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. #J-18808-Ljbffr
$62.7k - $100.4k
...Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness... ...discharge planning activities (i.e. DME, home health services) and care coordination... ...an accredited registered nursing (RN) degree program required Three (...Remote workHourly payWork at office$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 state... ...requirements for employees working remotely. Deliverables Submit a monthly summary...Remote workFor contractorsWork from home$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 jobHourly pay- ...a BlueCross BlueShield South Carolina subsidiary, seeks a Medical Reviewer II (RN) to perform medical claim reviews and determine medical necessity... ...review across multiple services. The position is remote, full-time, with standard hours 8:00 AM-5:00 PM ET, training...Remote jobFull time
$70k - $85k
Description: Medical Reviewer, RN Location: Remote Salary: $70,000-85,000 annually, based on years of experience About J29 J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee...Remote workFor contractorsLocal area- J29, Inc. is seeking a Medical Reviewer, RN Coder for a remote, temporary assignment. The role is expected to last approximately 3-6 months and focuses on reviewing Medicare FFS claims via automated and manual processes to identify overpayments and ensure compliant, accurate...Remote jobTemporary work
- ...Unknown CDI team is seeking a Clinical Documentation Integrity (CDI) Specialist – RN for a 100% remote position based in the United States. You will drive accurate inpatient documentation, engage physicians, and ensure alignment with quality and reimbursement goals....Remote work
- ...Stryker Corporation in the United States is seeking a Clinical Documentation Integrity (CDI) Specialist – RN for a fully remote role. You will review inpatient records, issue physician queries, and collaborate with care teams to ensure accurate reflection of severity of...Remote work
- ...Documentation Specialist with nursing experience to ensure the clinical story is accurate and complete across the health system. This fully remote opportunity requires at least three years in CDI or a similar role and a strong acute care background, with ICU experience...Remote work
- ...accuracy of clinical documentation in a fully remote capacity, the Clinical Documentation Integrity Specialist will review medical records for completeness and compliance,... ...improvement (CDI) experience Registered Nurse (RN) certification Knowledge of ICD-10-CM, MS-DRGs...Remote work
- ...Authorization Program, the full-time RN Clinical Quality Reviewer will perform comprehensive clinical reviews... ...activities, all while working remotely within the US. Key responsibilities... ...reviewing clinical documentation for medical necessity and appropriateness of care...Remote workFull time
$70k - $120k
...Fully Remote : Clinical Documentation Specialist Job Description Facilitate... ...caregivers. Perform concurrent and retrospective reviews of medical records to ensure accurate documentation... ...Registered Nurse (RN) with a current license from any state....Remote workLocal areaMonday to Friday- ...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
- ...Gainwell Technologies is seeking a Medical Reviewer (Durable Medical Equipment Specialist) to provide subject-matter expertise supporting Medical... .... In this role, you will review durable medical equipment (DME) claims, Treatment Authorization Requests (TARs),...Remote work
$50k
...provide active, concurrent and retrospective review of provider documentation, query for... ...comprehensive review of patient records in a remote setting. The Registered Nurse provides... ...the care team to facilitate comprehensive medical record documentation to reflect treatment...Remote workFull timePart time$125k - $160k
...'s 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- ...Specialist Registered Nurse (RN)When you join the growing BILH... ...people's lives.This position is remote. Candidates must be local to... ...to providers as supported by medical record documentation to improve... ...limited to:Completes initial reviews of patient records within 24-4...Remote workWork experience placementWork at officeLocal area
$50.14 - $77.83 per hour
...CLINICAL DOCUMENTATION SPECIALIST RN - Providence Home Services... ...Full time, Day shift / This is a remote position working on day shift.... ...) is responsible for quality review of all OASIS admission... ...Experience with an Electronic Medical Record (EMR) system (Required:...Remote workMinimum wageFull timeShift workDay shift$80k
...complexity of care as documented in patient medical records. Extensive medical record review and interaction with physicians,... ...Minimum Education ~ Current RN Licensure Certifications:... ...2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified...Remote workLocal area$38.67 - $59.94 per hour
...Specialist Location: Hybrid - Skokie, IL and remote Full Time/Part Time: Full Time (40... ...and 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- UnitedHealth Group seeks an experienced SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims. The role requires documenting determinations and maintaining screening criteria, contributing to efficient, compliant health...Remote job
$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- 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
- NTT DATA, Inc. in Tampa, Florida seeks a BPO Clinical Review Specialist to perform clinical and medical necessity reviews supporting member and provider... ...compliance with NCQA standards and Medicaid guidance. This remote Florida role offers benefits including medical,...Remote job
- ...seeking a Clinical Documentation Specialist RN for our Home Services Oregon team. This role ensures quality review of OASIS admission documents and Plans of... ..., and proficiency with electronic medical records, with a remote schedule on weekdays. #J-18808-Ljbffr Providence...Remote jobWeekday 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
- ...CDS) facilitates the improved integrity of medical record documentation through interaction... ..., performs pre-visit and retrospective reviews of ambulatory clinical documentation to ensure... ...coding, billing and auditing preferred. RN with Current Certified Clinical...Remote jobReliefWork at officeShift work
$36.67 - $53.17 per hour
...provider-based clinical documentation in the medical record. This position is responsible for... ...clinical documentation through extensive reviews of the medical record, interaction with... ...to be 0% -10% of the time Salary Range $36.67-$53.17/hourly #J-18808-Ljbffr Remote JobsRemote workHourly payFull timeWork at officeImmediate startMonday to Friday
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