Remote RN Medical Reviewer - California
Gainwell Technologies
- Remote job
Gainwell Technologies is seeking a Medical Reviewer (Registered Nurse) to support California healthcare programs. You will use clinical judgment to review medical records, healthcare services, claims, and authorization requests. You will work remotely within California with flexible hours, contributing to policy alignment and collaborating with physicians and other clinicians to ensure timely, accurate medical reviews and decisions. #J-18808-Ljbffr Gainwell Technologies
$45 per hour
...Specialist to handle member-generated appeal processes remotely from California. The role involves reviewing medical records and ensuring compliance with clinical... ..., and effective communication skills. A California RN license and ADN are required. The position offers a...Remote jobHourly pay- Gainwell Technologies is seeking a Medical Reviewer (Durable Medical Equipment Specialist) to provide... ...supporting Medical Review Services for California programs. You will review DME claims,... ...compliance. The role emphasizes remote work with a full-time schedule, collaboration...Remote jobFull time
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...DOCUMENTATION SPECIALIST RN – Providence Home... ...Day shift / This is a remote position working weekdays... ...states: Oregon, Washington, California, Texas, New Mexico,... ...responsible for quality review of all OASIS admission... ...Experience with an Electronic Medical Record (EMR) system....Remote workFull timeWork at officeShift workDay shiftWeekday work- A leading medical service provider in Washington, DC is seeking a DME Medical Reviewer to ensure compliance with nursing standards and provide... ...candidate must hold an active RN license and have at least two... ...audits. The role emphasizes remote work capabilities and...Remote job
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$70k - $85k
Description: Medical Reviewer, RN Location: Remote Salary: $70,000-85,000 annually, based on years of experience About J29 J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee...Remote workFor contractorsLocal area$70k - $100k
...It takes great medical minds to create powerful solutions... ...is seeking a Medical Reviewer (Registered Nurse) to... ...Medical Review Services for California healthcare programs. In... ...Registered Nurse (RN) license to practice in... ...Full-time position. Remote work environment. Monday...Remote workFull timeHome officeMonday to FridayFlexible hours- ...+ communities across Arizona, California, and Nevada trust Pine Park Health... ...us into the future. As an RN in our team, you will be the hub... ...collaborate with our PCPs, Medical Directors, Technology Team, partners... ...fields. Strong experience in remote roles, showcasing proficiency...Remote workFlexible hours
- ...Stanford-trained Chief Medical Officer, to deliver truly... ...While we are actively reviewing resumes today, this... ...A registered nurse (California license preferred) with... ...Telehealth, virtual care, or remote patient communication... ...MDs, and conduct monthly RN check-ins to evaluate progress...Remote workWork at officeShift work2 days per week
$63.74k - $95.26k
...treatment plans based on the patient's medical and physical condition. The Case... ...department and of CorVel. This is a remote role. California RN license is required for this role.... ...containment background, such as utilization review or managed care helpful ~...Remote workMinimum wageFull timeLocal areaFlexible hours- ...Unknown CDI team is seeking a Clinical Documentation Integrity (CDI) Specialist – RN for a 100% remote position based in the United States. You will drive accurate inpatient documentation, engage physicians, and ensure alignment with quality and reimbursement goals....Remote work
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$32 - $33 per hour
...dedicated home office? If you answered, yes! Then this career opportunity is for you. We have an opening for a Clinical Field Reviewer - Remote in Eastern MT We are a team of Registered Nurses working remotely across the state of Montana completing in-home...Remote workHourly payPart timeLocal areaWork from homeHome officeFlexible hours$70k - $120k
...Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical... .... Perform concurrent and retrospective reviews of medical records to ensure accurate documentation... ...Qualifications Registered Nurse (RN) with a current license from any state....Remote workLocal areaMonday to Friday$38.67 - $59.94 per hour
...Specialist Location: Hybrid - Skokie, IL and remote Full Time/Part Time: Full Time (40 hours... ...trainings and meetings What You Will Do Review medical records concurrently to ensure accuracy,... ...preferred Certification: ADN or RHIT; IL Licensed RN Preferred #J-18808-Ljbffr...Remote workHourly payFull timePart timeMonday to Friday$113.33k - $170k
...business. Location: Fully Remote – California (Outside Bay Area preferred)... ...to members with complex medical needs. This leadership position... ...coaching, performance reviews, and staff development to support... ...Bachelor’s Degree in Nursing (RN) Preferred: BSN or MSN...Remote workFull timeMonday to Friday- ...Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission... ...and patient outcomes. Our talented remote workforce spans the country and plays a... ...Nurses (RN) based in Alabama to assess the medical necessity and quality of healthcare...Remote workFull timeContract work
$62.7k - $100.4k
...Clinical Care Reviewer II (Remote)(Must Have - Unrestricted Massachusetts RN License) remote type Remote locations Massachusetts WFH time type... ...Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of...Remote workHourly payFull timeWork at office$50k
...provide active, concurrent and retrospective review of provider documentation, query for... ...comprehensive review of patient records in a remote setting. The Registered Nurse provides... ...the care team to facilitate comprehensive medical record documentation to reflect treatment...Remote workFull timePart time- ...Specialist Registered Nurse (RN)When you join the growing BILH... ...people's lives.This position is remote. Candidates must be local to... ...to providers as supported by medical record documentation to improve... ...limited to:Completes initial reviews of patient records within 24-4...Remote workWork experience placementWork at officeLocal area
$80k
...complexity of care as documented in patient medical records. Extensive medical record review and interaction with physicians,... ...Minimum Education ~ Current RN Licensure Certifications:... ...2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified...Remote workLocal area$75k - $98.7k
...It takes great medical minds to create powerful solutions that... ...4 hours of notification. Reviewing policy and attending meetings... ...we're looking for Active California RN license required. Experience... ...state capitol. Primarily remote work, with occasional onsite...Remote workFull timeWork at officeFlexible hours- ...service provided. Required: Bachelor’s Degree in Nursing, valid RN license, 3+ years acute care nursing and 2+ years CDIS in acute care... ...60 experience preferred; proficient in MS Office/MS Teams; ability to troubleshoot remote #J-18808-Ljbffr Montefiore St. Luke's CornwallRemote job
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