours
$80k - $88k
Paving the Way Multi-Service Institute in Washington, DC is seeking a Clinical Program Supervisor who will provide clinical and operational leadership for community-based behavioral health services. The ideal candidate will supervise direct service staff, support quality...Remote jobWork from homeFlexible hours$88.85k
...receive an alert: Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department:... ...Max.) Established in 1997, L.A. Care Health Plan is an independent public agency... ...regulations and standards. Clinical Auditor (Behavioral Health): In addition to the duties...Full time- PACS Group, a leading post-acute healthcare platform, seeks a Clinical Compliance Auditor I to perform routine audits of clinical documentation, regulatory compliance, and reimbursement processes for Skilled Nursing Facilities. You will ensure CMS alignment and support...Remote job
- ...Medical is seeking an experienced Registered Nurse (RN) - Clinical Documentation Integrity (CDI) Auditor for a 13-week contract in Fort Worth, Texas. The... ...including ICD-10 and CPT coding, for medical and behavioral health records. The ideal candidate holds an active RN...Contract work
- Devoted Health is seeking a Clinical Readmission Auditor to conduct prepayment and post-payment clinical reviews of inpatient admissions and related readmissions within 30 days of discharge. The role requires strong inpatient nursing knowledge, clinical judgment, and experience...Remote job
- Ascend Healthcare is seeking a Clinical Supervisor in Arizona with remote opportunities to lead a team of Therapists within a collaborative, remote... ...an unrestricted license (LCSW/LPC/LMFT), 3+ years in behavioral health, and board-certified supervision; leadership and...Remote job
$41 - $56.38 per hour
...business needs. This position is remote work eligible for candidates... ...Full Time Days Available The Clinical Documentation Improvement (CDI) Auditor will facilitate improvement system... ...Registered Nurse (RN) - State Department of Health Professions (Required) and Certified...Remote workHourly payFull timeWork at office- Ascend Healthcare Inc. seeks a Clinical Supervisor for a fully remote role based in Arizona. The position oversees a team of Therapists and ensures... ...an active LCSW/LPC/LMFT license, 3+ years of behavioral health experience, and board-certification for supervision....Remote jobFlexible hours
- ...great healthcare affordable, improve the health of patients, and restore the... ...predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a... ...the exam room for all patients. The Clinical Compliance Auditor II is responsible for ensuring Guidehealth...Remote workFull timeFlexible hours
- Ascend Healthcare is a remote-first behavioral health provider seeking a Clinical Supervisor (LCSW, LPC, LMFT) in Arizona. The role combines direct patient care with leadership of an assigned team of Therapists, ensuring high-quality care and operational efficiency. Key...Remote job
- ...Job Title & Specialty Area: Behavioral Health Integration and Guidance Clinic RN Department: Behavioral Health Innovations Location: Desoto, Texas Shift... ...4:30 PM Job Type: Hybrid (3 days on-site, 2 days remote) Why Children's Health? At Children's Health,...Remote workFull timeWork experience placementMonday to FridayShift work
- We are hiring nurse auditors who can commit to a minimum of 15 hours... ...for this opening, regardless of clinical background. Work availability... ...troubleshooting technical issues in a remote work environment. Required... ...Active, unencumbered RN license in the United States....Remote jobHourly payContract workFor contractorsHome officeOverseasMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shiftWeekday work
- ...specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and... ...experience required. Must have an active RN or LPN license. The new contract nurses... ...meeting which candidate must attend and remote other days. Riya Khem Life Science...Remote workContract workWork from home
$90k - $145k
...be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York. Job Responsibility 1.Leverages clinical...Remote workHourly payFull time
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