Remote RN: Clinical Claims Review (Short-Stay)
Stryker Orthopaedics
- Remote job
Stryker Corporation is looking for a Clinical Claims Review RN to perform reviews of inpatient hospital claims. This role supports a high-volume environment and allows for telecommuting from anywhere in the U.S. The ideal candidate must have an RN license, a minimum of 5 years of clinical documentation experience, and an associate's degree. Additional benefits include paid time off, health insurance, and a 401(k) savings plan. #J-18808-Ljbffr Stryker Corporation
$28.94 - $51.83 per hour
Crains Cleveland is seeking a Clinical Claims Review RN to perform administrative reviews of short-stay inpatient hospital claims. This role supports a production-driven environment and allows telecommuting from anywhere in the U.S. The ideal candidate must have an associate...Remote jobClaimsHourly pay- Optum, part of the UnitedHealth Group, is looking for a Clinical Claims Review RN to conduct administrative reviews of short stay inpatient hospital claims. This position is open to telecommuting from anywhere in the U.S. and is situated in a high-volume, production-driven...Remote jobClaims
- The University of Minnesota School of Nursing is looking for a Clinical Claims Review RN to conduct administrative reviews of short-stay inpatient hospital claims. This role enables telecommuting from anywhere in the U.S. and is part of a high-volume, production-driven...Remote jobClaims
$28.94 - $51.83 per hour
Optum, part of the UnitedHealth Group, is seeking a Clinical Claims Review RN (SSBV) to perform administrative reviews of short‑stay inpatient hospital claims and document determinations. The role supports a high‑volume, production‑driven environment and is eligible for...Remote workClaimsHourly payFull timeTemporary workWork at officeHome office$50 - $53 per hour
...Job Title: Clinical Review RN (IDR/Appeals) Experience: Open to various clinical backgrounds... ...State RN license*** Location: Remote (can sit anywhere in the US as long as... ...RNs as the project expands. 4. Claims assessment and adjudication. 5....Remote workClaimsLocal areaImmediate startFlexible hours- ...MedPOINT Management as a Medical Claims Clinical Review Nurse in Sherman Oaks, CA,... ...enhance team performance. Stay updated on industry trends,... ...Requirements: Registered Nurse (RN) license in California is... ...lives of patients every day. This is a remote position....Remote workClaims
- The University of Minnesota School of Nursing is seeking a Clinical Claim Review Nurse who will perform claim reviews to verify coding and charges... ....S. Candidates must hold an associate's degree and an active RN license, with a minimum of 2 years of clinical experience....Remote jobClaims
- Stryker Corporation is seeking a Clinical Claim Review Nurse to perform detailed reviews of claims against medical records. The position offers... ...Candidates should possess an Associate's degree and an active RN license. Responsibilities include ensuring compliance with guidelines...Remote jobClaims
- Texas Health Institute is hiring a Clinical Claim Review Nurse to perform claim reviews, ensuring correct coding and charges. Telecommute from anywhere... ...ideal candidate possesses an Associate's degree, an active RN license, and at least 2 years of clinical experience....Remote jobClaims
$36 - $48 per hour
Santa Barbara Cottage Hospital is seeking a Medical Claims Clinical Review Nurse for a remote position. This role involves conducting clinical reviews of... ...compliance with regulations. The ideal candidate will have an RN license in California and a minimum of three years of...Remote jobClaimsHourly pay- Optum is seeking a Clinical Claim Review Nurse to perform claim reviews and ensure compliance in a telecommute role. You will verify coding accuracy... ...resources. This role requires an Associate's degree, active RN license, and clinical experience. You’ll enjoy comprehensive...Remote jobClaimsFlexible hours
- Optum is looking for a Clinical Claim Review Nurse to perform claim reviews and ensure compliance with... ...state and federal policies. This fully remote position allows you to contribute to... ...possess an Associate's degree, an active RN license, and at least 2 years of...Remote jobClaims
$28.94 - $51.83 per hour
...Growing together. The Clinical Review Clinician serves as a subject... ...comprehensive understanding of the claim review process including... ...& AD&D Insurance along with Short-term disability and Long-Term... ...) Active and unrestricted RN license OR LPN in the state of...Remote workClaimsHourly payMinimum wageFull timeTemporary workWork experience placementLocal area$31 - $35 per hour
...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting... ...applications This is a 100% remote role, and requires robust internet... ...authorization data with post-service claims validation, we're creating a transparent...Remote workClaimsFull timeFlexible hoursShift work$80k - $90k
...Responsibilities*** Performs clinical reviews on medical records to maintain... ...conducts research, analyzes claims data, applies knowledge of client... ...to work independently in remote setting with minimum supervision... ...*** Active unrestricted RN license #J-18808-Ljbffr...Remote workClaimsFlexible hours$2,210 per week
...vision, long-term care, short-term disability,... ...Work-life balance. Remote/hybrid setting (... ...individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ..., benefit and claim concerns, and validation... ...is not limited to RN, LMSW, LMHC....Remote workClaimsFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours$69.3k - $78k
...integrity company is seeking a Medical Review Nurse II - Clinical Validation to perform medical claims audits for Government and... ...The position requires an active RN license and a minimum of five years... ...documenting findings, all in a remote work environment. This role...Remote jobClaims- ...CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These... ...determinations as to the validity of health claims and levels of payment in meeting... ...Valid unrestricted Registered Nurse (RN) license PREFERRED QUALIFICATIONS...Remote workClaimsPermanent employmentWork at officeLocal area
$30 - $38 per hour
...are seeking Utilization Review Nurse RN to join our team on a... ...; inpatient hospital stay including mental health... ...necessity; and post claim or post service reviews... ...program) required. 1+ year clinical experience required.... ...perform in a remote healthcare environment...Remote workClaimsHourly payFull timePart timeWork at officeMonday to FridayWeekend work- ...RN / Medical Reviewer / Remote Job Details Professional Discipline :... ...eligibility regarding benefits and clinical criteria and assess and... ...clinical proficiency and claims knowledge. This is a... ...place of service, length of stay and medical necessity regarding...Remote workClaimsFull timeContract workLocal areaShift work
$29.05 - $67.97 per hour
Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure... ...the medical record and claim submitted support correct... ...not included in a compact RN license. Job Duties... ...services provided, length of stay, level of care, and...Remote jobClaimsHourly payWork experience placementWork at office- ...patient outcomes. Our talented remote workforce spans the country... ...About the Role: Lead Clinical Reviewer DC Medicaid Contract The Clinical... ...of medical records and claims. The role requires... ...related clinical field. Active RN licensure. Minimum of 5 years...Remote workClaimsContract work
$69.38k - $92.28k
Overview As a Clinical Appeals RN, you will review denied service authorizations and claims, evaluate medical necessity, and work closely... ...implementation of best practices Stay updated on regulatory changes... ...a combination of office and remote settings. EEO Statement MVP is...Remote workClaimsWork at office- ...Clinical Nurse - Short Stay 2H1 Under general supervision, following established policies, procedures, and professional guidelines, delivers... ...Campus 1 Tampa General Circle Tampa 33601 Eligible for Remote Work: On Site Job: Nursing (LPNs, RNs) Organization: Florida...Remote workFull timeShift work
$47.06k - $70.24k
...provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical... ..., and communicating with claims examiners. Candidates must have a current RN license and at least four years of clinical experience, particularly in medical...Remote workClaims- ...the patient‘s hospital stay and coordinates planning... ...Criteria A)Identifies short and long term goals based... ...changes in patient‘s clinical parameters and reports... ...Attends staff meetings/reviews minutes when absent 2.... ...Licensed to work as an RN in the state of Missouri...Hourly payFull timeTemporary workImmediate startFlexible hoursShift workDay shift
$32.5k
...shift Registered Nurse for our Short Stay/ Surgical Observation Unit!... ...Martha Jefferson has under a 12.6% RN Turnover rate Patient... ...Nursing Orientation Specialty Clinical Track Residency Professional... ...that are available as remote work, Sentara Health employs...Remote workFull timeTemporary workRelocation packageShift workWeekend workDay shift- ...for a qualified applicant to perform medical reviews and support medical claims processing. The role involves reviewing... ...documenting decisions based on established clinical guidelines. Applicants must hold an active RN license and have at least two years of clinical...Remote workClaimsFull time
$81.1k - $116.48k
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote Join to apply for the Appeals... ...also handle clinical claim appeals from providers.... ..., continued stay, reduction, termination... ...and prepare cases for review and appeals. Minimum Qualifications...Remote jobClaimsFull timeMonday to FridayShift work- ...management, discharge planning and utilization review. Review admissions and service... ...documentation, precertification, reimbursement and claim denials/appeals. Assess and coordinate... ...years. With five hospitals and numerous clinics, we're a health care community deeply...Remote workClaims
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