Remote RN: Clinical Claims Review (Short-Stay)
Registered Nurse
- Remote job
Optum, part of the UnitedHealth Group, is looking for a Clinical Claims Review RN to conduct administrative reviews of short stay inpatient hospital claims. This position is open to telecommuting from anywhere in the U.S. and is situated in a high-volume, production-driven environment. The successful candidate will have strong clinical documentation experience and an active RN license. The role offers comprehensive benefits including health insurance, a 401(k) savings plan, and various additional perks. #J-18808-Ljbffr Registered Nurse
$28.94 - $51.83 per hour
Crains Cleveland is seeking a Clinical Claims Review RN to perform administrative reviews of short-stay inpatient hospital claims. This role supports a production-driven environment and allows telecommuting from anywhere in the U.S. The ideal candidate must have an associate...Remote jobClaimsHourly pay- Stryker Corporation is looking for a Clinical Claims Review RN to perform reviews of inpatient hospital claims. This role supports a high-volume environment and allows for telecommuting from anywhere in the U.S. The ideal candidate must have an RN license, a minimum of...Remote jobClaims
- Optum, part of the UnitedHealth Group, is looking for a Clinical Claims Review RN to conduct administrative reviews of inpatient hospital claims. Ideal candidates will have a strong background in clinical documentation and RN qualifications. The role emphasizes telecommuting...Remote jobClaims
$45.67 per hour
...looking for a Auditor Clinical Validation (Place of Service, Short Stay & Readmission)... ...compliance of healthcare claims through detailed... ...audits. You will review medical records to... ...Working in a structured remote environment, you... ...Registered Nurse (RN) license in the state...Remote jobClaimsHourly payFull timeWork 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$28.94 - $51.83 per hour
...Optum, part of the UnitedHealth Group, is seeking a Clinical Claims Review RN (SSBV) to perform administrative reviews of short‑stay inpatient hospital claims and document determinations. The role supports a high‑volume, production‑driven environment and is eligible for...Remote workClaimsHourly payFull timeTemporary workWork at officeHome office- ...The University of Minnesota School of Nursing is seeking a Clinical Claim Review Nurse who will perform claim reviews to verify coding and charges... ....S. Candidates must hold an associate's degree and an active RN license, with a minimum of 2 years of clinical experience....Remote workClaims
- ...Texas Health Institute is hiring a Clinical Claim Review Nurse to perform claim reviews, ensuring correct coding and charges. Telecommute from... ...The ideal candidate possesses an Associate's degree, an active RN license, and at least 2 years of clinical experience. Bountiful...Remote workClaims
- ...Optum is seeking a Clinical Claim Review Nurse to perform claim reviews and ensure compliance in a telecommute role. You will verify coding accuracy... ...resources. This role requires an Associate's degree, active RN license, and clinical experience. You’ll enjoy comprehensive...Remote workClaimsFlexible hours
- ...Stryker Corporation is seeking a Clinical Claim Review Nurse to perform detailed reviews of claims against medical records. The position offers... ...Candidates should possess an Associate's degree and an active RN license. Responsibilities include ensuring compliance with guidelines...Remote workClaims
- ...Optum is looking for a Clinical Claim Review Nurse to perform claim reviews and ensure compliance with... ...state and federal policies. This fully remote position allows you to contribute to... ...possess an Associate's degree, an active RN license, and at least 2 years of...Remote workClaims
$28.94 - $51.83 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...Remote jobClaimsHourly payMinimum wageFull timeTemporary workWork experience placementLocal area$36 - $48 per hour
...Santa Barbara Cottage Hospital is seeking a Medical Claims Clinical Review Nurse for a remote position. This role involves conducting clinical reviews of... ...compliance with regulations. The ideal candidate will have an RN license in California and a minimum of three years of...Remote workClaimsHourly pay- UnitedHealth Group is seeking a Clinical Review Clinician in Plymouth, Minnesota. This role involves... ...forensic reviews of hospital bills and claims while ensuring compliance with billing... ...have an Associate's degree, an active RN or LPN license, and at least 2 years of...Remote jobClaims
$50 - $53 per hour
...Job Title: Clinical Review RN (IDR/Appeals) Experience: Open to various clinical backgrounds... ...State RN license*** Location: Remote (can sit anywhere in the US as long as... ...RNs as the project expands. 4. Claims assessment and adjudication. 5....Remote workClaimsLocal areaImmediate startFlexible hours- MedPOINT Management is seeking a Medical Claims Clinical Review Nurse to ensure the accuracy and quality of medical claims from a remote location. The ideal candidate holds a valid RN license in California and has at least 3 years of nursing experience. Responsibilities...Remote jobClaims
- ...MedPOINT Management as a Medical Claims Clinical Review Nurse in Sherman Oaks, CA,... ...enhance team performance. Stay updated on industry trends,... ...Requirements: Registered Nurse (RN) license in California is... ...the lives of patients every day. This is a remote position....Remote workClaims
$80k - $90k
...Responsibilities*** Performs clinical reviews on medical records to maintain... ...conducts research, analyzes claims data, applies knowledge of client... ...to work independently in remote setting with minimum supervision... ...*** Active unrestricted RN license #J-18808-Ljbffr...Remote workClaimsFlexible hours$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 work- ...Ternium Revenue Cycle Management is seeking a full-time Remote Clinical Review Nurse to analyze denied insurance claims, draft appeal letters, and collaborate with legal... ...interaction. The ideal candidate will have an RN License and over 5 years of acute hospital...Remote workClaimsFull time
$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- ...Clinical Nurse - Short Stay 2H1 Under general supervision, following established policies, procedures, and professional guidelines, delivers... ...Campus 1 Tampa General Circle Tampa 33601 Eligible for Remote Work: On Site Job: Nursing (LPNs, RNs) Organization: Florida...Remote workFull timeShift work
- ...CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These... ...determinations as to the validity of health claims and levels of payment in meeting... ...Valid unrestricted Registered Nurse (RN) license PREFERRED QUALIFICATIONS...Remote workClaimsPermanent employmentWork at officeLocal area
$30 per hour
...Company) Job Title: Clinical Claims Nurse (Healthcare... ...to Hire Location: Remote, United States... ...healthcare providers by reviewing submitted... ...informed decisions. Stay informed of developments... .... LPN or RN License Experience... ..., life insurance, short-term disability, additional...Remote workClaimsContract workTemporary workLocal area$30 - $38 per hour
...are seeking Utilization Review Nurse RN to join our team on a... ...; inpatient hospital stay including mental health... ...necessity; and post claim or post service reviews... ...program) required. 1+ year clinical experience required.... ...perform in a remote healthcare environment...Remote workClaimsHourly payFull timePart timeWork at officeMonday to FridayWeekend work$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- ...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
- ...the patient‘s hospital stay and coordinates planning... ...A)Identifies short and long term goals based... ...significant changes in patient‘s clinical parameters and reports... ...Attends staff meetings/reviews minutes when absent 2... ...Licensed to work as an RN in the state of...Hourly payShorter hoursFull timeTemporary workImmediate startFlexible hoursShift workDay shift
$29.05 - $67.97 per hour
Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure... ...the medical record and claim submitted support correct... ...not included in a compact RN license. Job Duties... ...services provided, length of stay, level of care, and...Remote jobClaimsHourly payWork experience placementWork at office$69.38k - $92.28k
Overview As a Clinical Appeals RN, you will review denied service authorizations and claims, evaluate medical necessity, and work closely... ...implementation of best practices Stay updated on regulatory changes... ...a combination of office and remote settings. EEO Statement MVP is...Remote workClaimsWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN: Clinical Claims Review (Short-Stay). Be the first to apply!
- prn registered nurse Minneapolis, MN
- pediatric rn Minneapolis, MN
- home health rn Minneapolis, MN
- nurse rn Minneapolis, MN
- med surg medical surgical rn registered nurse Minneapolis, MN
- ob gyn rn Minneapolis, MN
- cath-lab rn Minneapolis, MN
- non clinical rn Minneapolis, MN
- registered nurse pharmacy Minneapolis, MN
- rn network Minneapolis, MN


