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
- 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
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 inpatient hospital claims. Ideal candidates will have a strong background in clinical documentation and RN qualifications. The role emphasizes telecommuting...Remote jobClaims
$28.94 - $51.83 per hour
...Clinical Review Clinician Optum is a global organization that delivers... ...comprehensive understanding of the claim review process including... ...Life& 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$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- 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
- UnitedHealth Group is seeking a Clinical Review Clinician in Plymouth, Minnesota. This role involves... ...forensic reviews of hospital bills and claims while ensuring compliance with billing... ...have an Associate's degree, an active RN or LPN license, and at least 2 years of...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
- 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
$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
- MedPOINT Management is seeking a Medical Claims Clinical Review Nurse to ensure the accuracy and quality of medical claims from a remote location. The ideal candidate holds a valid RN license in California and has at least 3 years of nursing experience. Responsibilities...Remote jobClaims
- 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
$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$45.67 per hour
...looking for a Auditor Clinical Validation (Place of Service, Short Stay & Readmission)... ...compliance of healthcare claims through detailed... ...audits. You will review medical records to... ...Working in a structured remote environment, you... ...Registered Nurse (RN) license in the state...Remote jobClaimsHourly payFull timeWork at office$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- Ternium Revenue Cycle Management is seeking a full-time Remote Clinical Review Nurse to analyze denied insurance claims, draft appeal letters, and collaborate with legal... ...interaction. The ideal candidate will have an RN License and over 5 years of acute hospital...Remote jobClaimsFull time
$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$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$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- ...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
- ...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
- ...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
$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$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$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 workTemporary workPart timeRelocation packageShift workWeekend workDay shift- ...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
- ...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
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