Remote Medical Review Nurse for Home Health Audits
$78.5k - $90kPerformant Recovery, Inc.
Performant Recovery, Inc. is hiring a Medical Review Nurse for remote work focusing on auditing medical claims for Home Health services. This role involves document audits, collaboration with audit teams, and staying updated on regulatory issues. The ideal candidate will have an active RN license in good standing, with five years of home health nursing experience and strong skills in ICD-9/ICD-10 coding. The salary range for this position is $78,500 to $90,000 annually. #J-18808-Ljbffr
$78.5k - $90k
...transparency, and efficiency to health plans. Deployed by over 75... ...Range: $78,500 - 90,000 The Medical Review Nurse - Home Health primarily performs medical claims audit reviews on Home Health claims... ...Payers. You will work remotely in a fast paced and dynamic environment...Remote workWork from homeMedicalFor contractorsWork at officeHome officeShift work$81k - $90k
...Santa Barbara Cottage Hospital is looking for a Medical Review Nurse to perform medical claims audits primarily for government clients. The role requires an... ...collaborating with the audit team. This position offers a remote work environment, with a competitive salary range of...Remote workMedical$81k - $90k
...The Rawlings Group seeks a Medical Review Nurse, focusing on auditing medical claims for government clients. The... ...processes. This position allows for remote work and involves working in a dynamic... ...comprehensive benefits including health insurance and a 401(k) plan. #J-188...Remote workMedical- ...Machinify is seeking a Medical Review Nurse (CMS RAC) in Plantation, FL. In this remote role, you will review claims audits for government clients, applying appropriate medical guidelines... ...benefits package, including health insurance and a 401(k) plan. Join a team...Remote workMedical
$80k - $90k
...and efficiency to health plans. Deployed by... ...Range: $80-90k The Medical Review Clinical Appeals... ...medical review audit work completed by... ...independently in remote setting with minimum... ...standing and diversified nursing experience... ...Internet at your home office location is...Remote workWork from homeMedicalFor contractorsImmediate startHome officeFlexible hoursShift work- ...Nurse Auditor Have you ever looked a medical bill and immediately noticed something was wrong? Were you itching... ...team and maximize client savings by reviewing medical bills from a nurse perspective... ...billing statements, and will: Audit medical and billing records to...Remote jobMedicalImmediate start
$66.4k - $109.53k
...Develops Brown University Health training materials,... ...as needed. Performs audits on schedule or as... ...examples of relevant medical records, resource materials... ...with Manager to review findings from external... ...Physical Requirements: Remote work from home. Supervisory...Remote workWork from homeMedicalFor contractorsShift work$65k - $75k
...receive an alert: Nurse Reviewer (Registered Nurse) - Remote in US Date: Jul 2... ...99 It takes great medical minds to create... ...proprietary systems to audit medical records, accurately... ...state of primary home residency, active... ...short-term position. Health benefits (medical,...Remote workWork from homeMedicalPermanent employmentFull timeContract workTemporary workMonday to FridayFlexible hours- ...Clinical Services Specialist RN to perform reviews of patient records for medical necessity compliance. This full-time... .... Candidates must have a nursing degree and three years of clinical experience... ...the flexibility of working from home in Fort Smith, Arkansas. #J-18808-...Remote workWork from homeMedicalFull time
- ...Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of... ...area. Responsibilities include reviewing medical treatment requests, advocating for injured... ...position offers flexibility with work-from-home options, competitive benefits, and a...Remote workWork from homeMedicalFull timeWork at office
- ...experienced Registered Nurse in Peoria, Illinois. The... ...focuses on utilization review, clinical consultation,... ...support within a fully remote setting. Candidates... ...including comprehensive medical plans, a 401(k) with employer... ...match, and work-from-home flexibility, all within...Remote workWork from homeMedical
- ...clients exceed their financial health goals. Across the... ...of HIM in preparing claim audits, reviewing and recommending coding, revenue... .... Location & Status Remote USA; work from home office. Full time, exempt.... ...information and access to medical documentation. Audit all aspects...Remote workWork from homeMedicalFull timeWork at officeHome office
$70k - $80k
...Gainwell Technologies is seeking a Nurse Reviewer, Associate, who will conduct clinical reviews to assess if medical records support the need for services based on defined criteria. In this home-based full-time role, you will review and interpret medical documentation,...Remote workWork from homeMedicalFull time- ...healthcare solutions company seeks a skilled Utilization Review Nurse to conduct vital reviews for medical necessity and appropriateness. The ideal candidate... ..., and strong written communication skills. This home-based position offers flexible hours and the opportunity...Remote workWork from homeMedicalFlexible hours
- ...LOCATION Remote – This is a home based, virtual position... ...00pm (EST). Vaya Health welcomes applications... ...and post-payment audits of DRG coding and... ...inpatient medical records and generating... ...recoverable claims by reviewing medical records... ...'s degree in nursing with an active license...Remote workWork from homeMedicalLive inMonday to Friday
- ...Council, Inc is looking for a Remote RN to join their team. The role... ...RN experience and Utilization Review expertise, supporting various... ...review capacity. This work-from-home position offers flexible... ...scheduling with benefits that include medical, dental, and retirement...Remote workWork from homeMedicalFlexible hours
- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based on patient eligibility and contract requirements... ..., and the ability to work in a remote environment. Comprehensive...Remote workWork from homeMedicalContract work
$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote. The RN Care Coord‑... ...provide administration of medical management programs... ...hospital and skilled nursing review, appeals and grievance... ...and medical claims audits. These programs are... ...in Nursing or related health care field. Experience...Remote workMedicalHourly payLocal area- ...Partnership is seeking a Nurse Reviewer for Appeals and Hearings... ...a full-time, permanent remote role that complies with work-from-home policies. The ideal candidate... ...5 years of clinical or medical record coding experience... ...process. Comprehensive health benefits and a flexible...Remote workWork from homeMedicalPermanent employmentFull timeFlexible hours
$25.08 - $51.49 per hour
...for clinical member services review assessment processes.... ...verifying that services are medically necessary and align with established... ...experience. • Registered Nurse (RN). License must be... ...or skill level. xevrcyc Remote working/work at home options are available for this...Remote workWork from homeMedicalHourly payWork experience placementWork at office- ...Rehabilitation Therapy and Nursing. Job Description... ...is for the 2018 HEDIS audit. Position is responsible for performing medical record reviews and data extraction... ...migrating to working from home 4 days a week. How... ...which candidate must attend and remote other days....Remote workWork from homeMedicalContract work
- ...Rehabilitation Therapy, and Nursing. Job Description This... ...is for the 2018 HEDIS audit. The role involves performing medical record reviews and data extraction for... ...to working from home four days a week, depending... ...meetings are mandatory, with remote work on other days....Remote workWork from homeMedicalWork at office
$90k - $99k
...It takes great medical minds to create powerful solutions... ...individual for a DRG Nurse Reviewer Appeals and Hearings... ...and in the primary home residency, active compact... ...expect in this role Remote (Work from Home) Up to... ...match, comprehensive health benefits, and educational...Remote workWork from homeMedicalFull timeRelocation packageFlexible hours- ...Job Title : Hybrid Review & Evaluation RN Location: Harrisburg Pennsylvania... ...pay: Weekly Benefits: Health, Dental, Vision, Life Insurance... ...Review and evaluate medical necessity, appropriateness, quality... ...the Pennsylvania State Board of Nursing 3 years of professional experience...Remote workWork from homeMedicalHourly payWeekly payFull timeTemporary workMonday to Friday
$35 - $45.94 per hour
...re hiring a Utilization Review Nurse to join our Utilization... ...case reviews, check medical records and speak with... ...Work Location This is a remote position, open to candidates... ...be completed from your home office, occasional... ...on a mission to change health care -- an experience made...Remote workWork from homeMedicalHourly payFull timeHome office- ...Behavioral Health Case Manager Responsible for... ...and e-referral case review and authorization of... ...and substance abuse medical necessity criteria to... ...is full-time, fully remote (work from home) and requires some weekend... ...Bachelor’s degree in Nursing, or an Associate’s...Remote workWork from homeMedicalFull timeShift workWeekend workAfternoon shift
- ...Friend ~ Back Remote Work from Home Share This Page... ...Location: Johns Hopkins Health Plans, Hanover, MD 21076 Category: Nursing Schedule: Day Shift... ...As a Utilization Review Registered Nurse for... ...member benefits and medical criteria to determine...Remote workWork from homeMedicalFull timeMonday to FridayDay shift
- ...consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Clinical Medical Review Nurse Job Location: Baltimore, MD Responsibilities: Draft, negotiate, and execute a high volume of Statements of Work (...Remote workWork from homeMedicalContract workWork at officeMonday to Friday
$80k
...Registered Nurses are encouraged to consider a full-time Clinical Reviewer position with Liberty Healthcare... ...Reviewing medical records and personal health information Conducting... ...stakeholders This is a remote‑first position that... ...you to work from home, with an occasional...Remote workWork from homeMedicalFull time$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi,... ...Agency: Mindlance Health Pay: $35 to $45... ...include 80% travel. Remote role. Will require a... ...preferred. Hospital CM, Home health, discharge planning... ...-tier hospitals and medical institutions...Remote workMedicalHourly payFull timeContract workImmediate startShift work3 days per week
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