Remote IDR Nurse Reviewer - Dispute Expert
DOMA Technologies
DOMA Technologies is seeking a Nurse Reviewer to support independent dispute resolutions at Federal and State levels. This role involves analyzing medical records, providing quality assurance checks, and making well-supported decisions compliant with guidelines. Candidates must possess an active nursing license and five years of direct patient care experience. This is a remote position that offers the flexibility of working from home. #J-18808-Ljbffr
- ...Nurse Reviewer At Commence, we're the start of a new age of data-centric... ...for independent dispute resolutions at both the Federal... ...Federal Independent Review (IDR) process. IDRs conduct impartial... ...functions. This is an office/remote position. While performing the...Remote workFull timeWork at officeShift work
$50 per hour
Overview Registered Nurse Clinical Reviewer / IDR - Remote to Office-Based, Jericho, NY (ID #25302) Location: Remote to Office-Based, Jericho, NY Employment... ...: Gain valuable experience in medical-legal review and dispute resolution processes Impactful Work: Contribute to...Remote workHourly payFull timePrivate practiceWork at officeFlexible hours$45 - $55 per hour
Commence is looking for a Nurse Reviewer to analyze medical records and support independent dispute resolutions at federal and state levels. The role includes reviewing... ...offers a flexible work environment, including remote options. The salary ranges from $45 to $55 per...Remote jobHourly payPart timeFlexible hours- SERVPRO is seeking a Quality Assurance Billing Dispute Specialist to facilitate client estimate disputes in a remote capacity. This role involves ensuring all job files are addressed for timely payment and requires strong analytical abilities. The ideal candidate will communicate...Remote job
- ...ensure the accuracy and compliance of claims processing. This remote role requires 3-5 years of experience in healthcare claims, preferably... ...with EZCap. The analyst will conduct audits, analyze disputes, and support training initiatives. Benefits include medical, dental...Remote job
$60 per hour
...About the Job Registered Nurse Clinical Reviewer / IDR - Jericho, NY (#25154C) Location: Jericho, NY Employment Type: Full-time Hourly... ...Growth: Gain valuable experience in independent dispute resolution (IDR), medical-legal review, and appeals within...Hourly payFull timePrivate practiceFlexible hours$85k - $200k
...A consulting firm specializing in health care disputes seeks a Sr. Associate to utilize their expertise in coding, revenue cycle, and clinical operations. Responsibilities include coding diagnoses from medical records and managing small projects while ensuring compliance...Remote work$85k - $200k
...clinical operations. This role focuses on complex investigations, compliance evaluation, and project management within healthcare disputes. The ideal candidate must be CRC certified with a strong grasp of clinical terminology and health regulations. Excellent communication...Remote work$90k - $99k
A leading healthcare solutions provider seeks a DRG Nurse Reviewer Appeals and Hearings to coordinate appeal duties and engage in hearings,... ...must have an active RN license and coding certification. This remote role offers flexibility and opportunities for career development...Remote workFlexible hours$43 - $47 per hour
...Roles, MA, Phlebotomist, CNA|| Passionate ||… Home Health RN – Remote (CA License Required) Facility: Compassus Providence Home... ...Torrance, CA (5315 Torrance Blvd, Ste 169-B) Role Type: Remote Reviewer RN – Back Office Chart Review Start Date: 11/03/2025...Remote workContract work- ...extract clinical information and assign medical codes for inpatient hospital claims. This remote role involves reviewing claims for reimbursement accuracy and handling provider disputes. The ideal candidate will have coding certification and experience in healthcare...Remote work
$90k - $99k
...DRG Nurse Reviewer Appeals and Hearings- Remote Date: Jan 9, 2026 Location: Any city, FL, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and...Remote workFull timeWork from homeFlexible hours- .../ Job Brief The Construction Expert Witness (also known as an Expert... ..., and damages in construction disputes. The Expert has extensive... ...observed. Document Analysis Review, analyze, summarize, and demonstrate... ..., this position is fully remote and is solely for a candidate...Remote workFor contractors
$45k - $70k
...A leading healthcare company in the United States is looking for a Utilization Management Nurse Reviewer to ensure the efficient use of medical services and provide clinical expertise. Applicants must have an active LVN/RN license, with a preference for candidates having...Remote work$36.27 - $56.77 per hour
...Elevance Health is looking for a Nurse Reviewer I in Walnut Creek, CA, allowing for virtual work full-time with in-person training. Responsibilities include conducting reviews for diagnostic imaging services and collaborating with healthcare providers to ensure quality...Remote workFull time$50 per hour
...Overview RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time... ...is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote... ...experience in medical-legal review and dispute resolution Impactful Work: Contribute...Remote workHourly payFull timeWork at officeFlexible hours$45k - $70k
...A healthcare services company is seeking a Utilization Management Nurse Reviewer to ensure medical services are used appropriately. The role involves reviewing medical records and coordinating care while adhering to guidelines. Candidates should possess an unrestricted...Remote work$175k - $225k
...attorneys and other clients in IRS disputes, divorce cases, and other... ...should be willing to provide expert opinions and testimony on... ...Provide technical guidance and review work product for quality and... ...environment allows employees to work remotely, when needed ~ Flexible...Remote workFlexible hours$33.12 - $56.77 per hour
...Elevance Health is seeking a Nurse Reviewer I who will perform medical necessity reviews for diagnostic imaging services from a virtual setting. Candidates are encouraged to apply remotely, ensuring a flexible work-life arrangement. The role requires a nursing degree and...Remote workHourly payFlexible hours$100 - $150 per hour
Legal Expert $100-$150 per hour Hourly contract Remote Location requirements: Canada, United Kingdom, United States... ...generation of AI reasons about employment disputes, workplace investigations, and... ...starts immediately, applications reviewed on a rolling basis Compensation $...Remote workHourly payContract workFor contractorsWork at officeImmediate startFlexible hours$45k - $70k
...A leading healthcare company is looking for a Utilization Management Nurse Reviewer to ensure medical services are appropriately utilized. Responsibilities include conducting assessments, reviewing patient records, and collaborating with healthcare providers. A valid...Remote work- ...a Building Consultant, you will provide expert analysis and consulting services to support... ..., building envelope assessments, dispute resolution, construction management, and... ...locations. Work Environment: Combination of remote work and on-site inspections. Collaborative...Remote jobWork from home
- ...A healthcare organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The role involves... ...review experience. This position offers a chance to work in a remote setup with competitive hours. Benefits include medical, dental...Remote work
- ...Healthcare Quality Strategies, Inc. (HQSI) is seeking a Nurse Reviewer for a remote position supporting Medical Review Services. The role requires conducting comprehensive medical necessity reviews and ensuring compliance with established guidelines. The ideal candidate...Remote work
$40 per hour
...Nurse Reviewer PT (20‑30 hours week) – Remote Work Environment Non‑Exempt: $40.00 hour Supports Medical Review Services. The Nurse Reviewer plays... ...HCPCS codes to determine medical necessity Maintain expert knowledge of evolving multi‑state Medicaid policies...Remote workContract workWork at officeLocal areaImmediate start- ...Texas Health and Human Services Commission (HHSC) is hiring a Nurse Reviewer (Nurse III) to work under the Surveillance Utilization Review... ...Proficiency using personal computer and Microsoft software in a remote/telework environment. Additional Information Travel of up to 1...Remote workFull timeWork at officeNight shift
$78k - $85k
...Nurse Reviewer - Itemized Bill Review It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in...Remote workFull timeWork from homeFlexible hours- ...ongoing need for Subject Matter Experts. Apply today to be considered... ...to: HEALTH SCIENCES NURSING PHARMACY/PHARMACOLOGY PUBLIC... ...be working to develop and/or review educational content, and/or deliver... ...by project. LOCATION Remote/Ability to work from home from...Remote workWork from homeWorldwide
$5,833.33 - $6,666.67 per month
...Job Title: Nurse III – Nurse Reviewer Location: Austin, TX – 4601 W Guadalupe St, Austin, TX Functional Title: Nurse Reviewer Agency: Health & Human... ...a personal computer and Microsoft software in a telework/remote environment. Minimum of two (2) years of experience in a...Remote workFull timeWork at officeShift workNight shift- ...Sustainability Reporting Expert For Industries And Companies We are looking for a sustainability reporting expert for industries and companies. The ideal candidate should have: More than five years of working experience Direct experience in more than 5 projects...Remote workFull timePart timeWork experience placementWork from home
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote IDR Nurse Reviewer - Dispute Expert. Be the first to apply!
- fulfillment expert Virginia Beach, VA
- technology expert Virginia Beach, VA
- guest service support expert Virginia Beach, VA
- program coordinator remote Virginia Beach, VA
- remote customer service advisor Virginia Beach, VA
- it manager remote Virginia Beach, VA
- remote financial planning Virginia Beach, VA
- remote banking Virginia Beach, VA
- remote 3d animation Virginia Beach, VA
- tableau developer remote Virginia Beach, VA

