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

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the Remote RN: Clinical Claims Review (Short-Stay) in Minneapolis, MN vacancy

Remote RN: Clinical Claims Review (Short-Stay)
...UnitedHealth Group is looking for a Clinical Claims Review RN to conduct administrative reviews of short-stay inpatient hospital claims. This role offers the flexibility of telecommuting from anywhere in the U.S. Qualified candidates should have an Associate's degree and...
Remote work
Claims
Council Of State and Territorial Epidemiologists
Minneapolis, MN
4 days ago
Clinical RN Chart Reviewer, (Remote) CIC or CCS certified
$90k - $110k
...Description Description: Job Role The Clinical RN Chart Reviewer will perform clinical reviews of... ...documentation to validate issues of claims coding accuracy, medical necessity, and... ...benefits ~401K with company match ~ Short- and Long-Term Disability ~ Group...
Remote job
Claims
Temporary work
Casual work
Work at office
ProgenyHealth LLC
Plymouth Meeting, PA
17 days ago
Remote RN - Clinical Claim Review & Coverage Decisions
$29 - $52 per hour
...UnitedHealth Group is seeking a qualified Registered Nurse in Massachusetts to perform clinical coverage review services. As part of this role, you will communicate benefit determinations and work closely with healthcare providers to explain coverage. We offer telecommuting...
Remote work
Claims
Hourly pay
UnitedHealth Group
Boston, MA
1 day ago
Medical Claims Clinical Review Nurse
...MedPOINT Management as a Medical Claims Clinical Review Nurse in Sherman Oaks, CA,... ...enhance team performance. Stay updated on industry trends, regulations... ...: Registered Nurse (RN) license in California is... ...difference in the lives of patients every day. This is a remote position.
Remote work
Claims
MedPOINT Management
Sherman Oaks, CA
1 day ago
Medical Review Clinical Appeals Auditor (RN)
...Medical Review Clinical Appeals Auditor (RN) In October 2025, Machinify acquired Performant and we are now... ...and conducts research, analyzes claims data, applies knowledge of client SOW... ...the ability to work independently in remote setting with minimum supervision and...
Remote work
Claims
Flexible hours
Performant Healthcare, Inc.
United States
4 days ago
Clinical Review & Correspondence RN
$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 work
Claims
Full time
Flexible hours
Shift work
Cohere Health
United States
2 days ago
Remote Medical Review Nurse II - Clinical Validation
$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 job
Claims
Performant Healthcare, Inc.
New York, NY
5 days ago
Medical Claims Review Nurse (RN)
$41 - $43 per hour
...looking for a Medical Claims Review Nurse to work with our... ...Client! Location: Remote (Candidates must reside... ...candidates must have a valid RN License and have... ...claims. Performs clinical/medical reviews of retrospective... ...provided, length of stay and level of care....
Remote work
Claims
Hourly pay
Work at office
Local area
AltaStaff
Miami, FL
1 day ago
RN Clinical Consultant
$68.97k - $113.31k
...The RN Clinical Consultant serves as a clinical resource for the investigation... ...comprehensive medical reviews and analysis of long‑term and or short‑term disability claims. The Clinical Consultant identifies... ..., PA, Holmdel, NJ, or fully remote Travel Occasional 0-10% of the...
Remote work
Claims
Temporary work
Work at office
Visa sponsorship
Work visa
Flexible hours
Guardian Life
Providence, RI
2 days ago
Clinical Claim Review RN
$29 - $52 per hour
...Primary Responsibilities: Perform clinical coverage review services, which require interpretation... ...Associate's degree ~ Current unrestricted RN license in the state of Massachusetts... ...skills *All employees working remotely will be required to adhere to UnitedHealth...
Remote work
Claims
Hourly pay
Minimum wage
Full time
Work experience placement
Local area
UnitedHealth Group
Boston, MA
7 days ago
Clinical Medical Review Nurse
...to join our talented Team. Job Title: Clinical Medical Review Nurse. Location: Baltimore, MD. Job Description... ...of professional and institutional claims and provider appeals that require... ...Licenses/Certifications: ~ RN - Registered Nurse - State Licensure And...
Remote work
Claims
Work at office
Immediate start
Ampcus
Baltimore, MD
1 day ago
Nurse Reviewer (Registered Nurse) - Remote in US
$78k - $88k
...Nurse Reviewer (Registered Nurse) - Remote in US It takes great medical... ...Nurse Reviewer (RN) who will be... ...responsible for performing clinical reviews to... ...and meetings to stay current on clinical... ...review multiple claim types to maintain... ...not a contract or short-term role....
Remote work
Claims
Permanent employment
Full time
Contract work
Temporary work
Monday to Friday
Flexible hours
Gainwell Technologies
United States
1 day ago
Clinical Review Nurse - Remote
...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 * Inpatient...
Remote job
Claims
Permanent employment
Work at office
Local area
American Recruiting & Consulting Group
Jacksonville, FL
4 days ago
Utilization Review Nurse RN (Part-Time)
$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 work
Claims
Hourly pay
Full time
Part time
Work at office
Monday to Friday
Weekend work
Santa Barbara Cottage Hospital
New York, NY
5 days ago
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote
$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 job
Claims
Full time
Monday to Friday
Shift work
Healthfirst
New York, NY
5 days ago
RN Claims Review and Utilization Management
...Description The utilization review and management (UM)... ...medically necessary, clinically appropriate, evidence-based... ...ensures MedTrust stay complaint with applicable... ...logging and documentation of claims along the process chain... ...is an in-office, no remote work capability...
Remote work
Claims
Full time
Work at office
MedTrust LLC
Oklahoma City, OK
3 days ago
Medical Review Nurse II - Clinical Validation
$69.3k - $78k
Overview Medical Review Nurse II - Clinical Validation At Performant, we’re focused... ...primarily performs medical claims audit reviews. As a MR Nurse... ...Commercial Payers. You will work remotely in a fast paced and dynamic... ...Active unrestricted RN license in good standing, is...
Remote work
Claims
For contractors
Work at office
Work from home
Home office
Shift work
Performant Healthcare, Inc.
New York, NY
5 days ago
DRG/Clinical Validation Auditor RN
...In this position as a Clinical DRG RN auditor, you will apply... ...auditing of inpatient claims. Employing both... ...DRG and APR-DRG coding reviews to verify the accuracy... ...Insurance along with Short-term disability and Long... ...work independently in a remote environment and deliver...
Remote work
Claims
Temporary work
Work at office
Relocation package
Registered Nurse
New York, NY
2 days ago
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote
$81.1k - $116.48k
...of or delivery of clinical and non-clinical services... ...handle clinical claim appeals that come... ...This position is 100% Remote. We are hiring for... ..., continued stay, reduction, termination... ...for Medical Director Review ensuring that all... ...Minimum Qualifications: RN, LPN OR Dental...
Remote job
Claims
Contract work
Temporary work
Work experience placement
Local area
Monday to Friday
Shift work
Healthfirst
New York, NY
5 days ago
Remote Home Health RN - Medical Claims Reviewer
...Broadway Ventures is seeking a Remote Home Health RN to join their Medical Review team. The role focuses on conducting... ...to ensure compliance with clinical guidelines. Ideal candidates must... ...include reviewing medically complex claims, providing rationale for coverage...
Remote work
Claims
Full time
Broadway Ventures
New York, NY
4 days ago
Lead Clinical Trainer (RN), SoCal
$112k - $128k
...deliver coordinated clinical and social care in... ...visit Location: Remote, SoCal (South LA, West... ...to 75% travel RN License Required... ...conducting competency reviews and signoffs for... ...paid parental leave, short- and long-term disability... ...communications claiming to represent...
Remote work
Claims
Contract work
Temporary work
Fixed term contract
Work at office
Local area
Flexible hours
Habitat Health
Los Angeles, CA
2 days ago
Utilization Review Registered Nurse
...vision, long-term care, short-term disability,... ...-life balance. ~ Remote setting Role... ...will utilize clinical knowledge and communication... ...to a second level reviewer. This individual... ...status, benefit and claim concerns, and... ...is not limited to RN, LMSW, LMHC. # Must...
Remote work
Claims
Temporary work
Work at office
Monday to Friday
Flexible hours
Hines
Rockford, IL
4 days ago
Medical Review RN IV
$50 per hour
...Medical Review RN IV – Commercial Appeals & Grievance Nurse Location: Remote – Candidate Must Reside in California Duration:... ...service appeals, grievances, and clinical determinations. This role... ...Management teams, Quality, Pharmacy, Claims, and Customer Service...
Remote work
Claims
Contract work
Work at office
Local area
Monday to Friday
Pacer Group
United States
2 days ago
Clinical Claim Review RN
$29 - $52 per hour
...About This Role The Clinical Claim Review RN at UnitedHealth Group is responsible for performing clinical coverage review services, interpreting mandates, and communicating benefit determinations. This role is ideal for experienced RNs looking to make impactful decisions...
Claims
Hourly pay
Full time
Day shift
IntelliResume
Oklahoma City, OK
5 days ago
Clinical Services Manager (RN)
...deliver coordinated clinical and social care in... ...monthly operating reviews, and provide support... ...Registered Nurse (RN) license in the state... ..., community, or remote environments, depending... ...parental leave, short- and long-term disability... ...communications claiming to represent...
Remote work
Claims
Contract work
Temporary work
Fixed term contract
Work at office
Local area
Flexible hours
Habitat Health
West Covina, CA
14 days ago
RN-Clinical Review Analyst
...Job Description Fully remote- Must have state of MI unrestricted RN license. You will perform... ...and retrospective review of inpatient, outpatient,... ...necessity, appropriate length of stay, intensity of service and... ...(Microsoft office) Clinical experience in ICU, ER, or...
Remote work
Work at office
Flexible hours
G-TECH Services
Detroit, MI
5 days ago
Medical Review Nurse Analyst
...Snapshot The Medical Review Nurse Analyst is... ...for conducting clinical reviews of medical... ...Nurse Analyst reviews claims and delivers... ...We are open to remote work in the following... ...policies. ~ Stay current on clinical... ...BSN). ~ Active RN license, applicable...
Remote work
Claims
Contract work
For contractors
Local area
Immediate start
WPS Health Solutions
Madison, WI
2 days ago
Utilization Review Nurse
...Utilization Review Nurse (Ur Nurse) Join our team... ...responsible for reviewing clinical information to... ...activities. Review medical claims and pre-determinations... ...Current, unrestricted RN license (State license... ...AD&D ~ Company-paid Short-Term and Long-Term Disability...
Remote work
Claims
Full time
Temporary work
Summer work
Work at office
Flexible hours
Cobalt Benefits Group
United States
3 days ago
CA Utilization Review Nurse I
$30.64 - $45.8 per hour
...The Utilization Review Nurse gathers demographic and clinical information on prospective... ...length of stay while supporting the... ...CorVel. This is a remote position. ESSENTIAL... ...to the appropriate claims staff/customer Collects... ...operation required; RN is required unless local...
Remote work
Claims
Hourly pay
Minimum wage
Full time
Work at office
Local area
Flexible hours
CorVel
Rancho Cucamonga, CA
2 days ago
Clinical Review Dentist
$112.7k - $193.2k
...Clinical Review Dentist At UnitedHealthcare, we're simplifying the health care experience,... ...role that supports the dental director on claims review. Strong knowledge of dental... ...You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take...
Remote work
Claims
Minimum wage
Full time
Work experience placement
Local area
Weekend work
UnitedHealth Group
United States
5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN: Clinical Claims Review (Short-Stay). Be the first to apply!