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Evening Remote Rn Chart Review Jobs (NOW HIRING)

Perry Health Inc

$40/hr

Collaborate with the broader care team -- including RNs and Accountability Coaches -- to reinforce ... chart review time also counting toward this total. * Non-Clinical Pay: $30.00/hour flat rate for ...

Cortex

Remote RN Inbound Agent

$25/hr

We are seeking dedicated and qualified RNs to join our team as Remote Contingent Hurricane Response Inbound Phone Agents. In the event of a hurricane or natural disaster, our company, Cortex, is ...

firsthand Health

Remote Triage Nurse

Boise, ID · Remote

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...

firsthand Health

Remote Triage Nurse

Albuquerque, NM · Remote

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...

firsthand Health

Remote Triage Nurse

Billings, MT · Remote

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...

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All JobsEvening Remote Rn Chart Review Jobs

Evening Remote Rn Chart Review information

Is 8pm in the evening or night?

For an Evening Remote RN Chart Review role, 8pm is generally considered evening, as it falls within typical evening hours from around 5pm to 9pm. However, some employers may define evening hours differently, so it's important to confirm specific scheduling expectations. In healthcare, night shifts usually start around 10pm or later.

Is evening 5 or 6 pm?

For an Evening Remote RN Chart Review position, the evening shift typically starts around 5 pm and may extend until 9 or 10 pm, depending on the employer's schedule. Some roles may also have a 6 pm start time, so it is best to confirm the specific hours with the employer or job posting. Flexibility and familiarity with electronic health record systems are often required for this shift.

What is the difference between Evening Remote Rn Chart Review vs Evening Remote Rn Case Management?

AspectEvening Remote Rn Chart ReviewEvening Remote Rn Case Management
Primary FocusReviewing patient charts for accuracy and complianceCoordinating patient care and discharge planning
CertificationsRN license, possibly CCRN or similarRN license, case management certification preferred
Work EnvironmentRemote, primarily administrativeRemote, involves communication with patients and providers
Industry UsageHospitals, insurance companies, healthcare agenciesHospitals, insurance companies, healthcare agencies

While both roles require RN licensure and are performed remotely, Evening Remote Rn Chart Review focuses on analyzing patient records for accuracy, whereas Evening Remote Rn Case Management involves active patient coordination and discharge planning. Understanding these differences helps professionals choose the role that best fits their skills and career goals.

What time is the evening?

For an Evening Remote RN Chart Review position, the evening typically refers to hours between 4:00 PM and 12:00 AM. The specific schedule may vary depending on the employer or shift requirements, but evening shifts generally start in the late afternoon and end at night. Flexibility and adherence to assigned hours are important for this role.

Is 4pm called evening?

In the context of an Evening Remote RN Chart Review job, 4pm is generally considered part of the evening shift, which typically runs from late afternoon to night. However, the exact definition of evening hours can vary by employer, with some considering evening as starting around 5 or 6 pm. It is important to check the specific schedule details provided by the employer for accurate shift timing.
What cities are hiring for Evening Remote Rn Chart Review jobs? Cities with the most Evening Remote Rn Chart Review job openings:
What are the most commonly searched types of Remote Rn Chart Review jobs? The most popular types of Remote Rn Chart Review jobs are:
What states have the most Evening Remote Rn Chart Review jobs? States with the most job openings for Evening Remote Rn Chart Review jobs include:
Evening Remote Rn Chart Review jobs near you

Remote RN - Medical Claims Reviewer

Broadway Ventures

Remote

Full-time

Posted 8 days ago

Job description

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider-we're your trusted partner in innovation.
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 Qualifications
Licensure:
  • 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!
What to Expect Next:
After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting.
Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.
Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).

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