Remote RN: Clinical Chart Review & Quality Consultant
$35 - $50 per hourVatica Health
- Remote job
A healthcare technology company seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for independent contractors, focusing on chart reviews and clinical data analysis. Candidates should have an active RN license, at least 3 years of adult health experience, and strong clinical judgment. The hourly rate ranges from $35 to $50, with the potential for contract renewal, but independent contractors manage their own taxes and benefits. #J-18808-Ljbffr Vatica Health
$35 - $50 per hour
...seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for independent contractors, focusing on chart reviews and clinical data analysis. Candidates should have an active RN license, at least 3 years of adult health...Remote workHourly payContract workFor contractors- ...looking for a licensed Nurse Practitioner to serve as a Clinical Chart Reviewer. This remote role requires conducting patient evaluations and reviewing... ...will develop individualized care plans and engage in quality assurance efforts to improve patient outcomes. A minimum...Remote job
- ...is also responsible for providing consultation and education related to clinical quality and patient safety, accreditation... ...when preparing for regulatory reviews, the interpretation of regulatory... ...evaluations and special projects; creating charts, graphs, and narrative summaries...SuggestedLocal area
- UnitedHealth Group's Optum is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital... ...limited supervision and requires an associate degree, active RN or LPN license, and 2+ years of clinical experience plus 1+ year...Remote job
- Optum is hiring a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis... ...interpretation, and supporting negotiations and appeals. Remote work is available nationwide with full benefits and professional...Remote job
- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and document determinations. This role offers telecommuting from anywhere in the U.S. while maintaining rigorous screening criteria and...Remote job
- Optum, a part of UnitedHealth Group, is seeking a Clinical Review Clinician to analyze hospital facility bills and document adjustments as part... ...offers telecommute flexibility within the U.S. and requires RN or LPN licensure and clinical experience. You will perform...Remote job
- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and to document all determinations. The role emphasizes adherence to Federal, State and client requirements in a telecommuting setting...Remote jobHome office
$43 - $47 per hour
...Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year... ...an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office setting. This is a contractual role...Remote job- Optum, a UnitedHealth Group company, seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bills. The clinical reviewer documents, researches and identifies adjustments for payment as part of a team preparing...Remote job
- Optum is seeking a Clinical Review Clinician to act as a subject matter expert for itemized bill reviews and hospital facility bills. This role involves documenting, researching, and identifying adjustments for payment as part of a team preparing Forensic Reviews for specific...Remote job
$29 - $52 per hour
...Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier... ...: ~ Associate's degree ~ Active and unrestricted RN license OR LPN in the state of residence ~2+ years of clinical...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal area$29 - $52 per hour
...Program Integrity Clinical Compliance Auditor Optum... ...improving risk management, quality and revenue growth.... ...performing compliance reviews of medical and administrative... .... This position is Remote in Massachusetts. You... ...~ Nurse licensure (RN or LPN) with a current,...Remote workHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work- UnitedHealth Group is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis. You will document, research, and identify adjustments for payments as part of a team preparing Forensic Reviews for...Remote job
$31 - $35 per hour
...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a... ...you will help support high-quality care, regulatory compliance... ...improved member outcomes. Consult with Medical Directors on... ...This is a 100% remote role, and requires robust...Remote workFull timeFlexible hoursShift work- UnitedHealth Group seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and analysis of hospital... ...is supported from anywhere in the U.S. The position requires RN or LPN licensure, 2+ years clinical experience, and 1+ year bill...Remote job
- ...organization that has engaged in health care quality consulting and quality improvement services... ...and patient outcomes. Our talented remote workforce spans the country and... ...Overview We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team member...Remote workContract work
- UnitedHealth Group seeks an experienced SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims. The role requires documenting determinations and maintaining screening criteria, contributing to efficient, compliant health...Remote job
- A leading organization in healthcare quality is seeking a Clinical Quality Reviewer to review clinical cases and identify potential quality or safety concerns. This remote position is ideal for licensed clinical professionals with a strong analytical mindset and a minimum...Remote job
$112.7k - $193.2k
...200/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...together.The Clinical Quality Consultant for the Oncogenetic Program... ...enjoy the flexibility to work remotely * from anywhere within the U... ...management, clinical coverage review, member appeals clinical review...Remote workMinimum wageFull timeWork experience placementLocal area- UnitedHealth Group seeks a Clinical Review Clinician to serve as the subject matter expert for itemized bill reviews and analysis of hospital facility bills. You will document, research, and identify adjustments as part of a team preparing Forensic Reviews for clients....Remote job
- UnitedHealth Group seeks a Clinical Review Clinician to analyze itemized hospital bills and document... ...The role requires clinical experience, RN or LPN license, and bill review... ...ongoing development, and a commitment to health equity and quality care. #J-18808-Ljbffr ISHERemote job
$45 - $50 per hour
...looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical... ...programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby...Remote jobHourly pay- Optum is hiring a Clinical Review Clinician to act as a subject matter expert for itemized bill reviews and hospital facility bills. The role includes documenting, researching, and identifying adjustments needed for payment as part of a team preparing Forensic Reviews for...Remote job
- NTT DATA, Inc. in Tampa, Florida seeks a BPO Clinical Review Specialist to perform clinical and medical necessity reviews supporting member... ...compliance with NCQA standards and Medicaid guidance. This remote Florida role offers benefits including medical, dental and vision...Remote job
- ...Health is seeking a motivated Oasis / Coding Review Specialist in Arizona. This full-time position involves reviewing clinical charts and ensuring compliance with various... ...health or hospice care. Work includes coaching, quality improvement initiatives, and supporting clinicians...Full time
- Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position requires Alabama licensure and focuses on compliant, cost-effective...Remote jobFull timeContract work
- Optum is seeking a Clinical Review Clinician to serve as a subject matter expert in itemized bill reviews and hospital facility billing adjustments. The role involves clinical claim review, medical record evaluation, and research to support Forensic Reviews for clients,...Remote job
- UnitedHealth Group is seeking a Clinical Review Clinician to analyze hospital facility bills and document adjustments as part of Forensic Reviews for specific clients. This role involves HIPAA compliance, bill review, and clinical claim assessment. You will work with a...Remote job
- UnitedHealth Group is seeking a Clinical Review Clinician to perform forensic reviews of hospital facility bills and document adjustments with clinical accuracy. You will analyze charge details, compare to guidelines, and participate in negotiations and appeals within a...Remote job
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