•  ...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
    17 days ago
  •  ...physicians looking for additional income as a collaborating physician (Chart Reviews). Our collaborators over see our highly skilled Nurse...  ...Type: Collaborating Physician - 1099 (Chart Reviews)Location: Remote Opportunity - State of MissouriHours: Flexible HoursRate of Reimbursement... 
    Remote job
    Full time
    For contractors
    Relief
    Flexible hours

    Matrix Medical Netowrk

    Scottsdale, AZ
    4 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
    1 day 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
    4 days ago
  •  ...Description LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance (Remote), California. Job Description & Requirements...  ...: at least 3 years acute CM/UM experience Charting System Required: Epic RN and active State... 
    Remote job
    Weekly pay
    Permanent employment
    Contract work
    Fixed term contract
    Local area
    Shift work

    LanceSoft

    Torrance, CA
    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
    3 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
    12 days 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
    6 days ago
  •  ...Description Your Role The Clinical Quality Review team reviews potential quality issues that...  ...and Experience Registered Nurse (RN) California license required Requires...  ...and approved out-of-state roles remain remote. o Employees living more than 50 miles... 
    Remote job
    Full time
    Part time
    Local area
    Home office

    Blue Shield Of California

    El Dorado Hills, CA
    2 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
    3 days ago
  •  ...audit, provider relations and more. Position Purpose RN Utilization Review MCHP is responsible for the coordination of the medical care...  ...summarize and concisely report medical utilization and medical chart audit results. Ability to compare approved criteria with... 
    Remote job
    Full time
    Local area
    Relocation package
    Shift work

    Mount Carmel Health System

    Columbus, OH
    4 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

    Tucson, AZ
    a month ago
  •  ...Travel Nurse RN - Utilization Review - $2,948 per week at PHP summary: This position is for a Travel Nurse RN specializing in Utilization Review, providing remote nursing assessment and evaluation services for a 13-week contract in Atlanta, Georgia. The role requires... 
    Remote job
    Full time
    Contract work
    Shift work

    PHP

    Atlanta, GA
    1 day 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
    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
    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
    2 days ago
  •  ...Sentara Health Plan is hiring a Full-Time Day-shift RN Supervisor for the Commercial Utilization Review Hospital and Behavioral Health team Assumes...  ...environment. For positions that are available as remote work, Sentara Health employs associates in the... 
    Remote job
    Full time
    Temporary work
    Shift work
    Day shift

    Sentara

    Virginia Beach, VA
    2 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
    15 days ago
  •  ...facilities around the country, and a team dedicated to helping you with every step of the hiring process. Contact Gordon Diaz ~100% remote; open to FM and IM physicians ~ Work at your own pace; must have an active state license ~ Great salary to supplement current... 
    Remote job
    Permanent employment
    Contract work
    Relocation package

    CompHealth

    Spindale, NC
    2 days ago
  • Hiring a Telemedicine Family Practice, Family Medicine or General Practitioner for a Chart Review Telemedicine position in TexasStart is ASAP - duration of 1 yearTotal amount of hours per month is 8 hoursPhysicians will be supervising and collaborating with In-home Nurse... 
    Weekly pay
    Locum
    Immediate start

    Provider Healthcare

    Texas
    2 days 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
    1 day 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
    2 days 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

    Long Beach, CA
    more than 2 months 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
    1 day ago
  •  ...role: As a CDS for Accompany Health you will be: -Pre-visit chart prep including review of medical records to identify diagnoses to be addressed...  ...for your preferred location during the hiring process. #LI-Remote #LI-JL1 For Patient Facing Roles To keep our patients,... 
    Remote job
    Full time
    Local area
    Shift work
    Night shift

    Jobleads-US

    Bethesda, MD
    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
    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

    Arizona
    9 days ago
  •  ...nurses in the field. This is a hybrid remote Clinical Supervisor position for the Kingman...  ...Havasu area.   If you are an RN who is passionate about helping children...  ...demeanor. • Familiarity with electronic charting and review to ensure accurate and timely submission... 
    Remote job
    Relocation bonus

    Thrive Skilled Pediatric Care LLC

    Kingman, AZ
    13 hours ago
  •  ...Description Summary This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations,...  ...Holiday Rotation (2 holidays per year) This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere... 
    Remote job
    Holiday work
    Contract work
    Local area
    Weekend work

    Health Care

    Nashville, TN
    3 days ago