... process through claim review, medical record review and research. To provide expert knowledge in ... care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding ...
... process through claim review, medical record review and research. To provide expert knowledge in ... care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding ...
Home Care Consultant Liaison
Knoxville, TN · On-site
Review processes and procedures to ensure compliance, suggest ways to improve. * Work upper ... From time to time other duties may be assigned. Management's evaluation of your performance is ...
Quick apply
Home Care Consultant Liaison
Knoxville, TN · On-site
Review processes and procedures to ensure compliance, suggest ways to improve. * Work upper ... From time to time other duties may be assigned. Management's evaluation of your performance is ...
Home Care Consultant Liaison
Knoxville, TN · On-site
$17/hr
Review processes and procedures to ensure compliance, suggest ways to improve. * Work upper ... From time to time other duties may be assigned. Management's evaluation of your performance is ...
Home Care Consultant Liaison
Knoxville, TN · On-site
$17/hr
Review processes and procedures to ensure compliance, suggest ways to improve. * Work upper ... From time to time other duties may be assigned. Management's evaluation of your performance is ...
Home Care Consultant Liaison
Knoxville, TN · On-site
Review processes and procedures to ensure compliance, suggest ways to improve. * Work upper ... From time to time other duties may be assigned. Managements evaluation of your performance is based ...
Quick apply
Home Care Consultant Liaison
Knoxville, TN · On-site
Review processes and procedures to ensure compliance, suggest ways to improve. * Work upper ... From time to time other duties may be assigned. Managements evaluation of your performance is based ...
Home Care Aide
Miami, FL · On-site
$14 - $18/hr
Graduated from an accredited Home Health Aide program * High School Diploma or GED * One year prior ... review your information and notify you of the next steps in the hiring process.
Quick apply
Home Care Aide
Miami, FL · On-site
$14 - $18/hr
Graduated from an accredited Home Health Aide program * High School Diploma or GED * One year prior ... review your information and notify you of the next steps in the hiring process.
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... service requests from members or providers against evidence based clinical guidelines. • ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... service requests from members or providers against evidence based clinical guidelines. • ...
Care Review Clinician - UR RN
Troy, MI · On-site
Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare ... Utilization Review background in either Managed Care of Provider environment (at least one year) RN ...
Care Review Clinician - UR RN
Troy, MI · On-site
Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare ... Utilization Review background in either Managed Care of Provider environment (at least one year) RN ...
... from inpatient to discharge to either a nursing facility or back to their home. The position is a ... Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
... from inpatient to discharge to either a nursing facility or back to their home. The position is a ... Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Home Care Administrator
$90K - $110K/yr
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Home Care Administrator
$90K - $110K/yr
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Home Care Administrator
Harrisburg, PA · On-site
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Home Care Administrator
Harrisburg, PA · On-site
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Home Care Administrator
Pittsburgh, PA · On-site
$90K - $110K/yr
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Home Care Administrator
Pittsburgh, PA · On-site
$90K - $110K/yr
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Home Care Administrator
Allentown, PA · On-site
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Home Care Administrator
Allentown, PA · On-site
Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...
Home Care Aide
Lincolnshire, IL · On-site
$16/hr
Must be able to successfully complete the hiring process which includes a background check APPLY TODAY! Apex Home Care 540 Oakmont Lane Westmont, IL 60559 630-581-5582 ikotovska@apex-health.com ...
Quick apply
Home Care Aide
Lincolnshire, IL · On-site
$16/hr
Must be able to successfully complete the hiring process which includes a background check APPLY TODAY! Apex Home Care 540 Oakmont Lane Westmont, IL 60559 630-581-5582 ikotovska@apex-health.com ...
Managers are looking for candidates with clinical experience from a hospital (Preferred) Min. 2- 3 ... review RN License Required Preferred Experience in one of more of the following areas critical care ...
Managers are looking for candidates with clinical experience from a hospital (Preferred) Min. 2- 3 ... review RN License Required Preferred Experience in one of more of the following areas critical care ...
Home Care Aide
Portsmouth, OH · On-site
... process. Department: Home Care Shift/schedule: Full Time (40 hrs/wk) GENERAL SUMMARY Works under ... For further information, please review the Know Your Rights notice from the Department of Labor.
Home Care Aide
Portsmouth, OH · On-site
... process. Department: Home Care Shift/schedule: Full Time (40 hrs/wk) GENERAL SUMMARY Works under ... For further information, please review the Know Your Rights notice from the Department of Labor.
Care Review Clinician (RN)
$26.41 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Analyzes clinical service requests from members or providers against evidence based clinical ...
Care Review Clinician (RN)
$26.41 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Analyzes clinical service requests from members or providers against evidence based clinical ...
Home Care Aide
Glendora, CA · On-site
$18 - $22/hr
... with the process Why You'll Love Us: Homewatch CareGivers supports a holistic and person-direct ... from medical procedures. Our care philosophy is based on finding interesting, innovative ways to ...
Home Care Aide
Glendora, CA · On-site
$18 - $22/hr
... with the process Why You'll Love Us: Homewatch CareGivers supports a holistic and person-direct ... from medical procedures. Our care philosophy is based on finding interesting, innovative ways to ...
From Home Care Review Processor information
See salary details
$8.89 - $10.45
6% of jobs
$10.45 - $12
6% of jobs
$13.34 is the 25th percentile. Wages below this are outliers.
$12 - $13.55
14% of jobs
$13.55 - $15.10
19% of jobs
The median wage is $15.49 / hr.
$15.10 - $16.65
15% of jobs
$16.65 - $18.20
13% of jobs
$18.35 is the 75th percentile. Wages above this are outliers.
$18.20 - $19.76
9% of jobs
$19.76 - $21.31
5% of jobs
$21.31 - $22.86
5% of jobs
$22.86 - $24.41
3% of jobs
$24.41 - $25.96
3% of jobs
$8
$16
$25
How much do from home care review processor jobs pay per hour?
As of Jul 28, 2026, the average hourly pay for from home care review processor in the United States is $16.74, according to ZipRecruiter salary data. Most workers in this role earn between $13.46 and $19.23 per hour, depending on experience, location, and employer.
How to make $80,000 a year working from home?
A From Home Care Review Processor can increase earnings by gaining experience, improving efficiency, and handling higher volumes of work, which may lead to higher pay or bonuses. Developing skills in data analysis, customer service, and using relevant software can also enhance earning potential, but reaching $80,000 annually typically requires advanced experience or additional responsibilities within the role.
What jobs pay $4000 a week without a degree?
A From Home Care Review Processor typically does not earn $4000 weekly; such high earnings usually require specialized skills, experience, or management roles. Jobs that can pay this amount without a degree often include sales, real estate, or certain entrepreneurial ventures, but they generally depend on commissions, performance, or business success. Most high-paying remote jobs without a degree involve sales, consulting, or skilled trades with significant experience or certifications.
What is a care review processor?
A care review processor is a professional responsible for evaluating and processing care plans, patient records, or service reviews in healthcare or home care settings. They ensure compliance with regulations, verify information accuracy, and may use specialized software to document and update care-related data.
How can I make 2000 a week working from home?
A From Home Care Review Processor can increase earnings by handling a high volume of reviews efficiently, often requiring strong attention to detail and good organizational skills. Earning $2000 weekly typically involves working full-time hours, possibly earning per review or through performance bonuses, and developing expertise in review processing tools and procedures.
More about From Home Care Review Processor jobs
What cities are hiring for From Home Care Review Processor jobs? Cities with the most From Home Care Review Processor job openings:
What are the most commonly searched types of Care Review Processor jobs? The most popular types of Care Review Processor jobs are:
What states have the most From Home Care Review Processor jobs? States with the most job openings for From Home Care Review Processor jobs include:
What job categories do people searching From Home Care Review Processor jobs look for? The top searched job categories for From Home Care Review Processor jobs are:
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Evaluates medical records and/or medical notes providing clinical expertise on coding accuracy.
Reviews for provider reconsideration requests related to claim edits and validation outcomes.
Utilizes established criteria for review of complex medical claims and refers to Chief Medical Officer or Medical Director for determinations when criteria are not met
Acting as a clinical resource, provides clinical review of claims to determine coding and billing accuracy and medical appropriateness of various types of provider claims.Â
Reviews claims for correct billing and coding using Medicare Provider Manual guidelines. Documents clinical review summaries, bill audit findings and audit details in the data base.Â
Identifies and reports quality of care issues to the Quality Management Department.Â
Reports suspected member or provider fraud per Molina Healthcare Policy.Â
Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol.Â
Participates in the development and implementation of proactive approaches to improve and standardize overall retrospective claims review.Â
Qualifications
Candidate will provide clinical expertise in the application of medical and reimbursement policies within the claim adjudication process through claim review, medical record review and research. To provide expert knowledge in CMS, NCCI, AMA and other nationally published guidelines for correct coding and billing accuracy.Â
Minimum 2-4 years of clinical practice.
Minimum 1 year utilization review or medical claim review experience
Active, unrestricted state nursing license in good standing
Preferred Experience in one of more of the following areas critical care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding experience
Great organizational skills
Critical thinkers and the ability to make decisions using clinical background/knowledge
Able to work independently
Able to collaborate and work with peers to make decisions
Knowledge of state and federal regulations
In-depth Knowledge of ICD-9, CPT, and HCPTS
Great Verbal and Written Communication Skills because they will be interacting with Medical Directors    Â
Additional Information
If you are interested in applying to this position, please contact Brianne Salazar at (321)710-4799 and click the Green I'm Interested Button to email your resume.
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003