•  ...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
    15 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
    4 days ago
  •  ...Job Description A-Line Staffing is now hiring  Registered Nurse Chart Reviewer (Hybrid) in Harrisburg in and surrounding area If you are...  ...Registered Nurse Chart Reviewer (Hybrid) Requirements Active RN License in the state or territory you are working in Valid state... 
    Suggested
    Hourly pay
    Weekly pay
    Full time
    Immediate start

    A-Line Staffing Solutions

    Harrisburg, PA
    2 days ago
  •  ...organized and detail-oriented Billing & Chart Auditor on a contractor basis . This remote position is responsible for reviewing and monitoring clinical documentation, supporting...  ...EMR (strongly preferred) Licensed RN or LVN preferred but not required... 
    Remote job
    For contractors

    CNS SERVICES, INC dba Living Your Life Without Limits

    Los Angeles, CA
    10 days 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
    1 day ago
  •  ...Job Description Job Description Care Review Clinician I  work with the Utilization Management team primarily...  ...members’ ultimate care.  MUST be licensed RN or LPN in Texas or Compact . This position is FULLY REMOTE. Schedule M-F 8am-5pm EST or CST. Day to Day Responsibilities... 
    Remote job

    Professional Management Enterprises

    Houston, TX
    4 days ago
  • Senior Technical Reviewer (Part-Time, Project-Based) - Remote - Americas or Europe Join to apply for the Senior Technical Reviewer (Part-Time, Project-Based...  ...we'd love to get to know you. Apply today and help chart the course to a water-secure world. Seniority level Seniority... 
    Remote job
    Part time
    For contractors

    Waterplan

    San Francisco, CA
    1 day 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

    Tucson, AZ
    a month 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
    3 days 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
    Full time
    Second job

    ProPivotal Staffing

    Boston, MA
    27 days 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
    5 days ago
  •  ...Requirements Maximus is seeking a detail-oriented Clinical Reviewer, RN/LPN to support the Connecticut PASRR Program and multiple...  ...appropriateness of long-term care (LTC) placement. This role is 100% remote with no travel or on-site requirements. About the Program:... 
    Remote job
    Minimum wage
    Holiday work
    Permanent employment
    Contract work
    Temporary work
    Work experience placement
    Home office

    Maximus

    Denver, CO
    18 hours 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

    Fresno, 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 healthcare organization... 
    Remote job
    Hourly pay
    Permanent employment
    Contract work

    Morgan Stephens

    Remote
    2 days ago
  •  ...Details CCDS CDIP RHIT RHIA RN CCS CCS-P Job Details The...  ...Integrity (ICDI) Specialist is accountable for reviewing patient medical records in the inpatient...  ...policies. This position is 100% remote and 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
    5 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
    4 days 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
    4 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

    Arizona
    7 days ago
  •  ...PRIDE Health is seeking a travel nurse RN Clinical Document Improvement Specialist for...  ...(ICDI) Specialist is accountable for reviewing patient medical records in the inpatient...  ...documentation policies. This Position is 100% Remote can work from anywhere within the U.S.... 
    Remote job
    Weekly pay
    Holiday work
    Shift work
    Monday to Friday

    PRIDE Health

    Rochester, MN
    9 hours ago
  •  ...W2------------------ Title: Clinical Reviewer Location: McLean, VA 22102 Duration...  ...W2 Contract, 3 Months Location: Remote Candidates must reside within the State...  ...Active and unrestricted Registered Nurse (RN) license for Oregon ~ Ability to be licensed... 
    Remote job
    Contract work
    Flexible hours

    nTech Workforce

    McLean, VA
    1 day 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
  •  ...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
    a month 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
    5 days ago
  •  ...This position is responsible for timely review of request for post-acute services and based...  ...of clinical nursing or therapy experience RN, PT, or OT Compact License Preferred...  ...for extended periods of time. #LI-PG1 #LI-Remote WellSky is where independent thinking and... 
    Remote job
    Holiday work
    Full time
    Work experience placement

    WellSky

    Oregon City, OR
    1 day 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
    2 days ago
  •  ...Job Opportunity: LVN / LPN - Utilization Review Facility: CSMN - 1101017 Nursing...  ...supervised and receive assignments from a remote RN Mileage reimbursement provided Schedule...  ...Outpatient/Urgent Care Scrub Color: Burgundy Charting: Epic Parking Cost: Free or validated... 
    Remote job
    Hourly pay
    Holiday work
    Contract work
    Local area
    Shift work
    Weekend work
    Monday to Friday

    Zenex Partners

    Beverly Hills, CA
    2 days ago
  •  ...A well-established firm in South Carolina has an immediate need for on-site and remote document review attorneys to start on a project that is expected to be 6 - 8 weeks in length. This is a great opportunity to work with a great firm and build your skills and your... 
    Remote job
    Hourly pay
    Full time
    Immediate start
    Flexible hours

    CAROLINA LEGAL ASSOCIATES

    Columbia, SC
    1 day ago
  •  ...The Clinical Quality Review Specialist is a remote position, responsible for processing and completing assigned quality and clinical workflows, identifying...  ..., OASIS, coding, plans of care and other clinical RN, Clinical, Quality, Specialist, Healthcare Trinity Health... 
    Remote job

    Trinity Health Corporation

    Livonia, MI
    4 days ago
  •  ...Inc. is seeking a travel nurse RN MICU - Medical Intensive Care...  ...- MICU \nLocation (On-site, Remote, or Hybrid?): Columbus, OH (Onsite...  ...needs. Shift assignments are reviewed every 4-week scheduling period...  ...\n \n \nCOMPUTERIZED CHARTING \n• EPIC REQUIRED Techlink... 
    Remote job
    Contract work
    Temporary work
    Shift work
    Night shift

    Techlink Systems Inc.

    Columbus, OH
    13 days ago