Remote RN: Clinical Record Review Specialist
Managed Medical Review Organization
- Remote job
Managed Medical Review Organization is seeking a Registered Nurse to join the team in a remote, home-office setting. The role emphasizes telephonic communication, patient data documentation, and clinical review experience, with no face-to-face patient contact. The RN will verify credentialing, coordinate with Physician Reviewers, and ensure timely, accurate delivery of review services in compliance with corporate policies and state mandates. #J-18808-Ljbffr Managed Medical Review Organization
- ...experienced nursing professionals to review medical records and ensure appropriate admission... ...must have a valid California RN license and at least two years of clinical experience or a Master's degree... ...field. The position offers remote work with emphasis on critical thinking...Remote work
- ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant... ...team-oriented environment. Requirements include active RN or LVN licensure, a minimum of two years in utilization...Remote workWork at office
- ...Cleveland Clinic is seeking an Utilization Management RN Reviewer to support remote operations from home. The role covers admission and concurrent reviews, and ensures medical necessity criteria are applied to hospital stays and discharges. Qualifications include RN...Remote work
- ...Cleveland Clinic Health System is seeking an experienced Utilization Management RN Reviewer to work remotely with a focus on admission, concurrent and retrospective reviews. The role supports payer communications, data collection, and clinical decision-making to ensure...Remote workWork at office
- ...CVS Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical expertise to ensure medically necessary care across the continuum. This role offers work-from-home scheduling, Monday–Friday, with some weekend coverage...Remote workWork from homeMonday to FridayWeekend work
$69.39k - $88.61k
...Cincinnati Children’s is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case... ...a Bachelor’s degree in a related field, an active RN/Social Work/Clinical Counselor license, and 2+ years of related experience...Remote workFull time$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning... ...looking for an experienced Utilization Review Specialist (RN) to join our remote home health team.... ...Package What You’ll Do Review home health clinical documentation for accuracy and...Remote workMonday to FridayWeekend workWeekday work- HonorHealth in Phoenix is seeking an Utilization Review RN Specialist to review and monitor utilization, ensuring medically necessary care and appropriate discharge planning within Medicare, AHCCCS, Self-pay, and other payer guidelines. The ideal candidate has an RN license...Remote job
- PruittHealth is seeking a Registered Nurse (RN) ICD-10 and Oasis Reviewer for a remote Home Health position. Must reside in SC, NC, or GA and hold an active ICD-10 certification. Join a leader in post-acute care and contribute to high-quality home-based nursing care. Responsibilities...Remote job
- HonorHealth is seeking an Utilization Review RN Specialist to review and monitor the utilization of health care services, ensuring medical necessity and appropriate levels of care. You will coordinate reviews for Medicare, AHCCCS, self-pay, and others from admission onward...Remote job
$60k - $70k
...Full Time Office/Clerical Remote, Birmingham, AL, US... ...are seeking a Utilization Review Specialist to add to our dynamic team... ...thorough evaluation of patient records, treatment plans, and clinical data to determine the... ...certification, such as RN, LPN/LVN, LMSW, LPC, CADC...Remote workFull timePart timeWork at office- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes clinical nursing expertise, care management experience, and adherence to guidelines and policies. The position requires...Remote job
- ...motivated and experienced Utilization Review Nurse to join our team. The... ...industry by providing expert clinical guidance, facilitating... ...clinical assessments of medical records to ensure patients are receiving... ...Qualifications Registered Nurse (RN) licensure required; must hold...Work experience placement
- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews... ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including...Remote workContract workWork from home
- Managed Medical Review Organization is seeking a licensed RN to join our team for remote, home-office work. This role emphasizes telephonic customer service, accurate documentation, and clinical review of medical records with no face-to-face patient contact. Applicants...Remote jobWork at officeWork from homeHome office
- ...Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home Department: Care Management Contract: Washington Labor & Industries... ...Review clinical documentation and medical records to support accurate and timely...Remote workFull timeContract workLocal areaWork from homeHome office
- ...Utilization Review Specialist – Join a Top 1% Workplace Are you looking for a fast-paced clinical role where your contributions are truly valued... ...corporate office, 3 days remote. What You Will Do Act... ...integrity within Electronic Health Record (EHR) systems. Navigate...Remote workWork at office
$40k - $50k
...Description Utilization Review Specialist Full-Time- must be able to work... ...weekends per month Location: Remote Preferred Residence: Candidates... ..., and collaborating with clinical teams throughout the treatment... ...with electronic medical records (EMR) systems and Microsoft...Remote workFull timePart timeWork at officeWeekend work- ...oriented Registered Nurse to support our Remote Patient Monitoring program from our office. You will review patient data from RPM devices,... ...The ideal candidate has an Illinois RN license, experience with electronic health records, and strong communication skills to coordinate...Remote workWork at office
- Managed Medical Review Organization, Inc. is seeking an experienced RN to join our team in a remote, home-office capacity. The role emphasizes telephonic/customer service, accurate documentation, and clinical review of cases. Candidates must reside in Michigan, Florida...Remote jobHome officeMonday to Friday
$29 - $52 per hour
We are hiring: RN - Utilization Review — UnitedHealth Group — Remote. Type: Full-Time. This is an excellent opportunity... ...to complex issues, and conducting clinical research to support medical determinations... ...and interpret clinical/medical records submitted from providers Make...Remote workHourly payFull timeDay shift- ...We are searching for a new RN to join our team. Our... ...enjoy the flexibility to work remotely and do not have face-to-face... ...skills in addition to clinical experience. Please review the roles and responsibilities... ...the associated medical records Maintain communication with...Remote jobHome office
- ..., PAT to join our team remotely ! Must reside in Texas.... ...unrestricted Registered Nurse (RN) license issued by the... ...and/or telehealth, reviews medical histories,... ...coordination efforts, and clinical decisions accurately... ...the electronic medical record (EMR) Maintain ongoing...Remote jobFull timeTemporary workWork from home
- Job Summary CDI Specialists will collaborate extensively... ..., and medical records coding staff to... ...The role involves reviewing medical records... ...documentation of clinical information used for... ...employment. Current RN license with three... .... We Offer Remote, predictable, full...Remote jobFull timeWork at office
- ...The Denial Mitigation-Appeal Specialist II RN serves in a key role of the... ...by the following: Performs reviews of clinical information and supporting... ...of the patient’s clinical record and prepares a clinical timeline... ...the opportunity to work remotely after 90 days when able to...Remote workFull time
- ...Summary Provides senior level clinical support to quality team -... ...effective member care. This remote position is primarily focused... ..., including audits of medical record quality, services and service... ...patient safety); preparation and review of potential quality of care...Remote workFull timeContract workWork at office
- ...scalable solutions and clinical expertise help... .... Job Summary CDI Specialists will collaborate... ...caregivers, and medical records coding staff to... ...Specialist will review medical records for... .... This is a remote position Essential... ...employment. Current RN license. Three years...Remote jobFull timeWork at officeImmediate start
- ...Orthopedic Surgeons to join our team of expert medical reviewers. This telework opportunity allows you to customize your... ...a 1099 independent contractor. You will review medical records, prepare concise clinical summaries, and respond to client questions related to Orthopedic...Remote jobFor contractors
- ...experienced Orthopedic Surgeons to join our team of medical reviewers. This telework opportunity as a 1099 independent... ...medical opinions. Your role includes reviewing medical records, preparing concise clinical summaries, and answering client questions related to Orthopedic...Remote jobFor contractorsFlexible hours
$29 - $52 per hour
...Clinical Review Clinician Optum is a global organization that delivers care, aided by technology... ...clinical claim review, medical record review, and a broad knowledge of applicable... ...Associate's degree ~ Active and unrestricted RN license OR LPN in the state of residence...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementLocal area
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