Remote Clinical Nurse Reviewer - Mortality Case Reviews
Commonwealth of VA Careers
- Remote job
Commonwealth of VA Careers seeks two experienced Clinical Nurse Reviewers to interpret, analyze, and compile mortality case summaries for IDD individuals served by DBHDS. You will review medical records, nursing notes, death certificates, autopsy results, and licensing documents to identify patterns and contributing factors within designated timeframes. The role requires an active Virginia RN license, strong analytical skills, and ability to work independently or with teams in a telework setting #J-18808-Ljbffr Commonwealth of VA Careers
$70k - $91.25k
Title: Clinical Nurse Reviewer State Role Title: RN II/Nurse Prct I/Phy Asst Hiring Range: $70,000... ...experienced individuals to serve as MRC Case Clinical Nurse Reviewers (CNR). This... ...transcribing, and composing succinct mortality case summaries within the mandated deadlines...Remote work- ...Working remotely in a full-time capacity, the Registered Nurse Clinical Reviewer will conduct comprehensive clinical chart reviews to ensure accurate documentation... ...reflects the severity of illness and risk of mortality Document and track results of secondary reviews...Remote workFull time
- UMass Chan Medical School in Westborough, MA, seeks a Nurse Reviewer II to support the Community Case Management Program. The role provides administrative case management for LTSS, coordinating care, ensuring medical necessity, and promoting continuity of care. You will...Remote job
$50 - $70 per hour
Use bedside nursing or NP judgment to review clinical documents and AI answers on triage, medication and care planning. Work is remote and part-time, and you start paid tasks after a short recorded interview. What you will do Review clinical documentation and AI responses...Remote jobHourly payWeekly payContract workPart timeFor contractorsFlexible hours$40 - $90 per hour
...this rapidly expanding field. Remote contractor opportunity Part-... ...specific hiring availability About Clinical AI Training AI training is... ...intelligence. Clinical reviewers help models learn to produce... ...creating expert examples. Your nursing judgment can directly shape how...Remote workHourly payPart timeFor contractors$80k
Nurse Reviewer II-Case Management Job Location: US-MA-Westborough Position Type: Full-Time Min Salary... ...of the Associate Director, Clinical Coordinator, or designee, the Nurse Reviewer... ...None Environmental Working Conditions: Remote/desk work with statewide travel...Remote workFull timeWork experience placementWork at office- Clinical Reviewer - Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home Department: Care Management Contract: Washington Labor & Industries (L... ...physician and practitioner consultants when cases do not meet established clinical review criteria...Remote workFull timeContract workLocal areaWork from homeHome office
- ...Parkway Miramar, FL 33025, USA Remote Travel Required : No Clinical Care Coordination HH Full... ...a Utilization Management Nurse, you will ensure that home... .... By continuously reviewing and auditing patient treatment... ...Utilization Management or Case Management certification...Remote workFull timeTemporary work
$60 - $70 per hour
Inpatient Clinical Documentation Reviewer (Registered Nurse) Review inpatient clinical documentation and AI-generated... ...Nurses can earn $60 to $70 per hour. Remote Hourly · $60-$70/hr $60-$70/hr... ...detailed feedback on guidelines and edge cases. Apply consistent judgments about...Remote workHourly payContract workPart timeFor contractors10 hours per week$60.52k - $129.62k
...something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Clinical Nurse Reviewer will serve as the designated lead for STAR Kids rolling month state audit submissions. This role is responsible for the...Hourly payFull timeTemporary workLocal area- ...Clinical Nurse ReviewerAs one of the fastest growing Independent Physician Associations in Southern California, our organization offers... ...our success.We currently have an opening for Clinical Nurse Reviewer. The Clinical Nurse Reviewer will specifically run analysis on...Work experience placementFlexible hours
$150 per hour
...US physicians: review de-identified health records and clinical reasoning tasks in a remote project. See qualifications and application details. Type: Annotation · Pay... ...Physician Clinical Reasoning Reviewer – EHR Cases United States Open · Accepting applications Apply...Remote workHourly payPart time- ...Job Description Job Description We are partnering with a healthcare organization seeking experienced Clinical Nurse Reviewers for a long-term engagement with the possibility of full-time conversion. This role focuses on conducting medical record reviews across multiple...Full timeContract workWork at office
- Put your clinical expertise to work with flexibility... ...- First Reviewer and help ensure every... ...Location - Fully Remote for qualified candidates... ...DRG) assignments, case-mix index,... ...SOI), and risk of mortality (ROM) profiling, and... ...accredited school of nursing, PA, NP, or...Remote workRelief
- Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity PsyPhyCare is seeking Medical Case Reviewers to support a federal... ...U.S. medical license. At least 5 years of experience in clinical practice or case review. Strong writing and analytical skills...Remote jobHourly payContract work
$95k - $110k
...talented individual for a DRG Nurse Reviewer Appeals and Hearings to... ...properly and accurately; prepare case files and case summaries for... ...redeterminations using approved clinical and coding guidelines and... ...should expect in this role Remote (Work from Home) Up to 25%...Remote workFull timeWork from homeRelocation packageFlexible hours$95k - $110k
...talented individual for a DRG Nurse Reviewer Appeals and Hearings to... ...properly and accurately; prepare case files and case summaries for... ...redeterminations using approved clinical and coding guidelines and... ...should expect in this role Remote (Work from Home) Up to 25% Travel...Remote workFull timeWork from homeRelocation packageFlexible hours- ...it's a calling WI-REMOTE Worker Type: PRN Job Highlights: Clinical Documentation Specialist - First Reviewer Join a team where your... ...(DRG) assignments, case-mix index, severity... ...(SOI), and risk of mortality (ROM) profiling,... ...in health care to nursing practice, ensuring...Remote workDaily paidTemporary workReliefLocal areaShift work
- ...Provide timely review and determination of medical claims... ...records related to the case file; Review and... ...license as a Registered Nurse (RN),as required by contract(s). 1+ years clinical experience required; coding... ...is essential for this position Remote #J-18808-Ljbffr...Remote workContract workFor contractorsWork experience placementWork at officeLocal area
- Peraton’s SafeGuard Services seeks a Nurse Reviewer to conduct medical record reviews, applying clinical judgment to claim payments and supporting fraud investigations. Telework is available from any state. The ideal candidate will hold a US nursing license, have 5+ years...Remote job
$110k - $140k
...communication skills. This is a remote role. Key... ...Claims Analysis & Review ~ Perform detailed audits... ...documented findings packages (clinical, contractual, and... ...escalating unresolved cases appropriately and maintaining... ...Hospital/Surgical/ICU Nursing background (RN) and...Remote workFull timeContract work$51k - $82k
...analysis, investigation, and medical review to detect, prevent, deter,... .... We are looking to add a Nurse Reviewer to our SGS team of... ...reviews and to apply sound clinical judgment to claim payment decisions... ...tools to identify and develop cases for future administrative...Remote workContract workTemporary workShift workNight shift- ...Clinical Abstractor, New York City Maternal Mortality Review CommitteeThe Fund for Public Health in New York City (FPHNYC) is... ...Island City. Most work can be done remotely (up to 260 hours), although time... ...on maternal deaths to write case narratives for the Maternal Mortality...Remote workContract workTemporary workPart timeLive inWork at office
- Gainwell Technologies is seeking a Nurse Reviewer Appeals and Hearing to... ...provider appeals, and prepare case files for hearings. The role... ...United States and 5+ years of clinical or coding experience. You will... ...in hearings, with remote work as default and up to 25%...Remote job
$60 per hour
A healthcare staffing organization in Jericho, NY is seeking a Full-time Registered Nurse Clinical Reviewer. This role requires a Baccalaureate degree in Nursing and licensure in New York State. The position offers a competitive hourly rate of $60 based on experience and...Hourly payFull time$60 per hour
Overview Registered Nurse Clinical Reviewer / IDR - Jericho, NY (#25154C) Location: Jericho, NY Employment Type: Full-time Hourly Rate: $60/hr (based on experience) Position Overview Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer...Hourly payFull timeFlexible hours$75k - $85k
...Inc. is seeking an experienced RN to learn clinical management under the guidance of the Clinical Manager and Rehabilitation Manager in a remote regional role. You will supervise the delivery of home health services, review clinical documentation, ensure care quality,...Remote jobWork at office$72.8k - $99.84k
...Weekend hours are available. Clinical Reviewers work from an electronic... ...organizational policies to approve cases when appropriate or refer... ...patient outcomes. Our talented remote workforce spans the country... ...Clinical Utilization Review Nurse (RN) or a professional Behavioral...Remote workContract workPart timeReliefWork at officeWork from homeShift workWeekend work$45 - $52 per hour
Overview Job Title: Registered Nurse (RN) Case Management Reviewer/Service Coordinator Company: Acro Service Corp Duration: Through June 30, 2027 (With... ..., consumers, etc.). Conduct utilization reviews of clinical information to determine eligibility and appropriateness...Work at officeMonday to FridayFlexible hours- ...environments, including remote work opportunities.... ...dedicated team.Claims Clinical Documentation ReviewerDivision... ...Clinical Documentation Reviewer reports to the... ...including utilization data, case file reviews and audits... ...health, or Arizona Licensed Nurse, or Behavioral Health...Remote workFull timePart timeInternshipWork at officeWork from homeLong distanceFlexible hours
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