•  ...seeking a licensed Nurse Practitioner (NP) to serve as a Clinical Chart Reviewer and Evaluator, responsible for conducting patient evaluations...  ...and care protocols. Comfortable working independently in a remote environment, with proficiency in navigating Electronic Health... 
    Remote job
    Flexible hours

    FitOn and FitOn Health

    Tampa, FL
    21 days ago
  •  ...supervision, complete internal clinical record reviews to assess hospice's compliance with its...  ...Weatherbee tools.) Must be familiar with REMOTE CLIENT, AMBULATORY and INPATIENT Modules...  ...EPIC (majority of the work is electronic chart review) Participate in feedbackmeetings,... 
    Remote job
    Local area

    Greater Baltimore Medical Center (GBMC)

    Hunt Valley, MD
    17 hours ago
  •  ...& Requirements Maximus is seeking a detail-oriented Clinical Reviewer, RN/LPN to support the Connecticut PASRR Program and multiple other...  ...of long-term care (LTC) placement. This role is 100% remote with no travel or on-site requirements. About the Program: We... 
    Remote job
    Minimum wage
    Holiday work
    Contract work
    Temporary work
    Work experience placement
    Home office

    MAXIMUS

    Baltimore, MD
    1 day ago
  •  ...Utilization Management Nurse Reviewer About the Position HealthSmart...  .... # Current unrestricted RN or LVN License to practice in...  ...(s) according to timeliness chart. Maintain coordination of services...  ...in person, telephone, and remote meetings · Constant mental... 
    Remote job
    Holiday work
    Full time
    Temporary work
    Flexible hours

    HealthSmart MSO

    Cypress, CA
    a month ago
  •  ...Documentation Integrity (CDI) Specialist- 2nd Level Reviewer- Remote Join to apply for the Clinical...  ...for comprehensive secondary clinical chart reviews, identifying documentation gaps,...  ...health-related field. Current license as RN, MD, or credentialed medical coder (CCS,... 
    Remote job

    Guidehouse

    Washington DC
    2 days ago
  •  ...75.00/hr Hmong Chinese Language Document Reviewer Employment Type: Full Time, Mid-Level Department...  ...produced by database applications and charts and graphs produced by electronic...  ...Litigation Support Specialist/Paralegal (FULLY REMOTE) - Temporary Greater Chicago Area $49,000... 
    Remote job
    Holiday work
    Full time
    Temporary work
    Flexible hours

    CGS Federal (Contact Government Services)

    Chicago, IL
    17 hours ago
  •  ...are valued and respected. We have an ongoing need for Document Reviewers. Document Reviewers will review documents for complex litigation...  ...process in different areas of litigation! Position Details Remote work-from-home opportunity Pay rate: $28 per hour Duration depends... 
    Remote job
    Hourly pay
    Temporary work
    Work from home
    Home office
    Flexible hours
    Monday to Thursday

    KLDiscovery

    Texas City, TX
    2 days ago
  •  ...We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have...  ...discussed during our interview process. **Remote position, must reside in Arizona.** **Work...  ...treatments and/or procedures. + Conducts inpatient reviews to determine financial responsibility for... 
    Remote job
    Hourly pay
    Holiday work
    Work experience placement
    Weekend work
    Monday to Friday

    Molina Healthcare

    Chandler, AZ
    a month ago
  •  ...Mostly Remote - RN Safety & Quality Reviewer The Quality Reviewer - OASIS & ICD-10 Coding ensures compliance and accuracy in OASIS documentation and ICD-10 coding for home health and hospice services. This role supports quality assurance, conducts audits, and trains... 
    Remote job
    Second job

    ProPivotal

    Boston, MA
    2 days ago
  • Join to apply for the Minnesota MD/DO - PM&R Utilization Reviews - Remote - Contract 1099 role at Medical Review Institute of America . 1 day ago Be among the first 25 applicants. Get AI-powered advice on this job and more exclusive features. MRIoA is a national Independent... 
    Remote job
    Contract work
    For contractors
    Work from home

    Medical Review Institute of America

    Dallas, TX
    17 hours ago
  • RN Quality Reviewer Why You'll Love This Role: Competitive Pay - $77K - $100K per year based on experience Mostly Remote - Report on site only a couple times per month Great Work-Life Balance - Work a consistent Monday-Friday schedule Top Workplace Recognition - 5-time... 
    Remote job
    Second job
    Monday to Friday

    Professional Staffing Group

    Boston, MA
    17 hours ago
  •  ...according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedures to meet...  ...requirements for various payers, both commercial and government. 100% Remote - However, Only Nevada Licenses are Considered Key... 
    Remote job

    Morgan Stephens

    Remote
    3 days ago
  •  ...Inc. is seeking a travel nurse RN MICU - Medical Intensive Care...  ...Nurse - MICU Location (On-site, Remote, or Hybrid?): Columbus, OH (...  ...needs. Shift assignments are reviewed every 4-week scheduling period...  ...• Iv Starts COMPUTERIZED CHARTING • EPIC REQUIRED Techlink Systems... 
    Remote job
    Contract work
    Temporary work
    Shift work
    Night shift

    Techlink Systems Inc.

    Columbus, OH
    1 day ago
  •  ...RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City : Columbia State : SC Pay Range : Job Description: InGenesis is currently seeking... 
    Remote job
    Full time
    Contract work
    Local area

    InGenesis

    Columbia, SC
    1 day ago
  • ***** RN licensure must be valid for California. California is not a compact state.** **Candidates who do not live in California must...  ...requested treatments and/or procedures. + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and... 
    Remote job
    Hourly pay
    Holiday work
    Work experience placement
    Weekend work

    Molina Healthcare

    San Jose, CA
    more than 2 months ago
  •  ...Job Title: RN Clinical Auditor - Claims and Coding Review (Outpatient Focus) Location: Remote Industry: National Managed Care Organization Employment Type: Contract to Permanent Pay : $40.00 per hour Position Overview: A leading... 
    Remote job
    Hourly pay
    Permanent employment
    Contract work

    Morgan Stephens

    Atlanta, GA
    4 days ago
  •  ...Inc. is seeking a travel nurse RN Med Surg / Telemetry for a...  ...MS/Tele Location (On-site, Remote, or Hybrid?): Columbus, OH (Onsite...  ...needs. Shift assignments are reviewed every 4-week scheduling period...  ...• ONS Chemo COMPUTERIZED CHARTING • EPIC Techlink Systems Inc... 
    Remote job
    Permanent employment
    Contract work
    Temporary work
    Shift work
    Night shift
    Weekend work
    Day shift

    Techlink Systems Inc.

    Columbus, OH
    2 days ago
  •  ...opportunities and a better community. As a **Registered Nurse RN Utilization Management Care Reviewer,** you will be working in partnership with the Medical...  ...Management Care Reviewer position is a fully remote position with a work schedule of Monday - Friday 8am -... 
    Remote job
    Shift work
    Monday to Friday

    Banner Health

    Remote
    13 days ago
  •  ...work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking a remote Inpatient Review Nurse (California LVN or RN California License Required) to join the utilization management team. The Inpatient Review Nurse assists patients... 
    Remote job

    Alignment Healthcare

    Orange, CA
    17 hours ago
  • Key Responsibilities: Review and analyze legal documents for relevance, privilege, confidentiality, and key issues. Utilize document review...  ...attention to detail and ability to work independently in a remote environment. Ability to meet deadlines and manage time effectively... 
    Remote job
    Hourly pay
    Holiday work
    Temporary work
    Local area

    LHH Recruitment Solutions

    Wilmington, DE
    1 day ago
  •  ...Inc. is seeking a travel nurse RN Case Management for a travel...  ...Auto Offer Location (On-site, Remote, or Hybrid?): Olympia, WA (...  ...Shannon Burke/ 1-UTILIZATION REVIEW WA PSPH OLYMPIA MAIN 2ND FLOOR...  ...Care Total Staffed Beds: 325 Charting: EPIC Skills:Skills marked... 
    Remote job
    Contract work
    Temporary work
    Local area
    Immediate start
    Shift work
    Weekend work

    Techlink Systems Inc.

    Olympia, WA
    3 days ago
  •  ...Primary Functions: The Quality Review & Audit Analyst is responsible for conducting medical record reviews, accurately assigning ICD...  ...codes based on medical record documentation and auditing medical charts for Hierarchical Condition Categories (HCC), as defined by HHS'... 
    Remote job
    Hourly pay
    Holiday work
    Permanent employment
    Local area
    Work from home

    Cigna

    Bloomfield, CT
    17 hours ago
  • ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience...  ...or urgent care * Utilization review experience * Knowledge of...  ...Highlights Type of Facility: Outpatient Charting: Epic Zenex Partners
    Remote job
    Local area
    Weekend work

    Zenex Partners

    Beverly Hills, CA
    1 day ago
  •  ...Job Description Job Description RN MDS Reviewer URGENT NEED! 3-6 month contract with possibility for extension Schedule: Full...  ...Compensation: $70/hour (Hourly, Contract) Work Location: Fully Remote About Us: Since our inception in 2019, Legacy Care... 
    Remote job
    Hourly pay
    Full time
    Contract work
    Local area
    Immediate start
    Monday to Friday

    LCG Boston

    Boston, MA
    5 days ago
  •  ...Schedule : Monday–Friday, 8:00 AM – 5:00 PM Location : Remote (U.S. – Work from home) Remote Work Requirements :...  ...the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team . This role involves conducting pre- and post-payment... 
    Remote job
    Full time
    For contractors
    Home office
    Monday to Friday

    Broadway Ventures

    Nashville, TN
    6 days ago
  •  ...workplace flexibility. This position requires RN California Licensure and for candidates to...  .... **Position Purpose:** Performs clinical reviews needed to resolve and process appeals by...  ..., and a flexible approach to work with remote, hybrid, field or office work schedules. Actual... 
    Remote job
    Hourly pay
    Holiday work
    Flexible hours

    Centene Corporation

    Sacramento, CA
    more than 2 months ago
  • ***Hybrid/Remote within a commutable distance to Beverly Hills/Los Angeles*** Required: * CA RN License * 2 years of statistical/data analytic...  ...Duties and Responsibilities • Review occurrence reports and the...  ...compliance requirements • Perform chart abstraction and analysis of... 
    Remote job

    Zenex Partners

    Los Angeles, CA
    3 days ago
  •  ...entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re...  ...expanding and we need great people to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical... 
    Remote job
    Local area

    ChenMed

    New York, NY
    3 days ago
  •  ...Details CDIP CCDS RHIT RHIA RN RRT CCS CCS-P MD Job...  ...Integrity (ICDI) Specialist is accountable for reviewing patient medical records in the inpatient...  ...policies. This Position is 100% Remote can work from anywhere within the U.S.... 
    Remote job
    Flexible hours
    Afternoon shift
    Monday to Friday

    Mayo Clinic - 200 1st St SW

    Rochester, MN
    2 days ago
  •  ...Utilization Review Nurse – RN or LVN (Remote, $43/hr, Temp-to-Hire) Join one of the nation’s leading managed care organizations, committed to transforming health care for underserved communities. Our client is a mission-driven health plan known for delivering accessible... 
    Remote job
    Hourly pay
    Permanent employment
    Full time
    Temporary work
    Monday to Friday

    Morgan Stephens

    Remote
    2 days ago