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Afternoon Remote Rn Jobs (NOW HIRING)

Merakey

LumiLink RN

Lafayette Hill, PA · Remote

The Remote LumiLink Registered Nurse is responsible for professionally answering LumiLink calls for health-related concerns for all contracted providers. This position is responsible for the ...

KYYBA

Remote RN Case Manager [MI RNs only]

Detroit, MI · Remote

$35 - $39/hr

Job Title: RN Case Manager Location: 100% Remote Duration: 12+ months License Required: Active & unrestricted Michigan RN license The RN Case Manager serves as the primary point of contact for ...

Phaxis

AIMS- REMOTE RN CARE MANAGER

NY · On-site +1

$61 - $63/hr

Current NYS RN license * Experience in case management, care coordination, or similar clinical ... Experience with telephonic care management or remote patient monitoring. * Familiarity with EHR ...

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All JobsAfternoon Remote Rn Jobs

Afternoon Remote Rn information

What is the difference between Afternoon Remote Rn vs Evening Remote Rn?

AspectAfternoon Remote RnEvening Remote Rn
Work HoursTypically 12 PM - 4 PM or 1 PM - 5 PMUsually 4 PM - 8 PM or 5 PM - 9 PM
Shift TimingAfternoon shiftsEvening shifts
Certifications NeededRN license, Basic Life Support (BLS)RN license, BLS
Work EnvironmentRemote, healthcare facilities or telehealthRemote, healthcare facilities or telehealth

The main difference between an Afternoon Remote Rn and an Evening Remote Rn lies in their shift timings. Afternoon RNs work during midday hours, while Evening RNs cover later hours. Both roles require similar credentials and work in remote healthcare settings, catering to different patient needs and scheduling preferences.

What cities are hiring for Afternoon Remote Rn jobs? Cities with the most Afternoon Remote Rn job openings:
What are the most commonly searched types of Remote Rn jobs? The most popular types of Remote Rn jobs are:
What states have the most Afternoon Remote Rn jobs? States with the most job openings for Afternoon Remote Rn jobs include:
Afternoon Remote Rn jobs near you

Remote RN - Medical Claims Reviewer

Broadway Ventures

OR • Remote

Other

Posted 11 days ago

Job description

Job Type: Full-time (40 hours/week)
Schedule: Monday-Friday, 8:00 AM - 5:00 PM

Max Salary: W-2 ($65,000/$31.25)

Location: Remote (U.S. - Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.

About the Role

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.

Key Responsibilities
  • Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
  • Assess payment determinations using clinical information and established guidelines.
  • Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
  • Provide clear, well-documented rationales for service approvals or denials.
  • Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
  • Support quality control activities to meet corporate and team objectives.
  • Provide guidance to LPN team members and support non-clinical staff through training and discussions.
  • Assist with special projects and additional responsibilities as assigned.
Minimum QualificationsLicensure:
  • Active, unrestricted RN license in the U.S. and in the state of hire
    OR
  • Active compact multistate RN license (as defined by the Nurse Licensure Compact).
Education:
  • Associate Degree in Nursing
    OR
  • Graduate of an accredited School of Nursing.
Experience:
  • Two years of clinical experience plus at least two years in one of the following:
    • Home Health
    • Utilization/Medical Review
    • Quality Assurance
Skills & Competencies:
  • Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings.
  • Ability to interpret and apply medical review criteria and clinical guidelines.
  • Proficiency in Microsoft Office and word processing software.
  • Strong analytical, organizational, and decision-making skills.
  • Ability to work independently while managing priorities effectively.
  • Excellent customer service, communication, and critical thinking skills.
  • Ability to handle confidential information with discretion.
Preferred Qualifications
  • Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred).
  • Proficiency in using multiple screens and software programs simultaneously.

If you are a detail-oriented RN with a passion for medical review, we encourage you to apply!

Apply