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
$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...SuggestedHourly payFull timePrivate practiceFlexible hours$60 per hour
...Registered Nurse Clinical Reviewer / IDR Jericho, NY Location: Jericho, NY Employment Type: Full-time Hourly Rate: $60/hr (based on experience... ...Growth: Gain valuable experience in independent dispute resolution (IDR), medical-legal review, and appeals within...SuggestedHourly payFull timePrivate practice$85k - $200k
...compliance analysis, and project management for investigations and disputes in the health care sector. Ideal candidates will possess strong... ...least five years of relevant experience. The role allows for remote work and requires excellent communication skills. Salary range...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$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- .../ Job Brief The Construction Expert Witness (also known as an Expert... ..., and damages in construction disputes. The Expert has extensive... .... # Document Analysis # Review, analyze, summarize, and demonstrate... ..., this position is fully remote and is solely for a candidate...Remote workFor contractorsLocal area
- ...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
$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$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$150k
...Construction Claims Principal Expert Direct Supervisors:... ...Job Location: Hybrid, and remote options Description:... ...practice. A Construction Claims and Dispute Resolution Specialist capable... ...damages. Contractual Oversight: Reviewing contract terms (e.g., FIDIC,...Remote workFull timeContract workWork at officeWork from homeRelocation packageFlexible hours$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$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- ...Title: Nurse Reviewer Location: 100% Remote Duration: 6 months initial contract (Potential to FTE) Note: LPN State License must be active and in good standing for the entirety of the assignment. Training: · Training is fully virtual with cameras expected to be on. Start...Remote workContract work
$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$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$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- ...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
- ...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
$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- ...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
$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$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- ...writing and verbal communication skills; Experience in using Google Drive, Microsoft Word, and online authoring systems. This is a remote, freelance position. The pay structure is pay per question to be determined by the project. Compensation details: 22-2...Remote workHourly payFreelance
- ...Location: Remote with on‑site visits across Illinois. We are currently seeking Nurses who reside in central Illinois - preferably in McLean and Sangamon Counties. Position Overview: The Nurse Reviewer conducts provider compliance reviews to ensure adherence to state regulations...Remote workFlexible hours
$150 - $180 per hour
...Prolific in Sacramento is seeking Mental Health Professionals to help train and evaluate advanced AI models. You will review AI-generated responses and engage in various training tasks, earning competitive pay rates up to $150-180/hr. Ideal candidates must hold a verified...Remote workWork from home$8 - $65 per hour
...Prolific is hiring Mental Health Professionals in New York to train and evaluate AI models. As a Domain Expert, you will be responsible for reviewing AI-generated responses, completing tasks related to psychology, and improving AI models based on your expertise. Pay rates...Remote workHourly payWork from homeFlexible hours$150 per hour
...foundational model AI lab as a Management Consulting Expert. This role focuses on creating, reviewing, and simulating realistic consulting engagement scenarios... ...AI systems. Engage in project-based work fully remote. Commit to a workload of 40 hours per week....Remote workHourly pay$8 - $65 per unit
Prolific is seeking Mental Health Professionals to help train AI models by reviewing AI-generated responses and providing expertise. Participants will complete paid tasks and get paid between $8 and $65 per task. The role requires verified professional status and a solid...Remote workWork from homeFlexible hours
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