Remote RN, Clinical Records Review & QA (12-8 EST)
Managed Medical Review Organization, Inc.
- Remote job
Managed Medical Review Organization, Inc. is seeking an experienced RN to join our team in a remote, home-office capacity. The role emphasizes telephonic/customer service, accurate documentation, and clinical review of cases. Candidates must reside in Michigan, Florida, Idaho, Texas, Minnesota or Illinois, and be able to work 12 pm - 8 pm EST, Monday through Friday, with rotating on-call weekends and holidays. #J-18808-Ljbffr Managed Medical Review Organization, Inc.
- ...lifecycle - From clinical trial support to real... ...is 11:00 AM-8:00 PM ET or 12:00 PM-9:00 PM ET... ...maintain a California RN license through endorsement... ...providers, review of payor specific... ...product, and medical records and will review... ...perks UBC offers: ~ Remote opportunities ~...Remote workFull timeTemporary workWork at officeLocal areaHome officeFlexible hoursShift workRotating shiftWeekend workEarly shift
- ...Must be able to work 12 pm - 8 pm EST, Monday through... ...searching for a new RN to join our team. Our... ...flexibility to work remotely and do not have face... ...skills in addition to clinical experience. Upon receipt... ...type requested, review medical records for completeness, verify...Remote jobHome officeMonday to FridayWeekend work
$63.1k - $94.65k
...looking for a Utilization Review RN based in the United... ...In this part-time, remote role, you will apply your clinical expertise to... ...assessments, medical records, patient needs, and... ...s coverage hours of 8:00 a.m. to 10:00 p.... ...hours worked between 12:00 p.m. and 10:00 p...Remote workTemporary workPart timeWork at officeWork from homeFlexible hoursShift workAfternoon shift$70k - $105k
...position working approximately 12:00 p.m. – 8:00 p.m. EST, or as a part-time... ...talents and drive. We offer remote work flexibility, competitive... ...responsible for the following: Record and reconcile all portfolio... ...of cooperation Review fund’s net asset value (NAV...Remote workFull timeTemporary workPart timeWork at officeLocal areaImmediate startFlexible hours- ...a Registered Nurse for a remote role with Arizona hours (1st shift). You will review medical records for quality, safety, and... ...identify PQIs, and support QA initiatives in... .... Must hold an active RN license, have 3+ years of clinical experience in med/surg or...Remote workDay shift
$63.1k - $94.65k
...current compact RN license, or be willing... ...Candidates with clinical backgrounds in... ...Our Utilization Review team provides... ...between 8:00 a.m. and 10:... ....m. - 8:00 p.m. 12:00 p.m. - 10:00... ...rate Assist in recording denial updates;... ...Required: This is a remote role which requires...Remote workTemporary workWork at officeLocal areaFlexible hoursShift work- ...for utilization review work for... ...electronic medical records of emergency department... ...evidence-based clinical guidelines and... ...unrestricted RN license At... ...with remote work arrangements... ...the hours of 9am EST and 9pm EST either for 8-hour, 10-hour or 12-hours shifts....Remote workFull timeFor contractorsWork at officeShift workWeekend workWeekday work
- MES Solutions is seeking a Clinical Quality Assurance Coordinator (RN/LPN) to review peer reports and ensure accuracy, compliance... ...regulatory standards. This 100% remote role aligns clinical expertise... ...is Monday-Friday 10:00am-6:30pm EST with occasional weekends. Requires...Remote jobMonday to Friday
$29 - $52 per hour
...Clinical Review Clinician Optum is a global organization that delivers care... ...claim review, medical record review, and a broad knowledge... ...with your first pay period plus 8 Paid Holidays ~ Medical Plan... ...degree ~ Active and unrestricted RN license OR LPN in the state of...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementLocal area$35 - $45 per hour
...Position Title: Clinical Review Nurse - Concurrent... ...Review Location: Remote, Compact Nursing... ...Duration: 12 Months Schedule... ...So, either five 8-hour shifts until 10 PM EST, Friday-Tues, OR... ...on member medical records in health management... ...Nursing License-RN, LPN, LVN....Remote workShift workWeekend work$29 - $52 per hour
...Oncology Preservice Review Nurse Optum is a... ...pre-service clinical coverage review of... ...ability to work 5/8's or 4/10's after... ...flexibility to work remotely from anywhere within... ...interpret clinical/medical records submitted from... ...Current, unrestricted RN license in your state...Remote jobHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeHome officeWeekend workAfternoon shift$46.35 per hour
...This role reports to our RN Care Team Lead. In it, you will conduct clinical assessments, monitor for... ...needed.This role can be remote or hybrid based in our... ...Slack, electronic health records, or comfort in learning... ...this role will be 11:30 am-8 pm EST. To ensure sufficient...Remote workHourly payFull timeWork at officeImmediate startShift work- A healthcare solutions company in McLean seeks experienced peer reviewers with at least 5 years in clinical settings. Responsibilities include reviewing medical records, assessing clinical guidelines, and providing improvement recommendations. Candidates must have an active...Remote jobWork from homeFlexible hours
- Managed Medical Review Organization is seeking a licensed RN to join our team for remote, home-office work. This role emphasizes telephonic customer service, accurate documentation, and clinical review of medical records with no face-to-face patient contact. Applicants...Remote jobWork at officeWork from homeHome office
$2,150 per week
...seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing... ...per week ~ Shift: 8 hours ~... ...Review patient medical records to assess the appropriateness... ...compliance with clinical guidelines,... ...Skilled experience with remote work LENGTH OF...Remote workTemporary workZero hours contractImmediate startShift workNight shiftWeekend work- ...Managed Medical Review Organization is seeking a Registered Nurse to join the team in a remote, home-office setting. The role emphasizes... ...patient data documentation, and clinical review experience, with no... ...face patient contact. The RN will verify credentialing, coordinate...Remote workHome office
$2,038 per week
...is seeking a travel nurse RN Case Management for a travel... ...: 10/26/2026 ~ Duration: 12 weeks ~40 hours per week ~ Shift: 8 hours, days ~... ...Registered Nurse - Utilization Review for a Travel contract.... ...literate; experience working remote; degree accreditation verification...Remote workPermanent employmentContract workZero hours contractReliefLocal areaShift workRotating shift$2,005 per week
...Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in... ...40 hours per week ~ Shift: 8 hours, days ~ Employment... ...Extension (UR EXT) specialist for a remote position. This role involves... ...with Electronic Medical Records (EMR) such as Epic, and...Remote workTemporary workZero hours contractMonday to FridayShift workWeekend work$63k - $94k
...Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition... ...a vital bridge between clinical care and hospital... ...Options: 10:00 a.m. - 8:00 p.m. OR 12:00 p.m. - 10:00 p.m. (... ...Monitor denial trends, record updates, and maintain robust...Remote workWork at office10 hours per weekFlexible hoursShift workWeekend workAfternoon shift3 days per week- ...Position Title Clinical Review Nurse - Concurrent Review Work Location Remote (EST preferred but will consider... ...Work Schedule Eastern 8-5 with expected... ...taken on member medical records in health management systems... ...Licensure Required: LPN/RN Preferred: Years...Remote workWeekend work
- ...Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D... .... Will be M-F 8-5pm EST NO OT. Must Have... ...component of near real-time clinical decision-making.... ...; preparation and review of potential quality... ...; review of medical record documentation for credentialing...Remote work
$64.5k - $92.2k
Gainwell Technologies LLC is seeking a Clinical Quality Nurse Reviewer, Sr. Specialist for a remote role. You will conduct quality... ...work and ensure compliance with medical records and guidelines. The position requires an active RN license, with 5+ years clinical experience...Remote work$29 - $52 per hour
...Growing together. The Clinical Claim Review RN will be responsible for performing... ...medical and administrative records, to gather and analyze all... ...to work any of our 8-hour shift schedules during... ...schedule. This position is Remote in Massachusetts. You will have...Remote workHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work$35 - $40 per hour
...experienced Registered Nurse (RN) with health plan or... ...experience to support clinical quality review and AI model... ...MCG, reviewing medical records, evaluating medical necessity... ...preferred. Shift is 8 hrs/day Mon - Fri, 40 hrs/week Fully Remote Position Pay Range:...Remote workHourly payLocal areaShift work- ...Position Summary: The RN Integrated Care... ...operation of our Clinical Team and the overall... ...utilization review cases. Roles and... ...to coding, medical records/documentation, pre-... ...Requirements This is a remote position. Our whole... ...in the CST or EST time zones. This position...Remote workLive inFlexible hoursWeekday work
- ...Job Summary The Utilization RN is responsible for conducting... ..., and retrospective clinical reviews to determine medical necessity... ...maintains comprehensive, audit-ready records. All utilization... ...Environment Work Conditions ~ Remote role with reliable high-speed...Remote workFull timePart timeWork at officeLocal areaWeekend workAfternoon shift
- ...Nurse Reviewer Location: 100% Remote; nationally sourced within approved U.S. states... ...regulatory deadlines. Duration: 12 months (Possible extension... ...Nurse Reviewer performs clinical review of authorization... ...turnaround time, reviews clinical records against applicable criteria...Remote workWork at officeMonday to FridayShift work
$1,759.5 per week
...Travel RN - Case Management/Utilization Review American Traveler Austin, Texas, United... ...American Traveler is hiring a remote Utilization Management RN... ...with coding, medical records/documentation, precertification... ...per week: 40 Hours per shift: 8 American TravelerRemote workWeekly payWork experience placementLocal areaShift work- ...experienced Registered Nurse (RN) to join our Utilization Review team in a remote capacity. This role... ...has a strong clinical background, excellent... ...accurate statistical records and complete assigned... ...Shift: 10:00 a.m. - 8:00 p.m. Evening Shift: 12:00 p.m. - 10:00 p.m....Remote workTemporary workWork at office10 hours per weekShift workWeekend workDay shiftAfternoon shift
$119.14k - $184.95k
...Utilization Review RN - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent... ...for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as...Remote workDaily paidMinimum wageLocal areaShift workDay shift
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