Remote DME Medical Reviewer, RN
BROADWAY VENTURES, LLC
A leading medical service provider in Washington, DC is seeking a DME Medical Reviewer to ensure compliance with nursing standards and provide comprehensive management reports. The ideal candidate must hold an active RN license and have at least two years of clinical experience. Responsibilities include submitting monthly reports, conducting quarterly meetings, and performing quality audits. The role emphasizes remote work capabilities and adherence to standards. Competitive salary offered.
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- ...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 work
$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 workHourly pay$60.8k - $64k
...DME Medical Review Location: Washington, DC. Salary: $60,800.00 – $64,000.00 (posted 1 week ago... ...nurses holding an active, unrestricted RN license from the United States in the... ...home requirements for employees working remotely. Deliverables Submit a monthly summary...Remote workFor contractorsWork from home- ...RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City : Columbia State : SC Pay Range : Job Description: InGenesis is currently seeking a Registered...Remote workFull timeContract workLocal areaShift work
$66.83k - $111.38k
...Overview: Sentara Health Plansis hiring a Clinical Claims Reviewer/ RN - Remote! Status: Full-time,permanent position (40 hours)... ...payment inquiries and reconsiderations including referrals to Medical Directors as appropriate. Ensures compliance with health plan...Remote workPermanent employmentFull timeTemporary workWork at officeShift work- ...delivery and patient outcomes. Our talented remote workforce spans the country and plays... ...Overview We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team member... ...and guidelines to determine the medical necessity of health care services....Remote workContract work
$102k - $158.39k
...lives. **This position is remote. Candidates must be local to New... ...to providers as supported by medical record documentation to... ...Description: Concurrently reviews inpatient records to ensure completeness... ...& Registration: RN License Clinical Documentation...Remote workWork at officeLocal area$70k - $120k
...Fully Remote: Clinical Documentation SpecialistFacilitate the improvement of clinical... ...caregivers. Perform concurrent and retrospective reviews of medical records to ensure accurate documentation... ....QualificationsRegistered Nurse (RN) with a current license from any state.Certified...Remote workLocal areaMonday to Friday$80k
...complexity of care as documented in patient medical records. Extensive medical record review and interaction with physicians,... .... Minimum Education Current RN Licensure Certifications: CRCR Required... ...2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified...Remote workLocal area$32 - $33 per hour
...fit into our culture. We have an opening for a: RN - Clinical Field Reviewer (Remote in Montana) The RN Clinical Field Reviewer is a remote... ...~401(k) with an automatic 3% employer contribution ~ Medical, Dental, Vision, Life, Flex Spending Account, Dependent...Remote workFull timeTemporary workLocal area- ...Clinical Documentation Integrity Specialist Remote Ensuring clinical documentation meets quality and regulatory standards. Working with medical professionals to clarify documentation. Skills: clinical knowledge, attention to detail, knowledge of healthcare compliance...Remote work
$49.34 - $76.59 per hour
...CLINICAL DOCUMENTATION SPECIALIST RN – Providence Home Services... ...Full time, Day shift / This is a remote position working weekdays on... ...) is responsible for quality review of all OASIS admission documents... ...Experience with an Electronic Medical Record (EMR) system. Preferred...Remote workFull timeWork at officeShift workDay shiftWeekday work$45 - $50 per hour
...Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting... ...graduates of accredited nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby.vecnakraska.sk -...Remote jobHourly pay$85k - $92k
...is seeking a Clinical Quality Reviewer to support a federal healthcare... ...This role involves reviewing medical records, conducting case analyses... ...Candidates must have a valid RN or LCSW license with at least... .... The position may be remote or onsite based on business requirements...Remote jobWork at officeHome office$38.67 - $59.94 per hour
...Specialist Location: Hybrid – Skokie, IL and remote Full Time/Part Time: Full Time (40... ...meetings What You Will Do: Review medical records concurrently to ensure accuracy,... ...Certification: ADN or RHIT; IL Licensed RN Preferred Experience: 3-5 years RN...Remote workHourly payFull timePart timeFor contractorsWork at officeMonday to Friday- Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position requires Alabama licensure and focuses on compliant, cost-effective...Remote jobFull timeContract work
- ...Medical Reviewer (Registered Nurse) - Remote CA It takes great medical minds to create powerful solutions that solve some of healthcare's most complex... ...looking for: Active and unrestricted registered nurse (RN) license to practice in the state of California, in...Remote jobFull timeHome officeMonday to FridayFlexible hours
- ...first 25 applicants Job Title:Clinical Review Nurse (RN) - Utilization Management Location:Oregon... ...role uses clinical expertise to review medical records for medical appropriateness... ...Opportunities) Clinical Program Coordinator RN *Remote* Clinical Program Coordinator RN *...Remote workContract work
- ...procedure to determine the viability of the claim for further review in a production environment. Primary Responsibilities: Clinical... ...clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported...Remote jobContract workWork at officeLocal areaMonday to Friday
$21.72 - $32.58 per hour
...patients we are privileged to serve. Assists RN, Physician and other providers and... ...Quality Assurance. FTE: 1 Possible Remote/Hybrid Option: Shift Rotation: Day... .... Our comprehensive benefits include medical, dental, vision, life, and disability insurance...Remote workFlexible hoursShift workWeekend work- A leading organization in healthcare quality is seeking a Clinical Quality Reviewer to review clinical cases and identify potential quality or safety concerns. This remote position is ideal for licensed clinical professionals with a strong analytical mindset and a minimum...Remote job
$40 - $55 per hour
...Medical Reviewer, RN Coder - Temporary Position Location: Remote *This role is a temporary position and employment is expected to be for a limited duration (approx. 3-6 months) About J29 J29, Inc. (J29) has been supporting commercial, State, and Federal health...Remote workHourly payTemporary workFor contractorsLocal area- ...Medical Reviewer (Durable Medical Equipment Specialist) - Remote CA It takes great medical minds to create powerful solutions that solve some of healthcare's most... ...role, you will review durable medical equipment (DME) claims, Treatment Authorization Requests (TARs),...Remote jobFull timeHome officeMonday to FridayFlexible hours
- RN Clinical Referral Manager - Workers Compensation Job Description... ...Referral Manager for a remote, full-time, benefited position... ...with assignment of the Primary Medical Team and Network Managers to new... ...Catastrophic Referral Intake Unit in reviewing new referral escalations for...Remote workFull timeContract workPart timeFor contractorsLive inLocal areaMonday to FridayFlexible hours
$38 - $66.5 per hour
...you will partner closely with medical staff to ensure the accuracy and... ...This is an on-site position; remote work is not available. Job Description: Position: RN Clinical Documentation Specialist... ...and retrospective medical record reviews to ensure accurate and specific...Remote workHourly payFull timeTemporary workWork at officeShift workWeekend work- ...seeking physicians with a minimum of 5 years clinical experience, preferably in Family Medicine, for a peer review role. Responsibilities include reviewing medical records and making standard of care determinations while working from home with a flexible schedule....Remote workWork from homeFlexible hours
$38.46 - $43.27 per hour
...Clinical ReviewerAs the Clinical Reviewer, you will be responsible for... ...receipt of the electronic medical records, communicate with contractors... ..., NY office. Ability to work remotely one day per week after... ...Nurse, required (open to any RN state license).Graduate of a School...Remote workHourly payFull timeFor contractorsWork at office1 day per week- ...StatesCompany: IQVIA HoldingsPosted: 2026-09-06Associate Director, Medical Review (MLR)Location: Home-based in USAIQVIA Pharma Review provides... ...and relevant pharmaceutical regulations and codes.This is a remote role but may require onsite visits to clients.Job...Remote workFixed term contractWork from home
$100 per hour
A healthcare consulting company is seeking a Sr. Clinical Recruiter to join their Medical Consultant panel as an Expert Medical Independent Reviewer. This remote position requires Nurse Practitioners with at least 20 hours of direct patient care monthly, specifically in...Remote work$67.7k
...re your trusted partner in innovation. Medical Claims Reviewer Overall Purpose of the Position: Broadway... ...Certificates : Active, unrestricted RN licensure from the United States and in... ...shift Monday to Friday Work Location: remote within three hour driving radius of Augusta...Remote workFull timeContract workFor contractorsLive inWork at officeWork from homeHome officeMonday to FridayFlexible hoursShift work
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