Remote RN, Clinical Records Review & QA (12-8 EST)
Managed Medical Review Organization, Inc.
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 is seeking a skilled registered nurse for a remote, home-office role. The position emphasizes... ...accurate documentation, and clinical review duties without face-to... ...patient contact. The role requires 12 pm–8 pm EST, Monday–Friday, with rotating...Remote workHome officeMonday to FridayWeekend work
$80k
...Must be able to work 12 pm - 8 pm EST, Monday through... ...searching for a new RN to join our team. Our... ...to work remotely and do not have face... ...skills in addition to clinical experience. Please review the roles and responsibilities... ..., review medical records for completeness,...Remote workFull timeHome officeMonday to FridayWeekend work$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$63.1k - $94.65k
...current compact RN license, or be willing... ...Our Utilization Review team provides... ...between 8:00 a.m. and 10:... ...worked during the 12:00 p.m. - 10:00... ...Utilizes approved clinical review criteria... ...rate Assist in recording denial updates;... ...Required: This is a remote role which...Remote workTemporary workPart timeWork at officeLocal areaFlexible hoursShift work$29 - $52 per hour
...Clinical Review ClinicianOptum is a global organization that delivers care,... ...clinical claim review, medical record review, and a broad knowledge... ...with your first pay period plus 8 Paid HolidaysMedical Plan... ...degreeActive and unrestricted RN license OR LPN in the state of...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal area$29 - $52 per hour
...Optum Clinical Claim Review NurseOptum is a global organization that delivers care... ...claim review, medical record review, and a broad knowledge... ...with your first pay period plus 8 Paid HolidaysMedical Plan options... ...and unrestricted RN license in the state of residence...Remote workHourly payMinimum wageFull timeContract workTemporary workWork experience placementWork at officeLocal area- ...for utilization review work for... ...electronic medical records of emergency department... ...evidence-based clinical guidelines and... ...unrestricted RN license At... ...Comfortable with remote work arrangements... ...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
- ...After Hours RN Mon-Thurs 11pm-8:30am Fort Mill SC - Fort Mill, SC 297... ...professional practice. Keep clinical records current by synchronizing... ...Responsible for all material reviewed at Nurses Meetings, After... ...practice in other compact states (remote states), while subject to...Remote workFull timeShift workNight shift
$29 - $52 per hour
...Radiation Oncology Preservice Review Nurse RN - Remote (2389342) Optum is a... ...will be performing pre-service clinical coverage review of services... ...3 months, ability to work 5/8's or 4/10's after training... .../interpret clinical/medical records submitted from provider (e.g...Remote workHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend workAfternoon shift- ...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 workWork at officeWork from homeHome office
- ...Quality of Care (QOC) Nurse to review and investigate potential quality... ...manner. This role supports QA activities in line with CMS and... ...candidates bring an unrestricted RN license, at least 5 years of healthcare... .... The role can be performed remotely within the continental United...Remote work
- ...seeking an experienced Registered Nurse for an 8-week travel assignment in Utilization Review, focusing on clinical investigations, medical record reviews, and non-acute utilization review. The role requires an active NY RN license, AHA BLS certification, and at least...Monday to Friday
- ...Seaport Scripps Home Health is seeking an experienced OASIS Review Nurse (RN) to support clinical quality, regulatory compliance, and documentation integrity in a home health setting. This role is responsible for reviewing and ensuring the accuracy, completeness, and...Remote work
- ...Seaport Scripps Home Health is seeking an experienced OASIS Review Nurse (RN) to support clinical quality, regulatory compliance, and documentation integrity in a home health setting. This role focuses on reviewing OASIS assessments and ICD-10 coding while collaborating...Remote work
- ...CoventBridge Integrity Systems is seeking a Medicaid Medical Review RN (Medical Reviewer III) for a remote role, based from Grove City, OH. The position conducts clinical reviews of medical records for fraud investigations and applies Medicare/Medicaid guidelines to determine...Remote 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
- ...Spectraforce is seeking a Remote Medical Reviewer focused on post-market medical devices. The role requires an active RN license and 2–3 years of clinical nursing experience, with a strong emphasis... ...judgment. The position supports a 12-month assignment with standard 40...Remote work
- ...Position Title: Utilization Review Nurse Position Code: RN-6027 Department: Case... ...physician orders in the medical record follow Medicare and other... ...appropriate and accurate clinical information is communicated... .... ~ Ability to sit for 5-8 hours per day. ~ Ability...Remote workWork at officeFlexible hours
- ...RN Annotators is a remote review track for evaluating AI outputs across rn annotators specialist operations workflows. Reviewers grade workflow correctness, policy adherence, and stakeholder fit; flag operational risk; and document the right next step so the modeling...Remote work
- ...Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home Department: Care Management Contract: Washington Labor & Industries... ...Review clinical documentation and medical records to support accurate and timely...Remote workFull timeContract workLocal areaWork from homeHome office
$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$2,005 per week
...Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in... ...hours per week ~ Shift: 8 hours, days ~ Employment... ...(UR EXT) specialist for a remote position. This role involves... ...proficiency with Electronic Medical Records (EMR) such as Epic, and...Remote workTemporary workZero hours contractMonday to FridayShift workWeekend work$64.5k - $92.2k
...Gainwell Technologies LLC is seeking a Clinical Quality Nurse Reviewer, Sr. Specialist to perform... ...clinical staff. This full-time remote position requires an active RN license and clinical experience... ...reviewing documentation, performing QA checks, and assisting with...Remote workFull time- ...ShiftDescription: This is a remote position but will need... ...Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES... ...You Will DoConduct clinical reviews of patient records to evaluate medical necessity... ...accredited Registered Nurse (RN) program; Bachelor's Degree...Remote workFull timePart timeWork at officeLocal areaShift workDay shift
$2,150 per week
...seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing... ...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$77.91k - $116.86k
...seeking an inpatient review nurse to join the remote utilization... ...Monday - Friday, 8:00 AM - 5:00 PM... ...Coordinator. ~9. Records communications in... ...reports pertinent clinical criteria as established... ...procedure. ~12. Monitors for... ...unrestricted LVN or RN license in...Remote workImmediate startMonday to Friday- ...Jobs Utilization Review Nurse (PRN/Weekend... ...Shift) Fully Remote • FL Description... ...weekends (either 4, 8, or 12 hour shifts). Requirements... ...using approved clinical criteria and... ...Electronic Health Records and case management... ...Registered Nurse (RN) license. Minimum...Remote workDaily paidReliefWork at officeShift workWeekend work
- ...the flexibility to work remotely* as you take on some... ...Competencies: CPS_Conduct Non-Clinical Research to Support... ...appropriate team for review (e.g., Medicare, Medicaid... ...clinical/medical records submitted from provider... ...Qualifications: Valid RN license in Hawaii Residence...Remote workWork at office
$93.35k - $132.43k
...Work Shift First (Days) Overview: Sentara Health Plans is hiring a Clinical Claims Reviewer/ RN - Remote! Status: Full-time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Remote opportunities available in the following states: Virginia...Remote workPermanent employmentFull timeTemporary workWork at officeShift work
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