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From Home Remote Rn Chart Review Jobs in Cleveland, TN

InsuraTec

Sales Representative (Remote)

Athens, TN · Remote

Location: 100% Remote (Work From Home) About InsuraTec: InsuraTec is a leading provider in financial planning and insurance services. We're looking for driven individuals to join our team as Sales ...

InsuraTec

Sales Representative (Remote)

Red Bank, TN · Remote

Location: 100% Remote (Work From Home) About InsuraTec: InsuraTec is a leading provider in financial planning and insurance services. We're looking for driven individuals to join our team as Sales ...

InsuraTec

Sales Representative (Remote)

Dalton, GA · Remote

Location: 100% Remote (Work From Home) About InsuraTec: InsuraTec is a leading provider in financial planning and insurance services. We're looking for driven individuals to join our team as Sales ...

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Showing results 21-40

All JobsRn Chart Review JobsFrom Home Remote Rn Chart Review JobsFrom Home Remote Rn Chart Review Jobs in Cleveland, TN

From Home Remote Rn Chart Review information

See Cleveland, TN salary details

$20

$37

$58

How much do from home remote rn chart review jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for from home remote rn chart review in Cleveland, TN is $37.58, according to ZipRecruiter salary data. Most workers in this role earn between $28.75 and $44.66 per hour, depending on experience, location, and employer.

What is the difference between From Home Remote Rn Chart Review vs From Home Remote LPN Chart Review?

AspectFrom Home Remote Rn Chart ReviewFrom Home Remote LPN Chart Review
Required CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote, home-basedRemote, home-based
Job ResponsibilitiesComprehensive chart review, clinical decision supportBasic chart review, data entry
Industry UsageHospitals, 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.

What are the most commonly searched types of Remote Rn Chart Review jobs in Cleveland, TN? The most popular types of Remote Rn Chart Review jobs in Cleveland, TN are:
What are popular job titles related to From Home Remote Rn Chart Review jobs in Cleveland, TN? For From Home Remote Rn Chart Review jobs in Cleveland, TN, the most frequently searched job titles are:
What job categories do people searching From Home Remote Rn Chart Review jobs in Cleveland, TN look for? The top searched job categories for From Home Remote Rn Chart Review jobs in Cleveland, TN are:
What cities near Cleveland, TN are hiring for From Home Remote Rn Chart Review jobs? Cities near Cleveland, TN with the most From Home Remote Rn Chart Review job openings:
From Home Remote Rn Chart Review jobs near you

Clinical Quality Assurance Auditor - Knoxville

BlueCross BlueShield of Tennessee

Chattanooga, TN • On-site, Remote

Full-time

Posted 13 days ago

Job description

The Clinical Quality Assurance team is looking for an auditor based in the Knoxville, TN region.Our RN auditors perform reviews for network providers to ensure our members are receiving quality care in offices that adhere to our internal quality standards as well as those requirements from regulatory bodies such as Medicare, TennCare and NCQA.While working from home, the auditor will travel to provider offices in the Knoxville region to perform different review types for all lines of business.
You will be a strong candidate for this role if you have the following:
  • Registered Nurse (RN) with an active Tennessee license or a license from a Nurse Licensure Compact state.
  • 4 years of healthcare experience.
  • 1 year of managed care experience or experience with Quality Medical Record Review.
  • Experience with HEDIS and/or STARS data collection.
  • Strong analytical skills with the ability to identify trends and recommend process improvements.
  • We foster a culture where innovation is encouraged, supporting employees with the tools and resources needed to succeed while promoting growth, creativity, and continuous learning.
  • Candidate should reside in the Knoxville regional area of TN to facilitate onsite visits to provider offices.

Note:
  • Flexibility is required, as provider or leadership needs may occasionally require support outside standard business hours, including after 5:00 p.m

Job Responsibilities
  • Presenting and communicating audit results to appropriate parties; participates in the development of procedures and standards that support and enhance all lines of business' quality of care goals.
  • Schedule and perform routine facility, practitioner site, and medical record reviews, utilizing established clinical audit tools reflective of national accreditation standards and regulatory agency requirements.
  • Identifying and evaluating areas of exposure, potential problems and liabilities. Analyze clinical data to improve individual provider compliance with education; provide oversight for regional contract staff and coordinate the effort of retrieval of HEDIS and/or STARS records; complete medical record audits for HEDIS and/or STARS data collection or quality of care reviews as required.
  • Providing required documents and consulting support for quality and compliance audits.
  • Various immunizations and/or associated medical tests may be required for this position.

Job Qualifications
Education
  • Bachelor's Degree in Health Care related field or equivalent work experience.

Experience
  • 4 years - Health Care experience required.
  • 1 year - Managed care experience or experience with Quality Medical Record Review.

Skills/Certifications
  • Demonstrated presentation and team facilitation skills
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
  • Excellent oral and written communication skills
  • Excellent time and project management skills
  • Strong analytical, planning, organizational and research skills

License
  • Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.

Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the "Use of Non BCBST-Owned Vehicle" Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times.
Number of Openings Available
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

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