Remote RN: Clinical Claims Review (Short-Stay)
$28.94 - $51.83 per hourTexas Health Institute
- Remote job
Texas Health Institute is looking for a Clinical Claims Review RN to conduct administrative reviews of short stay inpatient hospital claims. This role is suitable for telecommuting anywhere in the U.S. and requires an RN license along with significant clinical documentation experience. The position offers a pay range of $28.94-$51.83 per hour with extensive benefits including paid time off, health insurance, and a 401(k) savings plan. #J-18808-Ljbffr Texas Health Institute
- ...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 workClaims
$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- 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
- 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
$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$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 workClaimsHourly pay$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 workClaimsHourly pay- Medasource is seeking a Post-Service Clinical Review Nurse (RN) based in California for a remote full-time contract role. You'll evaluate medical claims to ensure alignment with clinical guidelines and reimbursement policies in a fast-paced environment. Ideal candidates...Remote jobClaimsFull timeContract work
- ...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 workClaims
- CareFirst, Inc. is seeking a full-time RN Clinical Medical Review Nurse to work remotely from the greater Baltimore metropolitan area. This role involves managing the review of professional and institutional claims, analyzing medical information for enrollment eligibility...Remote jobClaimsFull timeWork experience placement
$29 - $52 per hour
...Primary Responsibilities: Perform clinical coverage review services, which require interpretation... ...'s degree ~ Current unrestricted RN license in the state of Massachusetts... ...thinking skills *All employees working remotely will be required to adhere to...Remote workClaimsHourly payMinimum wageFull timeWork experience placementLocal area$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$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$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$28 - $33 per hour
...a Team of UM/Appeals LPNs // Fully Remote!! The Appeals Clinical Reviewer serves as an Appeals Utilization Review... ..., authorization decisions, and claims outcomes. This role applies clinical... ...&D for the employee and dependents) Short and long-term disability Health Spending...Remote jobClaimsPermanent employmentContract workTemporary workWork at officeWork from homeMonday to Friday- ...following date of hire Short- and long-term disability... ...SUMMARY STATEMENT The Clinical Review Nurse is responsible... ...the validity of health claims and levels of payment in... ...unrestricted Registered Nurse (RN) license PREFERRED... .../Disabled Employer. Remote Work Locations This...Remote jobClaimsPermanent employmentTemporary workWork at officeLocal areaImmediate start
$68.97k - $113.31k
Guardian Life is seeking an RN Clinical Consultant to provide detailed medical reviews and assessments of long-term and short-term disability claims. The role requires a minimum of 5 years in... ...several locations including fully remote, with a salary range of $68,970 to...Remote workClaimsTemporary work- CareFirst, Inc. is seeking a full-time Clinical Medical Review Nurse to work remotely. In this role, you will manage the... ...of professional and institutional claims and provider appeals to determine... ...Nursing or equivalent experience, RN licensure in VA, DC, or MD, and at...Remote jobClaimsFull time
- ...seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs... ...referrals. The role requires clinical judgment to ensure medical... ...collaboration with providers and claims adjusters, and staying current with industry regulations...Remote jobClaimsWork from home
- Job Title: Nurse RN 5 - Medical Necessity & Post-Service Clinical Review Nurse Location: Remote Duration: 3+ Month (Possible Extensions & Conversion) Schedule: Monday... ...-service clinical reviews and retrospective claims evaluations. This role is responsible for...Remote workClaimsContract workMonday to Friday
- ...Solutions, Inc. is looking for a Clinical Review Nurse in the Town of Florida,... ...for reviewing medical claims and making determinations on... ...Qualifications include a valid RN license, 2 years of clinical... ...1(k) plan. Opportunities for remote work may also be available based...Remote jobClaims
- ...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
$45.29 - $84.11 per hour
...Rotating weekends Hybrid/Remote Summary The purpose... ...and accurate clinical information to all... ...continued hospital stays. This role will require... ...obstacles and deny claims and escalating any... .... Responsibilities Review all inpatient... ...related field. Current RN License in Connecticut...Remote workClaimsHourly payDaily paidPart timeShift workNight shiftRotating shift$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- ...Job Title Utilizing clinical knowledge and experience, responsible for review of documentation to ensure... ...the medical record and claim submitted support correct... ...provided, length of stay, level of care, and inpatient... .... Registered Nurse (RN). License must be active...Remote jobClaimsWork at office
- ...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
- ...Clinical Auditor Registered Nurse We are seeking... ...medical record reviews, billing compliance... ...skills. This is a remote position with occasional... ...guidelines. Stay current on clinical... ...Requirements RN license preferred;... ...1 year of Medicaid claims review, billing compliance...Remote workClaimsLocal area
- ...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 workClaimsPermanent employmentWork at officeLocal area
$78k - $88k
...individual for a Nurse Reviewer (RN) who will be... ...responsible for performing clinical reviews to... ...trainings and meetings to stay current on... ...to review multiple claim types to maintain... ...not a contract or short-term role. Health... ...work schedule. Remote position;...Remote workClaimsPermanent employmentFull timeContract workTemporary workMonday to FridayFlexible hours$38.91 - $60.31 per hour
...post procedure patients staying overnight form cardiac... ...Department: Cardiac and Proc Short Stay Work Schedule:... ...not offer a hybrid or remote option Summary:... ...as a Registered Nurse (RN). 6 months RN experience... ...of living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift
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