Omaha, NE · Remote
$90K - $110K/yr
Review PDPM classifications, clinical documentation, diagnosis coding, and reimbursement accuracy ... Primarily remote/work-from-home position * Quarterly travel reimbursement * Mileage reimbursement
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Omaha, NE · Remote
$90K - $110K/yr
Review PDPM classifications, clinical documentation, diagnosis coding, and reimbursement accuracy ... Primarily remote/work-from-home position * Quarterly travel reimbursement * Mileage reimbursement
Esrun Health is seeking Medical Assistants to work part-time from their home office as independent ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...
Esrun Health is seeking Medical Assistants to work part-time from their home office as independent ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...
Lincoln, NE · On-site +1
$85/hr
... Registered Dietitians (RDs) and Certified Nutrition Specialists (CNSs) licensed in any state to ... remote sessions to clients who fit your areas of specialty. * Work from anywhere in the U.S. and ...
Lincoln, NE · On-site +1
$85/hr
... Registered Dietitians (RDs) and Certified Nutrition Specialists (CNSs) licensed in any state to ... remote sessions to clients who fit your areas of specialty. * Work from anywhere in the U.S. and ...
... Registered Dietitians (RDs) and Certified Nutrition Specialists (CNSs) licensed in any state to ... remote sessions to clients who fit your areas of specialty. * Work from anywhere in the U.S. and ...
... Registered Dietitians (RDs) and Certified Nutrition Specialists (CNSs) licensed in any state to ... remote sessions to clients who fit your areas of specialty. * Work from anywhere in the U.S. and ...
Omaha, NE · On-site +1
$17/hr
A reliable, detail-oriented work style Work-From-Home Requirements: * Must reside in: FL, GA, MO ... remote collections clerk, patient account, medical, revenue cycle, patient financial, sales ...
Omaha, NE · On-site +1
$17/hr
A reliable, detail-oriented work style Work-From-Home Requirements: * Must reside in: FL, GA, MO ... remote collections clerk, patient account, medical, revenue cycle, patient financial, sales ...
Omaha, NE · Remote
$17/hr
A reliable, detail-oriented work style Work-From-Home Requirements: * Must reside in: FL, GA, MO ... remote collections clerk, patient account, medical, revenue cycle, patient financial, sales ...
Omaha, NE · Remote
$17/hr
A reliable, detail-oriented work style Work-From-Home Requirements: * Must reside in: FL, GA, MO ... remote collections clerk, patient account, medical, revenue cycle, patient financial, sales ...
Reviews, assesses, and completes medical complexity attestations and clinical oversight activities ... Employees who live and work from Home in the state of California, Illinois, Montana, or South ...
Reviews, assesses, and completes medical complexity attestations and clinical oversight activities ... Employees who live and work from Home in the state of California, Illinois, Montana, or South ...
Reviews, assesses, and completes medical complexity attestations and clinical oversight activities ... Employees who live and work from Home in the state of California, Illinois, Montana, or South ...
Reviews, assesses, and completes medical complexity attestations and clinical oversight activities ... Employees who live and work from Home in the state of California, Illinois, Montana, or South ...
Reviews, assesses, and completes medical complexity attestations and clinical oversight activities ... Employees who live and work from Home in the state of California, Illinois, Montana, or South ...
Reviews, assesses, and completes medical complexity attestations and clinical oversight activities ... Employees who live and work from Home in the state of California, Illinois, Montana, or South ...
Omaha, NE · On-site +1
$73K - $110K/yr
... Remote/Telecommuting No remote/telecommuting opportunity Position Summary Responsible for ... Initial application review will begin on the date provided in the field above. Applications ...
Omaha, NE · On-site +1
$73K - $110K/yr
... Remote/Telecommuting No remote/telecommuting opportunity Position Summary Responsible for ... Initial application review will begin on the date provided in the field above. Applications ...
Omaha, NE · Remote
$35.50 - $46.75/hr
Home Infusion Registered Nurse - Accredo Specialty Pharmacy Join Accredo Specialty Pharmacy, part ... PTO accrual If you will be working at home occasionally or permanently, the internet connection ...
Omaha, NE · Remote
$35.50 - $46.75/hr
Home Infusion Registered Nurse - Accredo Specialty Pharmacy Join Accredo Specialty Pharmacy, part ... PTO accrual If you will be working at home occasionally or permanently, the internet connection ...
Omaha, NE · Remote
$65/hr
A PayPal account to receive payments from our clients What you'll be doing in the role * Reviewing ... home. We've built a unique platform that connects researchers and companies with a global pool of ...
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Omaha, NE · Remote
$65/hr
A PayPal account to receive payments from our clients What you'll be doing in the role * Reviewing ... home. We've built a unique platform that connects researchers and companies with a global pool of ...
Lincoln, NE · Remote
$52.50 - $63.25/hr
This work-from-home position is ideal for pharmacists who want to transition out of retail or ... Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ...
Lincoln, NE · Remote
$52.50 - $63.25/hr
This work-from-home position is ideal for pharmacists who want to transition out of retail or ... Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ...
Omaha, NE · Remote
$55.75 - $67/hr
This work-from-home position is ideal for pharmacists who want to transition out of retail or ... Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ...
Omaha, NE · Remote
$55.75 - $67/hr
This work-from-home position is ideal for pharmacists who want to transition out of retail or ... Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ...
Omaha, NE · Remote
$18 - $40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials ...
Omaha, NE · Remote
$18 - $40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials ...
Lincoln, NE · Remote
$18 - $40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials ...
Lincoln, NE · Remote
$18 - $40/hr
All from the comfort of your home. Why Join Our Platform? * Earn incrementally higher pay for each ... Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials ...
Omaha, NE · Remote
$27.59 - $56.63/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... from a medical and/or behavioral health perspective to ensure member needs are being met. • ...
Omaha, NE · Remote
$27.59 - $56.63/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... from a medical and/or behavioral health perspective to ensure member needs are being met. • ...
Lincoln, NE · Remote
$27.59 - $56.63/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... from a medical and/or behavioral health perspective to ensure member needs are being met. • ...
Lincoln, NE · Remote
$27.59 - $56.63/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... from a medical and/or behavioral health perspective to ensure member needs are being met. • ...
Lincoln, NE · Remote
$27.59 - $56.63/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure ...
Lincoln, NE · Remote
$27.59 - $56.63/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure ...
Omaha, NE · Remote
$30 - $38/hr
... from-home schedule Pay: Competitive hourly rate of $40-$44/hour based on experience Additional ... Engage in remote patient monitoring using digital tools (e.g., scales, BG meters, BP monitors)
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Omaha, NE · Remote
$30 - $38/hr
... from-home schedule Pay: Competitive hourly rate of $40-$44/hour based on experience Additional ... Engage in remote patient monitoring using digital tools (e.g., scales, BG meters, BP monitors)
| Aspect | From Home Remote Rn Chart Review | From Home Remote LPN Chart Review |
|---|---|---|
| Required Credentials | Registered Nurse (RN) license | Licensed Practical Nurse (LPN) license |
| Work Environment | Remote, home-based | Remote, home-based |
| Job Responsibilities | Comprehensive chart review, clinical decision support | Basic chart review, data entry |
| Industry Usage | Hospitals, insurance companies, healthcare providers |
While both roles involve remote chart review, Rn Chart Review requires an RN license and involves more complex clinical assessments, whereas LPN Chart Review requires an LPN license with more routine data review tasks. The RN role typically offers higher responsibility and pay, reflecting the advanced clinical skills needed.
$90K - $110K/yr
Full-time
Posted 15 days ago
Are you ready to make a change?
We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote reimbursement, MDS, PDPM, Case Mix Index, and RAI support to our long-term care and skilled nursing facilities.
This position will work primarily from home and provide regional oversight to ensure accurate MDS completion, proper PDPM classification, optimized reimbursement, accurate case mix, regulatory compliance, and strong interdisciplinary team processes. Quarterly travel to assigned facilities will be required for on-site audits, training, clinical reimbursement review, and team support.
This role is ideal for a highly organized MDS professional with strong knowledge of PDPM, RAI guidelines, CMI, care planning, Medicare documentation, and long-term care reimbursement systems.
Key Responsibilities
Provide regional oversight for MDS, PDPM, CMI, and RAI processes
Monitor timely and accurate MDS completion across assigned facilities
Review PDPM classifications, clinical documentation, diagnosis coding, and reimbursement accuracy
Support Case Mix Index improvement through accurate assessment and documentation
Audit MDS assessments for accuracy, compliance, and missed reimbursement opportunities
Review Medicare Part A documentation and skilled coverage support
Assist with Triple Check and Medicare meetings
Support facility MDS Coordinators, DONs, Administrators, and interdisciplinary teams
Review care plans for accuracy and alignment with MDS assessments
Monitor ARD schedules, assessment calendars, significant change assessments, and discharge assessments
Provide education and coaching to facility MDS and clinical teams
Assist with RAI Manual interpretation and regulatory compliance
Identify trends, risks, late assessments, coding errors, and reimbursement concerns
Participate in monthly or quarterly reimbursement reviews with regional leadership
Travel quarterly to assigned facilities for audits, training, and operational support
Qualifications
Active RN license required
Long-term care/skilled nursing experience required
MDS experience required
Strong knowledge of PDPM, RAI, CMI, Medicare, and Medicaid case mix processes
Experience with multi-facility MDS oversight preferred
RAC-CT certification preferred
Experience with Triple Check, Medicare meetings, care planning, and reimbursement audits preferred
Strong understanding of RAI Manual requirements
Ability to work independently from home
Strong communication, organization, auditing, and follow-through skills
Ability to travel quarterly to assigned facilities
Experience with PCC or similar electronic health record system preferred
Compensation & Benefits
Competitive salary or hourly rate
Primarily remote/work-from-home position
Quarterly travel reimbursement
Mileage reimbursement
Lodging and meal reimbursement when overnight travel is required
Licensure or certification reimbursement as approved
Opportunity to support multiple facilities and directly impact reimbursement accuracy, compliance, and clinical outcomes
