Remote RN: Medical Claims Review Specialist
Axius Technologies Inc.
Phoenix, AZ
- Remote job
An established industry player is seeking a Medical Review Nurse to join their dynamic team in Phoenix. This role involves reviewing and adjudicating medical claims, ensuring compliance with industry standards, and working collaboratively with healthcare providers. The ideal candidate will possess a strong nursing background, excellent organizational skills, and the ability to analyze complex medical documentation. In this position, you will contribute to the efficiency of healthcare delivery while enjoying the flexibility of a primarily remote work environment. If you are passionate about making a difference in healthcare, this opportunity is perfect for you. #J-18808-Ljbffr Axius Technologies Inc.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote RN: Medical Claims Review Specialist in Phoenix, AZ vacancy
- Optum is looking for a detail-oriented individual for a role in medical claim review, where your work will directly contribute to improving health outcomes. This position offers the flexibility to work remotely from anywhere within the U.S., with specific office...Remote jobMedicalWork at office
- ...Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a... ...flexible scheduling with benefits that include medical, dental, and retirement contributions...Remote workMedicalWork from homeFlexible hours
Industrial Asset Management Council
Kansas City, MO4 days ago - ...company is seeking a Registered Nurse (RN) Intern to conduct clinical reviews and support healthcare initiatives. This... ...military spouses, providing key training in a remote work setting. Key responsibilities include performing medical necessity reviews, documentation, and...Remote workMedicalInternship
Humana
Augusta, ME5 days ago $45 per hour
...SPECTRAFORCE is seeking a Clinical Appeals Specialist to handle member-generated appeal processes remotely from California. The role involves reviewing medical records and ensuring compliance with... ...communication skills. A California RN license and ADN are required. The...Remote workMedicalHourly paySPECTRAFORCE
California, MO1 day ago- ...seeking a clinical professional for a fully remote role focused on medical management. The position requires an active New York State RN licensure and involves analyzing... ...with healthcare providers, conduct clinical reviews, and ensure that members receive the appropriate...Remote workMedicalFlexible hours
Santa Barbara Cottage Hospital
New York, NY3 days ago - A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing and...Remote workMedicalFull time
Innovative Systems Group
Richardson, TX5 days ago - ...Avosys Technology is hiring a Remote Registered Nurse - Medical Review Specialist in Texas, responsible for performing clinical reviews and ensuring compliance... ...of two years' clinical experience and an active RN license. Join us in providing excellent healthcare service...Remote workMedicalShift work
Avosys Technology, Inc.
San Antonio, TX2 days ago $30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote workMedicalHourly payPart timeSanta Barbara Cottage Hospital
New York, NY3 days ago- ...Southcarolinablues is seeking a RN Medical Reviewer III (Remote in SC) to perform medical reviews using clinical information and established guidelines. This role involves reviewing complex medical claims and educating teammates on healthcare processes. The ideal candidate...Remote workMedicalWork from home
Southcarolinablues
Lexington, SC4 days ago - ...Stryker Corporation is seeking a Clinical Claim Review Nurse to perform detailed reviews of claims against medical records. The position offers the flexibility to telecommute... ...possess an Associate's degree and an active RN license. Responsibilities include ensuring...Remote workMedical
Stryker
Minneapolis, MN5 days ago - ...Behavioral Health Registered Nurse Intern to assist with medical necessity reviews in a remote setting. The role involves collaborating with healthcare... ...transitioning military members or spouses and hold an active RN license in Kentucky or have an enhanced compact license....Remote workMedicalInternship
Humana
Virginia, MN1 day ago - ...Centene Corp. is looking for a Clinical Review Nurse - Prior Authorization to work remotely. This position entails analyzing... ...requests to determine medical necessity, working with healthcare... ...must have an active New York State RN licensure and a degree from an Accredited...Remote workMedicalMonday to Friday
Centene Corporation
New York, NY1 day ago - ...RN Utilization Review City: Apple Valley State: CA Job Type: Travel Discipline: RN Speciality:... ...License: Mandatory Experience: ~ Remote UR RN ~2 year experience ~ Day 5x8... ...Years of experience REQ: 3-year acute medical Care Manager/UM experience performing...Remote workMedicalContract workTemporary workLocal areaShift workWeekend workDay shift
Hired by Matrix
Apple Valley, CA4 days ago $26.41 - $43 per hour
...Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical... ...education and experience. • Registered Nurse (RN). License must be active and unrestricted in...Remote workMedicalHourly payWork experience placementWork at officeMolina Healthcare
Jacksonville, FL1 day ago- ...management, discharge planning and utilization review. Review admissions and service... ...prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement... ..., precertification, reimbursement and claim denials/appeals. Assess and coordinate...Remote workMedical
St. Vincent's Health System
United States3 days ago - ...healthcare solutions provider is seeking a Nurse Reviewer (Registered Nurse) for a remote role in the US. The ideal candidate will... ...experience and must hold an active RN license. Responsibilities include reviewing medical records, performing prior authorizations, and...Remote workMedicalFull time
Gainwell Technologies
El Paso, TX5 days ago $1,949.74 per month
...Specialty Utilization Review Job ID 17979666... ...Title Utilization Review RN Weekly Pay $1949.74... ...) Job Description Remote Utilization Review RN responsible for concurrent reviews, medical necessity determinations, prior...Remote workMedicalWeekly payShift workCynet Health
Eureka, CA6 days ago$85k - $92k
...is seeking a Clinical Quality Reviewer to support a federal healthcare... ...This role involves reviewing medical records, conducting case analyses... ...Candidates must have a valid RN or LCSW license with at least... .... The position may be remote or onsite based on business requirements...Remote workMedicalWork at officeHome officeTEEMA Solutions Group
Phoenix, AZ5 days ago$29 - $52 per hour
Stryker Corporation is seeking a Registered Nurse in Boston, Massachusetts for clinical coverage review services. The ideal candidate will have an Associate's degree, an active RN license, and at least 3 years of nursing experience. Responsibilities include interpreting...Remote jobHourly pay$29 - $52 per hour
The University of Minnesota School of Nursing is seeking a Clinical Review RN in Boston, Massachusetts. This role involves performing clinical coverage reviews, interpreting mandates, and communicating benefit determinations while ensuring compliance with telecommuter policies...Remote jobHourly pay$29 - $52 per hour
Crains Cleveland is seeking an experienced Registered Nurse (RN) for clinical coverage review services in Boston, MA. Ideal candidates will need a current RN license and experience in inpatient settings. This position allows for telecommuting, adhering to company policies...Remote jobHourly payLocal area- ...Clover Health, LLC is seeking a Registered Nurse (RN) Medicare Quality Assurance Reviewer to support clinical processes remotely. You will leverage your expertise in Medicare... ...reviews, and work collaboratively with medical directors to improve care delivery. This role...Remote workMedical
Clover Health
New York, NY5 days ago - ...consulting firm is seeking a dedicated Registered Nurse (RN) to join the Medical Review team. This role involves conducting pre- and post-payment... ...communication skills are essential. This position offers a remote work environment with all necessary equipment provided. #J...Remote workMedical
Broadway Ventures LLC
New York, NY1 day ago - ...Abstractor The Suicide Mortality Review (SMR) Program, within the... ...including but not limited to medical, behavioral health, law enforcement... ...within a multidisciplinary remote team. Qualifications... ...Registered Nurse Clinical Licensure (RN, LPC, APRN) Bachelor's Degree...Remote workMedicalWork at office
Compu-Vision Consulting
United States2 days ago $75k
...dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical necessity reviews and collaborating with clinical... ...informed decisions. Candidates must hold an active RN license and have experience in acute care settings....Remote workMedicalSanta Barbara Cottage Hospital
New York, NY4 days ago$24 - $56.17 per hour
...Job Title Provides support for clinical member services review assessment processes. Job Description Verifies that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired...Remote workMedicalHourly payFull timeContract workWork experience placementWork at officeMolina Healthcare
Brooklyn, NY4 days ago$36 - $48 per hour
...Santa Barbara Cottage Hospital is seeking a Medical Claims Clinical Review Nurse for a remote position. This role involves conducting clinical reviews of medical... ...with regulations. The ideal candidate will have an RN license in California and a minimum of three years of...Remote workMedicalHourly paySanta Barbara Cottage Hospital
New York, NY3 days ago- ...intelligence company is seeking a Nurse Itemized Bill Reviewer to analyze medical claims and ensure compliance with industry standards. This remote position allows candidates to work from... ...candidates should possess an active RN, LPN, or LVN license, along with at least 1...Remote workMedical
The Rawlings Group
New York, NY3 days ago - ...telephonic and e-referral case review and authorization of services... ...mental health and substance abuse medical necessity criteria to provide... ...position is full-time, fully remote (work from home) and requires... ...of Michigan clinical license (RN, LMSW, LP, LPC, or LLP)...Remote workMedicalFull timeWork from homeShift workWeekend workAfternoon shift
MRINetwork
United States3 days ago $35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential... ...role is responsible for reviewing medical records, treatment requests, and clinical... ...Comfortable working independently in a remote or office-based setting. Working...Remote workMedicalWeekly payContract workWork at officeMonday to FridayNeier Inc
Sacramento, CA4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN: Medical Claims Review Specialist. Be the first to apply!
Related searches
- rn per diem nurse Phoenix, AZ
- temporary rn Phoenix, AZ
- registered nurse work from home Phoenix, AZ
- ob gyn rn Phoenix, AZ
- remote telephonic rn Phoenix, AZ
- wound care rn registered nurse Phoenix, AZ
- operating room travel rn Phoenix, AZ
- neuro icu registered nurse Phoenix, AZ
- endoscopy rn Phoenix, AZ
- public health registered nurse Phoenix, AZ