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
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$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 jobClaimsTemporary workCasual workWork at office$29 - $52 per hour
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$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$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$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 workClaimsHourly payWork at officeLocal area$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 workClaimsTemporary workWork at officeVisa sponsorshipWork visaFlexible hours$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 workClaimsHourly payMinimum wageFull timeWork experience placementLocal area- ...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 workClaimsWork at officeImmediate start
$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 workClaimsPermanent employmentFull timeContract workTemporary workMonday to FridayFlexible hours- ...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 jobClaimsPermanent employmentWork at officeLocal area
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...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$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- ...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 workClaimsFull timeWork at office
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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 workClaimsFor contractorsWork at officeWork from homeHome officeShift work- ...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 workClaimsTemporary workWork at officeRelocation package
$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 jobClaimsContract workTemporary workWork experience placementLocal areaMonday to FridayShift work- ...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 workClaimsFull time
$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 workClaimsContract workTemporary workFixed term contractWork at officeLocal areaFlexible hours- ...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 workClaimsTemporary workWork at officeMonday to FridayFlexible hours
$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 workClaimsContract workWork at officeLocal areaMonday to Friday$29 - $52 per hour
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- ...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 workWork at officeFlexible hours
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$30.64 - $45.8 per hour
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...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 workClaimsMinimum wageFull timeWork experience placementLocal areaWeekend work
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