Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Medicare Medical Review Specialist - Part-Time RN

Empower AI

Empower AI is seeking a Medical Review Specialist V to review and analyze Medicare claims. The role requires a Registered Nurse with at least 10 years of clinical experience and minimum seven years of claims knowledge. This is a part-time position focused on ensuring compliance with Medicare and DOJ guidelines, making payment determinations based on coverage and coding principles. Ideal candidates will possess strong communication skills and a background in medical review or fraud investigation. #J-18808-Ljbffr Empower AI

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Medicare Medical Review Specialist - Part-Time RN in New York, NY vacancy
  • Empower AI is seeking a casual Medical Review Specialist III. The role involves extensive Medicare comprehensive medical record review...  ...determinations under Medicare PART A. Candidates should be Registered...  ...' clinical experience as an RN. Responsibilities include conducting... 
    Suggested
    Casual work

    Empower AI

    New York, NY
    4 days ago
  • Empower AI is seeking a Medical Review Specialist III to perform Medicare comprehensive medical record and claims reviews. This casual role requires a Registered...  ..., focusing on payment determinations for Medicare PART A services. The ideal candidate will have strong... 
    Suggested
    Casual work

    Empower AI

    New York, NY
    4 days ago
  • $101.5k

     ...Elderplan and HomeFirst, our Medicare and Medicaid managed...  ...staff FREE Online RN to BSN and MSN degree...  ...Reimbursement for all full and part-time staff Dependent...  ...and comprehensive medical, dental and vision coverage...  ...appraisals, salary reviews and staffing. Qualifications... 
    Part time
    Full time
    Relocation package
    Flexible hours

    Metropolitan Jewish Health System

    New York, NY
    2 days ago
  • $60 - $85 per hour

     ...Job Description Job Description We are sharing a specialised part-time consulting opportunity for professionals experienced in...  ...administration, insurance operations, policy documentation, and compliance review workflows. This role supports current and upcoming remote... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • Empower AI is seeking a Medical Review Specialist III in Idaho. This role involves performing comprehensive medical record and claims reviews for Medicare Durable Medical Equipment payment determinations. Qualified candidates must be Registered Nurses with extensive claims... 
    Suggested

    Empower AI

    New York, NY
    1 day ago
  • Empower AI is seeking a Medical Review Specialist III to perform comprehensive Medicare claims reviews. The role involves analyzing claims based on coding principles and ensuring compliance with quality standards. Applicants must be a Registered Nurse with at least four... 

    Empower AI

    New York, NY
    3 days ago
  • $50 - $95 per hour

     ...Job Description Job Description We are sharing a specialised part-time consulting opportunity for professionals experienced in...  ...development, solution verification, and structured CS content review. This role supports current and upcoming remote consulting opportunities... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    10 hours per week
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $65 - $95 per hour

     ...We are sharing a specialised part-time consulting opportunity for nursing...  ...care, clinical monitoring, medication administration, clinical...  ...structured healthcare workflow review. This role supports current...  ...Nursing education, RN/LPN/LVN qualification, BSN, MSN... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $75 - $100 per hour

     ...Description We are sharing a specialised part-time consulting opportunity for professionals...  ..., paralegal workflows, contract review, consumer dispute documentation, and structured...  ...support professional, legal operations specialist, attorney, legal administrator, or related... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  •  ...Clinical Denials Utilization Review RN - FT - Day - Utilization Resource...  ...care. Capital Health Medical Group is made up of more than...  ...reflects compensation for a **full-time equivalent (1.0 FTE)** position...  ...hours and position status (e.g., part-time).**Pay Range:**$86,964.80... 
    Part time
    Full time
    Temporary work
    Flexible hours

    Capital Health

    New York, NY
    3 days ago
  •  ...specialty care. Capital Health Medical Group is made up of...  ...for a **full-time equivalent (1.0 FTE)**...  ...position status (e.g., part-time).**Pay Range:**$39...  ...Overview*** Performs chart review of identified patients...  ...admission reviews for Medicare, Medicaid beneficiaries... 
    Part time
    Full time
    Temporary work
    Work at office
    Local area
    Immediate start
    Flexible hours
    Night shift

    Capital Health

    New York, NY
    2 days ago
  • $35 - $65 per hour

     ...Job Description Job Description We are sharing a specialised part-time consulting opportunity for business owners and administrators...  ...updates, business information accuracy, and structured platform review. This role supports current and upcoming remote consulting... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Local area
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $140 per hour

     ...Description We are sharing a specialised part-time consulting opportunity for medical professionals experienced in clinical reasoning, diagnostic review, treatment planning, guideline-based...  ...Educational Background MD, DO, RN, NP, PA, or equivalent clinical qualification... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Work at office
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $60 - $80 per hour

     ...Job Description Job Description We are sharing a specialised part-time consulting opportunity for professionals experienced in AI data evaluation, structured review, annotation, quality control, rubric-based assessment, and high-accuracy human data workflows. This... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $110 - $145 per hour

     ...Job Description Job Description We are sharing a specialised part-time consulting opportunity for professionals experienced in...  ...restructuring, valuation, financial modeling, and structured deal workflow review. This role supports current and upcoming remote consulting... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $60 - $75 per hour

     ...Job Description Job Description We are sharing a specialised part-time consulting opportunity for professionals experienced in education, learning content review, instructional materials, academic workflows, curriculum support, and structured education-focused project... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $175 per hour

     ...Description Job Description We are sharing a specialised part-time consulting opportunity for physicians experienced in...  ...health, hepatology, endoscopic diagnostics, clinical data review, and structured medical annotation workflows. This role supports current and upcoming... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    10 hours per week
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $75 - $105 per hour

     ...Job Description Job Description We are sharing a specialised part-time consulting opportunity for professionals experienced in insurance underwriting, submission review, risk assessment, pricing documentation, and structured underwriting workflow analysis. This... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $55 - $70 per hour

     ...Job Description Job Description We are sharing a specialised part-time consulting opportunity for professionals experienced in image quality review, dataset validation, annotation QA, rubric-based evaluation, visual content auditing, and structured data quality workflows... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $80 - $115 per hour

     ...Description We are sharing a specialised part-time consulting opportunity for professionals...  ..., building code compliance, plan review, jurisdictional requirements, zoning workflows...  ...reviewer, municipal permitting specialist, building inspector, zoning reviewer, or... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Local area
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $115 - $145 per hour

     ...Job Description Job Description We are sharing a specialised part-time consulting opportunity for U.S.-based legal professionals experienced in legal analysis, case review, legal writing, issue spotting, structured legal reasoning, and benchmark-style evaluation work... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Work at office
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $115 - $145 per hour

     ...Job Description Job Description We are sharing a specialised part-time consulting opportunity for legal professionals experienced in legal research, legal writing, contract drafting, contract review, litigation, dispute resolution, and structured legal workflow evaluation... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Work at office
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $95 - $125 per hour

     ...Job Description Job Description We are sharing a specialised part-time consulting opportunity for professionals experienced in quality control, technical review, rubric-based evaluation, scenario auditing, structured feedback, and complex workflow assessment. This... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Full time
    Contract work
    For contractors
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $122.12k - $244.24k

     ..., Office for Title Medical Specialist 2 Occupational Category...  ...Employment Type Part-Time Part-time Percent 5...  ...provision of quality care. • Review of lab work, specialty...  ...assist the group home RN and treatment team to...  ...or State Medicaid and Medicare exclusion lists (or... 
    Part time
    Permanent employment
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Weekend work

    New York State Civil Service

    Brooklyn, NY
    4 days ago
  • $60 - $90 per hour

     ...We are sharing a specialised part-time consulting opportunity for...  ...in clinical documentation, medical scribing, CDI workflows, encounter...  ...healthcare documentation review. This role supports...  ...experience as a medical scribe, CDI specialist, RN, NP, PA, clinical... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • We are hiring licensed medical professionals for a remote position to provide medical testimon...  ...responsibilities. Key Responsibilities review claimant medical records prior to...  ...Seniority level Not Applicable Employment type Part-time Job function Health Care Provider... 
    Part time
    Daily paid
    Remote work
    Flexible hours
    Shift work

    The Judge Group

    New York, NY
    4 days ago
  • $90 - $145 per hour

     ...Job Description Job Description We are sharing a specialised part-time consulting opportunity for legal professionals experienced in contract review, commercial law, compliance, regulatory analysis, procurement workflows, litigation support, and structured legal documentation... 
    Part time
    Remote job
    Hourly pay
    Weekly pay
    Job sharing
    Contract work
    For contractors
    Flexible hours

    24-MAG

    New York, NY
    5 days ago
  • $55k

     ...Overview Medical management data & Report Specialist ensures the accuracy, consistency, and integrity of Utilization...  ...Reimbursement for all full and part-time staff Generous paid time off,...  ...for Medical Management staff to review new or updated system changes, as... 
    Part time
    Full time
    Flexible hours

    Metropolitan Jewish Health System

    New York, NY
    17 hours ago
  •  ...allows customization of schedule and caseload. Candidates must hold a valid NJ license. Responsibilities include reviewing health claims, providing medical interpretations, and ensuring compliance with relevant regulations. The role demands board certification, post-graduate... 
    Remote job
    For contractors
    Flexible hours

    Concentra

    Secaucus, NJ
    4 days ago
  •  ...firm in the United States seeks an experienced independent consultant for a telework position evaluating medical oncology cases. Responsibilities include reviewing medical records, providing clinical summaries, and engaging in peer communication. Candidates must be Board... 
    Remote job
    For contractors

    Dane Street, LLC

    New York, NY
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medicare Medical Review Specialist - Part-Time RN. Be the first to apply!