Remote RN: Clinical Chart Review & Quality Consultant
$35 - $50 per hourVatica Health
A healthcare technology company seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for independent contractors, focusing on chart reviews and clinical data analysis. Candidates should have an active RN license, at least 3 years of adult health experience, and strong clinical judgment. The hourly rate ranges from $35 to $50, with the potential for contract renewal, but independent contractors manage their own taxes and benefits. #J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote RN: Clinical Chart Review & Quality Consultant in New York, NY vacancy
$35 - $50 per hour
...seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for independent contractors, focusing on chart reviews and clinical data analysis. Candidates should have an active RN license, at least 3 years of adult health...Remote workHourly payContract workFor contractorsVatica Health
United States4 days ago- ...looking for a licensed Nurse Practitioner to serve as a Clinical Chart Reviewer. This remote role requires conducting patient evaluations and reviewing... ...will develop individualized care plans and engage in quality assurance efforts to improve patient outcomes. A minimum...Remote job
$71.1k - $97.8k
...Management Nurse 2 uses clinical nursing skills to... ...Licensed Registered Nurse (RN) in an Enhanced Nurse Licensure... ...authorization, claims review, utilization management... ...Work Style: Remote Travel Requirements:... ...are leading to a better quality of life for people with...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...is also responsible for providing consultation and education related to clinical quality and patient safety, accreditation... ...when preparing for regulatory reviews, the interpretation of regulatory... ...evaluations and special projects; creating charts, graphs, and narrative summaries...SuggestedLocal area
Clinical Review Nurse - Concurrent Review for a remote, 9-month assignment. The role involves handling Denial Letters for FL Medicaid Physical Health Codes and requires you to work remote with a Friday-Tuesday schedule, 2 pm-10... Remote job- UnitedHealth Group's Optum is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital... ...limited supervision and requires an associate degree, active RN or LPN license, and 2+ years of clinical experience plus 1+ year...Remote job
- ...Supporting the WISeR Prior Authorization Program, the full-time RN Clinical Quality Reviewer will perform comprehensive clinical reviews, validate... ...in physician determination activities, all while working remotely within the US. Key responsibilities Conduct clinical reviews...Remote workFull time
Virtual Vocations Inc
United States2 days ago - UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and document determinations. This role offers telecommuting from anywhere in the U.S. while maintaining rigorous screening criteria and...Remote job
$43 - $47 per hour
...Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year... ...an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office setting. This is a contractual role...Remote job- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and to document all determinations. The role emphasizes adherence to Federal, State and client requirements in a telecommuting setting...Remote jobHome office
- Optum, a UnitedHealth Group company, seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bills. The clinical reviewer documents, researches and identifies adjustments for payment as part of a team preparing...Remote job
- Optum is seeking a Clinical Review Clinician to act as a subject matter expert for itemized bill reviews and hospital facility bills. This role involves documenting, researching, and identifying adjustments for payment as part of a team preparing Forensic Reviews for specific...Remote job
- UnitedHealth Group is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis. You will document, research, and identify adjustments for payments as part of a team preparing Forensic Reviews for...Remote job
$31 - $35 per hour
...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a... ...you will help support high-quality care, regulatory compliance... ...What you'll do: Consult with Medical Directors on... ...role: This is a 100% remote role, and requires robust...Remote workFull timeFlexible hoursShift workCohere Health
United States1 day ago- UnitedHealth Group seeks an experienced SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims. The role requires documenting determinations and maintaining screening criteria, contributing to efficient, compliant health...Remote job
$29 - $52 per hour
...Program Integrity Clinical Compliance AuditorOptum Insight... ...risk management, quality and revenue growth. Ready... ...performing compliance reviews of medical and administrative... ....This position is Remote in Massachusetts. You will... ...licensure (RN or LPN) with a current,...Remote workHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift workUnitedHealth Group
Boston, MA3 hours ago- UnitedHealth Group seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and analysis of hospital... ...is supported from anywhere in the U.S. The position requires RN or LPN licensure, 2+ years clinical experience, and 1+ year bill...Remote job
- A leading organization in healthcare quality is seeking a Clinical Quality Reviewer to review clinical cases and identify potential quality or safety concerns. This remote position is ideal for licensed clinical professionals with a strong analytical mindset and a minimum...Remote job
- ...organization that has engaged in health care quality consulting and quality improvement services... ...and patient outcomes. Our talented remote workforce spans the country and... ...Overview We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team member...Remote workContract work
Comagine
United States4 days ago $112.7k - $193.2k
...200/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...together.The Clinical Quality Consultant for the Oncogenetic Program... ...enjoy the flexibility to work remotely * from anywhere within the U... ...management, clinical coverage review, member appeals clinical review...Remote workMinimum wageFull timeWork experience placementLocal area- Optum is hiring a Clinical Review Clinician to act as a subject matter expert for itemized bill reviews and hospital facility bills. The role includes documenting, researching, and identifying adjustments needed for payment as part of a team preparing Forensic Reviews for...Remote job
- The Fountain Group is seeking an experienced Registered Nurse (RN) to support clinical trial safety surveillance and medical review activities for a global pharmaceutical organization. This is a fully remote, long-term contract opportunity ideal for an RN with clinical...Remote jobLong term contract
- UnitedHealth Group seeks a Clinical Review Clinician to analyze itemized hospital bills and document... ...The role requires clinical experience, RN or LPN license, and bill review... ...ongoing development, and a commitment to health equity and quality care. #J-18808-Ljbffr ISHERemote job
$45 - $50 per hour
...looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical... ...programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby...Remote jobHourly pay- ...Health in Alabama is seeking Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective,... ...reviews. This is a full-time remote role supporting Alabama contracts... ...within required timelines, consult with a Physician Advisor when...Remote jobFull time
- NTT DATA, Inc. in Tampa, Florida seeks a BPO Clinical Review Specialist to perform clinical and medical necessity reviews supporting member... ...compliance with NCQA standards and Medicaid guidance. This remote Florida role offers benefits including medical, dental and vision...Remote job
- Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position requires Alabama licensure and focuses on compliant, cost-effective...Remote jobFull timeContract work
- Optum is seeking a Clinical Review Clinician to serve as a subject matter expert in itemized bill reviews and hospital facility billing adjustments. The role involves clinical claim review, medical record evaluation, and research to support Forensic Reviews for clients,...Remote job
- UnitedHealth Group is seeking a Clinical Review Clinician to perform forensic reviews of hospital facility bills and document adjustments with clinical accuracy. You will analyze charge details, compare to guidelines, and participate in negotiations and appeals within a...Remote job
- UnitedHealth Group is seeking a Clinical Review Clinician to analyze hospital facility bills and document adjustments as part of Forensic Reviews for specific clients. This role involves HIPAA compliance, bill review, and clinical claim assessment. You will work with a...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN: Clinical Chart Review & Quality Consultant. Be the first to apply!
