Remote RN: Clinical Claims Review for Short-Stay
University of Minnesota School of Nursing
Minneapolis, MN
- Remote job
University of Minnesota School of Nursing seeks a SSBV Clinical Claims Review RN to perform administrative reviews of short-stay inpatient hospital claims, document determinations, and maintain screening criteria in a dynamic environment. Responsibilities include ensuring compliance with applicable requirements and accurate recordkeeping. A designated home office workspace and proficiency in MS Office are required, with preference for additional degrees and relevant utilization review experience. #J-18808-Ljbffr University of Minnesota School of Nursing
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote RN: Clinical Claims Review for Short-Stay in Minneapolis, MN vacancy
- UnitedHealth Group seeks a SSBV Clinical Claims Review RN to administratively review short‑stay inpatient hospital claims, document decisions, and maintain screening criteria for claims processing in a dynamic production environment. The role requires an Associate’s degree...Remote jobClaims
- UnitedHealth Group is seeking a Clinical Claims Review RN to administer and document short‑stay inpatient hospital claim reviews. You will maintain screening criteria... ...in a dynamic production environment. This remote role requires an RN license, 5+ years of clinical...Remote jobClaimsWork at office
$28.94 - $51.83 per hour
...Ssbv Clinical Claims Review Rn Optum is a global organization that delivers care, aided by technology to help millions of people live healthier... ...Responsibilities Perform administrative reviews of short stay inpatient hospital claims in accordance with Federal, State...Remote jobClaimsHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaHome office- ...seeking a highly motivated RN Clinical Appeals & Utilization Review for an opportunity in... ...Utilization Review Location: Remote – Ohio; Columbus area... ...documentation. Utilize multiple claims and appeals systems to... ...voluntary life insurance, short-term disability, long-term...Remote jobClaimsTemporary workWork at officeMonday to FridayShift work
BCForward
Columbus, OH3 days ago $29 - $52 per hour
...Clinical Review Clinician Optum is a global organization that delivers... ...comprehensive understanding of the claim review process including... ...Life& AD&D Insurance along with Short-term disability and Long-Term... ...~ Active and unrestricted RN license OR LPN in the state of...Remote workClaimsHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaUnitedHealthcare
United States5 days ago- Optum is seeking a Clinical Review Clinician to serve as a subject matter expert in itemized bill reviews and clinical claim analysis. The role involves documenting, researching, and identifying adjustments for payment while collaborating with a team within a framework...Remote jobClaims
$29 - $52 per hour
UnitedHealth Group is seeking a qualified Registered Nurse in Massachusetts to perform clinical coverage review services. As part of this role, you will communicate benefit determinations and work closely with healthcare providers to explain coverage. We offer telecommuting...Remote jobClaimsHourly pay- UnitedHealth Group is seeking a licensed RN for a Telecommute Clinical Claims Review role. You will conduct administrative reviews of inpatient claims, document determinations, and apply screening criteria from Federal, State, and client requirements. The position requires...Remote jobClaimsWork at office
- UnitedHealth Group seeks a Clinical Review Clinician to serve as the subject matter expert for itemized bill reviews and analysis of hospital... ...within a broad policy framework and must understand the claim review process, clinical review, medical record review, and billing...Remote jobClaims
$31 - $35 per hour
...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting... ...applications This is a 100% remote role, and requires robust internet... ...authorization data with post-service claims validation, we're creating a transparent...Remote workClaimsFull timeFlexible hoursShift workCohere Health
United States3 days ago- ...Optum Waste And Error Claims Investigator Optum is a global organization that delivers care, aided... ...the viability of the claim for further review in a production environment. Primary Responsibilities: Clinical Case Reviews - 75% Perform clinical review...Remote jobClaimsContract workWork at officeLocal areaMonday to Friday
$29 - $52 per hour
...Program Integrity Clinical Compliance Auditor Optum... ...performing compliance reviews of medical and administrative... ...providers who submit claims for payment. This... ...schedule. This position is Remote in Massachusetts. You... ...~ Nurse licensure (RN or LPN) with a current,...Remote workClaimsHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work- ...Providing support for inpatient and outpatient clinical claim review activities, the full-time Remote Registered Nurse Clinical Reviewer will verify coded diagnoses... ...Active and unrestricted Registered Nurse (RN) license in the state of practice Advanced knowledge...Remote workClaimsFull time
Virtual Vocations Inc
United States2 days ago - ...seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs... ...referrals. The role requires clinical judgment to ensure medical... ...collaboration with providers and claims adjusters, and staying current with industry regulations...Remote jobClaimsWork from home
$69.3k - $78k
...integrity company is seeking a Medical Review Nurse II - Clinical Validation to perform medical claims audits for Government and... ...The position requires an active RN license and a minimum of five years... ...documenting findings, all in a remote work environment. This role...Remote jobClaims- ...RN / Medical Reviewer / Remote Job Details Professional Discipline :... ...eligibility regarding benefits and clinical criteria and assess and... ...clinical proficiency and claims knowledge. This is a... ...place of service, length of stay and medical necessity regarding...Remote workClaimsFull timeContract workLocal areaShift work
InGenesis
United States2 days ago $68.97k - $113.31k
...The RN Clinical Consultant serves as a clinical resource for the investigation... ...comprehensive medical reviews and analysis of long‑term and or short‑term disability claims. The Clinical Consultant identifies... ..., PA, Holmdel, NJ, or fully remote Travel Occasional 0-10% of the...Remote workClaimsTemporary workWork at officeVisa sponsorshipWork visaFlexible hoursGuardian Life
Phoenix, AZ4 days ago$29 - $52 per hour
...on some tough challenges. Primary Responsibilities Perform clinical coverage review services, which require interpretation of state and federal... ...Required Qualifications Associate's degree Current unrestricted RN license in the state of Massachusetts 3+ years of...Remote workClaimsHourly payMinimum wageFull timeWork experience placementLocal area$2,210 per week
...vision, long-term care, short-term disability,... ...Work-life balance. Remote/hybrid setting (... ...individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ..., benefit and claim concerns, and validation... ...is not limited to RN, LMSW, LMHC....Remote workClaimsFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours$81.1k - $116.48k
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote Join to apply for the Appeals... ...also handle clinical claim appeals from providers.... ..., continued stay, reduction, termination... ...and prepare cases for review and appeals. Minimum Qualifications...Remote jobClaimsFull timeMonday to FridayShift work$35.35 - $53.03 per hour
...Clinical Nurse Coordinator RN Short Stay Hourly Wage Estimate: $35.35 - $53.03 / hour Learn more about the benefits offered for this job. The estimate... ...Clinical Nurse Coordinator RN Short Stay opening. We review all applications. Qualified candidates will be...Hourly payTemporary workWork from homeFlexible hoursShift work$69.3k - $78k
Overview Medical Review Nurse II - Clinical Validation At Performant, we’re focused... ...primarily performs medical claims audit reviews. As a MR Nurse... ...Commercial Payers. You will work remotely in a fast paced and dynamic... ...Active unrestricted RN license in good standing, is...Remote workClaimsFor contractorsWork at officeWork from homeHome officeShift work$60.2k - $107.4k
...Sr. Clinical Admin RN Optum is a global organization that... ...Possibility to go hybrid or remote in future. Job... ...internal systems (e.g., claims/invoices processing... ...clinicians, internal staff) Review detailed clinical... ...member/FTE, length of stay, readmission rates,...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday- ...deliver coordinated clinical and social care in... ...monthly operating reviews, and provide support... ...Registered Nurse (RN) license in the state... ..., community, or remote environments, depending... ...parental leave, short- and long-term disability... ...communications claiming to represent...Remote workClaimsContract workTemporary workFixed term contractWork at officeLocal areaFlexible hours
Habitat Health
San Leandro, CAa month ago $29 - $52 per hour
About This Role The Clinical Review RN serves as a subject matter expert for itemized bill reviews... ...a comprehensive understanding of the claim review process and a background in clinical... ...Dental, Vision, Life & AD&D Insurance, Short-term and Long-Term Disability coverage....ClaimsHourly payFull timeTemporary workDay shift$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL... ...auditing of inpatient claims. Employing both industry... ...and APR-DRG coding reviews to verify the accuracy... ...Insurance along with Short-term disability and Long... ...work independently in a remote environment and...Remote jobClaimsHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- UnitedHealth Group is seeking a Clinical DRG RN auditor to apply expert MS-DRG/APR-DRG coding... ...and ICD-10 guidelines in inpatient claims audits. This remote role allows telecommuting from... ...Responsibilities include conducting coding reviews, verifying DRG assignments, and...Remote jobClaimsRelocation package
- ...Working remotely, the Clinical Denials Specialist will review denied claims, analyze denial reasons, and collaborate with healthcare providers to gather documentation... ...or a related field Clinical designated nurse or RN credentials (denials/CDI) Minimum of 2-3 years of...Remote workClaims
Virtual Vocations Inc
United States1 day ago - ...intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to... ...documentation. The role emphasizes strong clinical judgment, coding accuracy, and... ...in the appeals process while staying current with coding standards...Remote jobClaimsWork from home
- Managed Medical Review Organization, Inc. seeks an experienced RN Clinical Case Manager to support a disability claim review program. You will guide members through assessment, planning... ...from start to finish. You will work remotely within allowed US states, performing...Remote jobClaims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN: Clinical Claims Review for Short-Stay. Be the first to apply!
Related searches