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  • REMOTE - Registered Nurse (RN) Utilization Reviewer - Massachusetts ONLY

    $62.7k - $100.4k

     ...outcomes and lower costs of care. Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for...  ...Science (A.S) Completion of an accredited registered nursing (RN) degree program required Three (3) years clinical experience... 
    Remote work
    Hourly pay
    Work at office

    CareSource

    Boston, MA
    4 days ago

  • HEDIS Clinical Review Nurse - LVN

     ...recruiting for a HEDIS Clinical Review Nurse, LVN for a Public Health...  ...Supervisor and HEDIS Nurse RN with compliance with DHCS, CMS...  ...on a hybrid schedule (2 days remote, 3 office). This will start out...  ...specifications when performing chart reviews and communicate changes... 
    Remote work
    Permanent employment
    Temporary work
    Work at office

    Kinetic Personnel Group, Inc

    Ontario, CA
    1 day ago

  • Utilization Review Nurse - Remote - Contract

    $41 per hour

     ...Medical Review Nurse (RN) Remote position, however, candidates must reside in the State of TX or State Of IL This position is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria... 
    Remote work
    Contract work

    HireOps Staffing LLC

    United States
    8 days ago

  • Physician / Other / Georgia / Permanent / Physician for chart review Job

     ...and Wellness practice in Atlanta, continues to experience growth. The group is now in need of a BE/BC physician.Part time - 2 days a weekGreat CompensationSupervise mid-level providersThis is a remote positionFor more information please contact David Smith at or email... 
    Remote work
    Permanent employment
    Part time

    myMDcareers

    Atlanta, GA
    1 day ago

  • EP RN Iowa Heart West Des Moines

     ...in accordance with nursing standards. Reviews remote transmissions and completes...  ...Reads and researches patient records, charts and Practice Manager System for other pertinent...  ...AND ABILITIES REQUIRED: Three years of RN nursing experience required. Two years of... 
    Remote work
    Full time
    Work at office
    Local area
    Shift work

    MercyOne

    West Des Moines, IA
    2 days ago

  • Physician's Assistant AI Reviewers

    $55 per hour

     ...actively looking to hire medical education experts to serve as Panel Review Subject Matter Experts for an AI-powered learning platform...  ...Project Details Compensation: $55 USD per hour Work Arrangement: Remote (US time zones) Contract Structure: Employment through third-party... 
    Remote work
    Hourly pay
    Contract work

    Motion Recruitment

    New York, NY
    3 days ago

  • Registered Nurse-Review Analyst

     ...Opportunity For Nurses In Michigan This position is a remote role for nurses in Michigan. Candidates should have a valid MI RN license and utilization management experience. Experience completing post-acute reviews for the inpatient rehab, skilled nursing facility... 
    Remote work

    LanceSoft

    Detroit, MI
    4 days ago

  • Utilization Review Nurse

     ...teamwork, and superiority in patient care. Position Summary Reviews patient admissions for appropriateness, efficiency of resource...  ...party payer requirements. Duties include analyzing medical charts, determining whether care provided is within established parameters... 
    Suggested
    Work at office
    Shift work
    Weekend work

    University Medical Center of Southern Nevada

    Las Vegas, NV
    22 hours ago

  • Fertility (RN) Nurse Coordinator (Hybrid)

     ...Fertility (RN) Nurse Coordinator (Hybrid) Enjoy what you do while contributing to...  ...holidays per year in our Fairfax office. One remote day per week will be offered after fully...  ...(approximately 9 months) and passing a chart review. How You'll Contribute: We always do... 
    Remote work
    Full time
    Work at office
    Monday to Friday
    1 day per week

    Shady Grove Fertility

    Washington DC
    1 day ago

  • EP RN (Hiring Immediately)

     ...discovering patient death on remote CIED follow-up · Maintains practice...  ...researches patient records, charts and Practice Manager System...  ...related letters. · Reviews and reports pertinent test(s)...  ...REQUIRED: · Three years of RN nursing experience required. Two... 
    Remote work
    Full time
    Work at office
    Local area
    Immediate start
    Shift work
    Day shift

    MercyOne

    West Des Moines, IA
    1 day ago

  • RN Case Manager (Utilization Review Experience Preferred)

    $46.44 - $69.66 per hour

     ...RN Case Manager Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services...  ...level of function, medical, and psychological issues arise. Reviews medical records of patients for proper and timely documentation... 
    Suggested

    Kaweah Health

    Visalia, CA
    4 days ago

  • Utilization Review / Case Manager (RN)

     ...Utilization Review / Case Manager (RN) Chicago, Illinois Reports To: Clinical Director, Behavioral Health Services Term: Permanent, Full-time General Summary: The Utilization Review/Case Manager facilitates appropriate use of hospital resources by ensuring... 
    Suggested
    Permanent employment
    Full time

    Veracity

    Chicago, IL
    1 day ago

  • (RN) Registered Nurse Coding Auditor - HCS-D, COS-C - Per Diem

     ...Validates Acute Inpatient coded charts to ensure the diagnostic...  ...the Medical Record. Seeking RN candidates with a HCS-D - Home...  ...for OASIS Specialist-Clinical. Remote position Job Responsibility...  ...DRG code assignment. 2. Full review of CDI suggested code changes... 
    Remote work
    Hourly pay
    Daily paid

    FlexStaff Careers

    Garden City, NY
    1 day ago

  • Acute Care RN - All Shifts

     ...manner according to department standards. Maintains and reviews patient records, charts, and other pertinent information. Compiles tests and examination...  ...Facing Options ~ Position is Patient Facing Remote Work Guidelines Workspace is a quiet and... 
    Remote work
    Full time
    All shifts
    Shift work

    Stormont-Vail HealthCare

    Topeka, KS
    1 day ago

  • South Dakota Document Reviewer

    $28 per hour

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

    DiversityJobs Inc

    Sioux Falls, SD
    1 day ago

  • Oregon Document Reviewer

    $25 per hour

     ...are valued and respected. We have an ongoing need for Document Reviewers. Document Reviewers will review documents for complex litigation...  ...different areas of litigation! Position Details ~ Remote work-from-home opportunity ~ Pay rate: $25 per hour... 
    Remote work
    Hourly pay
    Temporary work
    Work from home
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    Portland, OR
    5 days ago

  • RN - Clinical Research Nurse - NE

    $78.77k - $122.1k

     ...visit meetings and Site Initiation Meeting, whether on site or remote 2. Attend Investigator Meeting either remote or at location specified...  ...feasibility questionnaires with research site information. 4. Review confidentiality forms in conjunction with the ORA and obtain... 
    Remote work
    Daily paid
    Shift work

    Albany Medical Center

    Clifton Park, NY
    22 hours ago

  • Utilization Review RN - FT - Day - Utilization Resource Management Trenton NJ

    $39.4 - $51.47 per hour

     ...clinical nursing and three years quality management, utilization review or discharge planning experience. Other Credentials:...  ...recommend such to manager. Essential Functions Performs chart review of identified patients to identify quality, timeliness and... 
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Immediate start
    Flexible hours
    Night shift

    Capital Health Services

    Trenton, NJ
    22 hours ago

  • CLINICAL REVIEWER RN

     ...Clinical Reviewer RN IHCS provides an Integrated Delivery System in the home setting, which includes DME, Respiratory, Home Health, and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the... 
    Full time
    Temporary work

    Integrated Home Care Services Inc

    Hollywood, FL
    8 days ago

  • Clinical Reviewer (RN)

    $38.46 - $43.27 per hour

     ...Clinical Reviewer (RN) As a Clinical Reviewer, you will complete the full spectrum of activities related to Independent Dispute Resolution (IDR) case determinations. Conducting clinical level review, managing case staging and appeal processes within strict deadlines... 
    Hourly pay
    Work at office
    Flexible hours

    IPRO

    Jericho, NY
    3 days ago

  • Medical Records - Field Reviewer

     ...Medical Records - Field Reviewer Altegra Health is a total solutions partner for healthcare...  ...provide computer equipment for scanning charts and transferring files to our secure file...  ...Qualifications: 1. Must be an RN, LPN, Certified Coder, RHIT, RHIA, MA or... 
    Permanent employment
    Full time
    Live in
    Work from home

    Altegra Health

    Grand Rapids, MI
    22 hours ago

  • HEDIS AUDITOR RN/ LPN

     ...Hedis Auditor Rn/Lpn Integrated Resources, Inc is a premier staffing firm recognized...  ...responsible for performing medical record reviews and data extraction for the HEDIS audit. Prior...  ...up. There is weekly onsite meeting which candidate must attend and remote other days.... 
    Remote work
    Contract work
    Work from home

    Careers Integrated Resources Inc

    Newark, NJ
    4 days ago

  • Registered Nurse (RN) - Psychiatric - $37-57 per hour

    $37 - $57 per hour

     ...(Colorado) is seeking a Registered Nurse (RN) Psychiatric for a nursing job in Aurora,...  ...onsite role and does not offer a hybrid or remote option Summary: Provides direct patient care...  ..., skills and cost of living. Market reviews: All UCHealth positions are reviewed annually... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Local area
    Flexible hours
    Shift work
    Night shift

    UCHealth

    United States
    1 day ago

  • RN - Registered Nurse - Clinical Documentation Improvement Specialist

     ...members to perform a concurrent inpatient review of the record. This allows the record to be...  ..., PA, but may allow for some days to be remote in the future. The role is full-time, 40 hours...  ...through Friday. A minimum of 3 years RN work experience is required. BSN is strongly... 
    Remote work
    Full time
    Temporary work
    Part time
    Work experience placement
    Monday to Friday
    Flexible hours

    Geisinger Health System

    Danville, PA
    2 days ago

  • Clinical Medical Review Nurse - Remote / Telecommute

    Job Posting Responsibilities: Retrieve and interpret clinical, financial, and population health data across multiple systems. Identify trends, gaps in care, and opportunities for improved health outcomes. Provide clinical expertise and translate complex data into clear...
    Remote work

    Cynet Systems

    United States
    4 days ago

  • RN Claim Review

     ...hours. Description: The Medical Claim Review Nurse provides a variety of services with...  ...from a variety of reports, client charts, and other documents, and participates in...  ...years of acute clinical experience ~ Active RN License ~ One year of case management or... 
    Immediate start

    Impresiv Health

    Henderson, NV
    2 days ago

  • Clinical Chart Review Office Nurse LPN/CMA/RMA

     ...~ Paid time off ~ Paid Sick time ~ Paid Holidays ~ Employee discounts ~ And more! Job Summary : The Clinical Chart Review will serve as an adjunct to the patient’s care provider to coordinate their maintenance healthcare needs designed to optimize health... 
    Work at office

    Holston Medical Group, PC

    Greeneville, TN
    a month ago

  • Part-time Utilization Review Nurse Case Manager (Hiring Immediately)

    $49.47 - $71.74 per hour

     ...Shift: Description: This position coordinates utilization review service for defined patient populations across the acute care...  ...facility's resources. 1. Current licensure as a Registered Nurse (RN) in the state of California is required. 2. Current American... 
    Part time
    Local area
    Immediate start
    Shift work

    Saint Agnes Medical Center

    Fresno, CA
    28 minutes agonew

  • Remote/Hybrid Registered Nurse (RN) Advocacy & Program Integrity (Hospice Expert)

     ...Registered Nurse: Review and Evaluation Are you a registered nurse ready to take your career...  ...Active, unrestricted Registered Nurse (RN) license Strong clinical background...  ...and outcomes for vulnerable populations Remote work enjoy the convenience and balance of... 
    Remote work
    Work from home

    The CKHobbie Group

    Harrisburg, PA
    4 days ago

  • Hybrid Intake Registered Nurse (RN)

    $110k - $120k

     ...Hybrid Intake Registered Nurse (RN) Manhattan, New York We re hiring a Hybrid...  ...-focused nursing role responsible for reviewing referrals, coordinating admissions, and cultivating...  ...schedule with 3 days onsite and 2 days remote One weekend day per month required... 
    Remote work
    Monday to Friday
    Weekend work

    Titan Placement Group

    New York, NY
    22 hours ago