Remote RN Regulatory Review Specialist - Compliance
Vitalcaring-Group
VitalCaring-Group is searching for a Regulatory Review Specialist (RN) to support regulatory compliance and patient care integrity. This remote role emphasizes expertise in healthcare regulations and clinical documentation, ensuring top-notch support for audits and compliance initiatives. The successful candidate will have a current RN license and at least 3 years of leadership experience in Home Health/Hospice, combined with a strong understanding of CMS standards. Enjoy a flexible remote work environment and contribute to initiatives that matter. #J-18808-Ljbffr
- ...- Where Your Expertise Protects Patient Care Regulatory Review Specialist (RN) - Home Office (Remote) Who We Are Founded in 2021, VitalCaring... ...empowered, and inspired. At VitalCaring, quality and compliance are more than requirements-they're essential to...Remote workFor contractorsHome officeFlexible hours
$54.4k - $111.5k
Fifth Third Bank is seeking a Principal Review Specialist in Cincinnati, Ohio, to oversee brokerage and insurance sales supervision. Responsibilities include ensuring compliance with regulations, evaluating the appropriateness of transactions, and mitigating risks. Ideal...Remote job- ...A healthcare organization is seeking a Clinical Services Specialist RN to perform reviews of patient records for medical necessity compliance. This full-time role involves analyzing records according to policies and facilitating communication with various stakeholders...Remote workFull timeWork from home
$71.1k - $97.8k
...Humana is seeking a Prior Authorization RN for the Wisconsin Medicaid Market team. This remote position involves reviewing clinical appropriateness of prior authorization requests, ensuring compliance with Medicare and Medicaid. You will work with outpatient services...Remote work- ...Adaptive Home Health is seeking a QA RN to ensure clinical accuracy and regulatory compliance in Texas. This remote role involves reviewing OASIS assessments, coding, and collaborating with clinical leadership to enhance patient outcomes. The ideal candidate will have...Remote workFlexible hours
- ...P3 Health Partners in Henderson, NV is seeking an RN Concurrent Review to ensure compliance with the Medical Management Program. The role may be hybrid or fully remote, with competitive hourly rates based on experience. The successful candidate will have at least two years...Remote workHourly pay
- ...is seeking an Appeals Nurse to review medical records and claims for... ...the Appeals team and ensure compliance with Medicare guidelines for timely... ...nursing degree and an active RN license with experience in a... ...a salary range of 66-68k, remote work options, and comprehensive...Remote work
- ...Confluence Health is seeking a Utilization Review Specialist to ensure compliance with state regulations and perform utilization reviews. The role requires... ...skills are essential. This hybrid position allows for flexibility between remote and in-office work. #J-18808-Ljbffr...Remote workWork at office
- ...tango is seeking a Utilization Review Nurse (LPN or RN) to join our remote team. This role processes patient authorization requests and coordinates care to ensure compliance with health care standards. Candidates must have at least two years of nursing experience and...Remote workFull time
- ...seeking a Quality Assurance Registered Nurse (RN) for Home Health to ensure clinical quality and regulatory compliance. This remote position requires expertise in OASIS... ...candidate will work closely with clinical teams, review assessments, and participate in quality improvement...Remote work
- ...Orlando, Florida is seeking a detailed-oriented Regulatory Review Specialist (RN) to enhance regulatory compliance and support patient care. The role involves managing... ...requests, and regulatory documentation in a remote working environment. The ideal candidate must possess...Remote work
$90 - $145 per hour
...Doctor degree and experience in contract law, compliance, and litigation. This position offers flexibility as it is fully remote, allowing you to contribute expert legal... ...structured project work. The role entails reviewing contracts and compliance documents, supporting...Remote workHourly payContract work- ...Acentra Health, LLC is seeking a Clinical Reviewer of Behavioral Health to review medical records and ensure compliance with contract requirements. This remote position requires work aligned with... ...should have an active Virginia RN or LMHP license and at least 1 year of...Remote workContract work
- Humana is seeking a Prior Authorization RN to join their Wisconsin Medicaid Market team. This fully remote position involves reviewing the clinical appropriateness of prior authorization requests while ensuring compliance with Medicare and Medicaid guidelines. The ideal...Remote job
- Micro1 is seeking a Building Code Compliance Expert to join a remote team, ensuring compliance and safety in construction projects. The role involves reviewing architectural plans, advising on code-related challenges, and collaborating with project teams to maintain industry...Remote job
- ...services. Interns will conduct clinical reviews, communicate with healthcare providers, and ensure compliance with regulations. Candidates must hold an active RN license and have at least two years... ...health experience. The position is remote with a weekday schedule. #J-18808-...Remote jobInternshipWeekday work
- ...intelligence company is seeking a Nurse Itemized Bill Reviewer to analyze medical claims and ensure compliance with industry standards. This remote position allows candidates to work from... ...candidates should possess an active RN, LPN, or LVN license, along with at least 1...Remote work
- ...Group is looking for a Clinical Quality Reviewer to support a large-scale federal healthcare... ...The ideal candidate will have an active RN or LCSW license, at least 3 years of clinical... .... This role offers flexibility with remote or onsite work options, depending on business...Remote job
$60k - $75k
Compliance Specialist Helps to mitigate legal exposure/risk to the organization... ...policies, procedures and regulatory requirements. Possesses and... ...applicable latitude for un-reviewed action or decisions;... ...designation (in-office, hybrid, remote) and operational needs. Salary...Remote workVisa sponsorship$120 per hour
...Jack Dorsey . Position: Privacy / regulatory compliance Evaluator Type: Contract... ...Compensation: $80–$120/hour Location: Remote Role Responsibilities Evaluate... ...to: ****@*****.*** PS: Our team reviews applications daily. Please complete your...Remote jobContract workSummer workWork at office$57.41k - $71.76k
Office Operations /Institutional Review Board Compliance Coordinator Join to apply for the Office Operations /Institutional Review Board Compliance... ...the office budget, maintaining PRIA staff in-person/remote work schedule, composing general administrative correspondence...Remote workFull timeWork experience placementH1bWork at officeWeekend work- ...solutions for Risk Management, Compliance, Business Process, IT... ...Description ProSidian Seeks a Regulatory Compliance Specialist | Compliance / Risk /... ...Contract: No Overtime Pay Basis Remote (within USA - W/ On-Site... ...compliance and permitting review services support Energy...Remote workContract workFor contractorsWork at officeLocal area
$55 - $70 per hour
PACO Group, Inc. is seeking a Design Review & Code Compliance Specialist to support the Port Authority Engineering Department's Quality Assurance Division. This role involves reviewing tenant alteration applications, evaluating construction documents, and liaising between...Remote job- The role offers innovative consulting solutions and a chance to work remotely. Candidates who are detail-oriented and passionate about medical review are encouraged to apply. #J-18808-Ljbffr Broadway Ventures LLCRemote job
$80k - $90k
...Responsibilities*** Performs clinical reviews on medical records to maintain... ..., anti-harassment and other compliance and policy/procedures training... ...to work independently in remote setting with minimum... ...Qualifications*** Active unrestricted RN license #J-18808-Ljbffr...Remote workFlexible hours$85 - $120 per hour
...Summers , and Jack Dorsey . Position: Legal Expert — Compliance / Regulatory (Remote, Hourly) Type: Contract Compensation: $85–$120/... ..., EEOC . Start Date ~ Immediately ; applications reviewed on a rolling basis. Compensation & Legal ~ Hourly...Remote workHourly payWeekly payContract workFor contractorsSummer workWork at officeImmediate start- ...outcomes. Our talented remote workforce spans the country... ...employee is an active RN and based in Alabama.... ...Supervisor, Clinical Review plays a critical role in... ...documentation and ensure compliance with healthcare... ...certifications and familiarity with regulatory frameworks enhance the...Remote workContract work
$1,150 - $1,450 per month
...Larry Summers , and Jack Dorsey . Position: Regulatory Compliance & Risk Management Expert Type: Contract Compensation... ...$1,150–$1,450 per completed task Location: Remote Role Responsibilities Review and evaluate AI-generated outputs related to...Remote workHourly payContract workSummer work- ...Santa Barbara Cottage Hospital is seeking a Nurse Reviewer who will conduct compliance reviews of providers to ensure adherence to... ...of clinical experience and an active Illinois RN license. This position allows for remote work with 2–3 on-site visits per week throughout...Remote work
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
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