Remote RN Medical Reviewer III - Home Health & Hospice
Southcarolinablues
- Remote job
BlueCross BlueShield of South Carolina is seeking a Medical Reviewer III for Home Health and Hospice. This remote role supports operations with 40-hour weeks, typical business hours CST, and requires RN licensure and strong clinical/medical review experience. Primary duties include reviewing complex medical claims, preauthorization and appeals, ensuring accurate coding and payment decisions, and educating internal staff. Travel may be minimal as needed. #J-18808-Ljbffr Southcarolinablues
$60k - $63k
...Remote Home Health RN – Medical Claims Reviewer At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small...Remote workFull timeFor contractorsWork at officeHome officeMonday to Friday- Broadway Ventures is seeking a Remote Home Health RN to join their Medical Review team. The role focuses on conducting medical reviews to ensure compliance with clinical guidelines. Ideal candidates must have an active RN license and clinical experience in Home Health...Remote jobFull time
- ...Utilization Management Behavioral Health Registered Nurse role. This... ...and focuses on clinical review, communication with... ...Candidates must have an active RN license and at least two years... ...health. The internship is remote, requiring a conducive home work environment and offers...Remote workWork from homeInternshipWeekday work
- ...About the Job RN Case Manager. Sealy, Texas. PRN. About the Job:... ...Away Healthcare is a leading provider of home health and hospice services. We are seeking a... ...care plans as necessary. Administer medications and treatments as prescribed by physicians...Remote workRelief
- ...military service members or spouses. The RN Intern will engage in clinical reviews, support decision-making for... ...Kentucky and two years of behavioral health experience. Candidates should possess... ..., with the opportunity to work from home in a supportive environment. #J-1880...Remote workWork from homeInternship
- ...Overview: Sentara Health is hiring for a... ...Navigator III at Sentara... ...in Nursing for RN Candidates REQUIRED... ...-term care, home health, hospice, skilled nursing... ...clinical, Utilization Review, Claims,... ...Your Career • Medical, Dental, Vision... ...available as remote work, Sentara...Remote workPermanent employmentFull timeTemporary workShift work
- ...RN CASE MANAGER – CARE MANAGEMENT... ...level of care when medically ready. RN Case... ...setting to the home. RN Case Manager... ...Home Healthcare, Hospice, and any other care... ...by a chart review for the level of... ...· Primarily a remote work from home position... ...Mexico CAP III - Clinical...Remote workWork from homeFull timePart timeReliefRelocation packageMonday to FridayNight shiftDay shiftAfternoon shiftWeekday work
- Adoration Health is seeking a compassionate and experienced Triage RN for a remote position. You will provide critical... ...support by answering hospice calls, coordinating care... ...you to work from home while making a significant... ...package, including medical insurance and paid time...Remote jobWork from home
- ...Director, the Registered Nurse oversees primary caseload of Hospice patients and provides skilled professional nursing care to them... ...(1) year general nursing preferred with current hospice, home health, medical, surgical or critical care experience. Experience with...Remote workWork from homeWork experience placementWork at office
- ...and nights Weekends can be remote or in office 3 holidays/year... ...on weekends Requirements RN license in Missouri and Illinois... ...3 to 6 months. 2 years of Hospice experience Home Health experience is a plus!... ...infusion treatment rooms, home medical equipment and high-tech...Remote workWork at officeFlexible hoursShift workNight shiftWeekend work
$61.5k - $136.1k
byebyeoffice is looking for a Holistic Health Specialist to work from home in Nashville, Tennessee. This role involves managing care and providing support... ...care. The position offers flexibility with full remote work and requires working hours in the Central Standard...Remote jobWork from home- ...Overview: Sentara Health Plansis hiring a Quality... ...Coordinator /Registered Nurse (RN) for the Health Plan - Remote in Virginia! Status:... ...Provider Documentation Medical Record Reviews, and supports data-... ...(acute, ambulatory, home health, hospice, behavioral health) preferred...Remote workPermanent employmentFull timeContract workTemporary workShift work
- Abode Hospice of Colorado is seeking an Administrator On-Call RN to provide after-hours indirect patient care and leadership... ...and customer service. This is a remote position with occasional in-... ...compliance with state and payer #J-18808-Ljbffr BrightSpring Health ServicesRemote jobWeekend work
- Fonemed is hiring a Virtual Care Registered Nurse to provide remote medical and mental health support. This position requires triage expertise and clinical judgement while working from home. With flexible shift schedules, candidates must have solid experience in ER, ICU...Remote jobWork from homeFlexible hours
- ...RN Health Care Facility Surveyor - Indiana Impact Recruiting Solutions... .... The position is 100% remote with up to 75% travel. The... ...critical access hospital, and hospice facilities. Surveyors travel... ...observation of care, record review, interviews of staff and families...Remote workWork at office
- ...responsibilities include coordinating with health care teams, maintaining detailed reports,... ...successful candidate will hold a valid Louisiana RN license and possess one to two years of... ...A hybrid work environment with occasional home visits is required. #J-18808-Ljbffr...Remote jobWork from home
$75k - $85k
Summit Home Care & Hospice, located in Dublin, OH, is seeking a compassionate Registered Nurse (RN) to join our Home Health team. This role involves patient assessments, care planning, and direct patient care in home settings. The ideal candidate will have a nursing degree...Remote job- Kelsey-Seybold Clinic, part of the Optum family of businesses, is seeking an RN Tele-Health Triage to handle incoming and transferred calls, assess patients, and guide care options from a home-based desk. You will document in EPIC and coordinate referrals to clinicians,...Remote jobWork from homeFlexible hours
$42.19 - $72.88 per hour
...drive groundbreaking medical discoveries and... ...Registered Nurse [RN - Massachusetts]... ..., Cooley Dickinson Health Care, a member of the... ...Dickinson's VNA & Hospice is also a vital part... ...network, providing home-based services throughout... ...counties. Remote Type Onsite...Remote workWork from homeHourly payRelocation packageShift work$25 per hour
...Registered Nurse (Rn) Opportunity We are seeking a compassionate... ...after-hours support, triaging hospice patients and family needs over... ...nurse triage for hospice and home health providers since 2008.... ...in the field by leveraging our remote team of nurses to manage after...Remote jobWork from homeHourly payShift work$28.71 - $40.19 per hour
...Registered Nurse Clinic III - Hematology/Oncology - partial remote Full-Time Hybrid... ...emergent or potential health problems as well as... ...from an accredited RN school of nursing. Experience... ...to work from home 1-2 days per week... ...information, please review the Know Your Rights...Remote workWork from homeHourly payFull timePart time2 days per week1 day per week$38.02 - $52.14 per hour
Job Description Our home health and hospice agencies are located throughout California... ...Registered Nurse (RN) licensure in the state of practice... ...a calendar of chart review activities, including focus... ...requirements for CHAP, CMS, Medical Staff and the Board Quality...Remote jobFull timeShift work- ## RN Float PoolApplyremote type: Onsitelocations... ...groundbreaking medical discoveries and... ..., Cooley Dickinson Health Care, a member of the... ...Dickinson’s VNA & Hospice is also a vital... ...network, providing home-based services throughout... ...counties.**Remote Type**Onsite**Work...Remote workWork from homeHourly pay
- Infinity Hospice Care LLC is seeking a Clinical Manager to ensure high-quality client care in accordance with agency policies. You will... ...must have a minimum of 2 years nursing experience in home health, plus management experience. Strong interpersonal and decision...Remote job
$40 per hour
...Overview On-Call Registered Nurse (RN) Remote 1099 Contractor job at CircleLink Health. Remote. About CircleLink Health: CircleLink Health is a company of passionate... ..., enjoy flexible scheduling, and want to work from home in a non-clinical role. As an on-call RN, you will be...Remote workWork from homePrice workFull timePart timeFor contractorsMonday to FridayFlexible hoursShift workWeekend workAfternoon shift$25 per hour
...compassionate registered nurse (RN) to join our growing... ...support, triaging hospice patients and family... ...triage for hospice and home health providers since 2008. Utilizing... ...by leveraging our remote team of nurses to manage... ...and electronic medical records (EMR) utilized...Remote workWork from homeHourly payFull timePart timeAll shiftsShift workNight shiftWeekend workAfternoon shiftWeekday work- ...Company Abode Hospice of Colorado Overview... ...is a licensed RN who provides... .... This is a remote position but may... ...to diagnosis, medications, infection control... ...standards. Review documentation in... ...certification Prior home care experience... ...8-Ljbffr BrightSpring Health ServicesRemote work16 hoursLocal areaWeekday work
- ...drive groundbreaking medical discoveries and... ...Registered Nurse [RN - Massachusetts]* Basic... ..., Cooley Dickinson Health Care, a member of... ...Dickinson’s VNA & Hospice is also a vital part... ...network, providing home-based services throughout... ...counties.**Remote Type**Onsite**Work...Remote workWork from homeHourly payRelocation packageRotating shift
$75k - $90k
...RN Health Care Facility Surveyor - Minnesota (#1160) Employee... ...Surveyor: The position is 100% remote with up to 75% travel. The... ...critical access hospital, and hospice facilities. Surveyors travel... ...observation of care, record review, interviews of staff and families...Remote workFull timeWork at officeImmediate startMonday to FridayFlexible hours$34 per hour
...Overview Carenet Health is not authorized to hire... ...a challenging yet remote registered nurse position... ...the comfort of your home. Join us in an... ...Current, unrestricted, RN licensure in a... ...and pediatric care, Medical/Surgical, Home Health and Hospice or other acute areas...Remote workWork from homeHourly payFull timeContract workHome officeFlexible hoursShift workAfternoon shift2 days per week
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