Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska
Lincoln, NE · Remote
$27.59 - $56.63/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Employment Type: Full Time
Lincoln, NE · Remote
$27.59 - $56.63/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Employment Type: Full Time
Lincoln, NE · Remote
$27.59 - $56.63/hr
... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ... Employment Type: Full Time
Lincoln, NE · Remote
$27.59 - $56.63/hr
Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team ... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ...
Lincoln, NE · Remote
$27.59 - $56.63/hr
Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team ... review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill ...
Lincoln, NE · On-site +1
$44K - $69K/yr
Assists in minor procedures across various specialties, supporting the RN and/or Provider by ... Work Schedule : Full time, Monday-Friday, shifts are scheduled 7:30 a.m.- 4 p.m. or 8 a.m.- 4 p.m ...
Lincoln, NE · On-site +1
$44K - $69K/yr
Assists in minor procedures across various specialties, supporting the RN and/or Provider by ... Work Schedule : Full time, Monday-Friday, shifts are scheduled 7:30 a.m.- 4 p.m. or 8 a.m.- 4 p.m ...
Lincoln, NE · On-site +1
Job Type Full-time Description Gentell is one of the largest vertically integrated wound care ... (RN, LPN, PT, OTR-L, DPM or similar) preferred but could be certified in the first year of hire ...
Lincoln, NE · On-site +1
Job Type Full-time Description Gentell is one of the largest vertically integrated wound care ... (RN, LPN, PT, OTR-L, DPM or similar) preferred but could be certified in the first year of hire ...
Lincoln, NE · Remote
$180K - $215K/yr
Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Full-time W-2 employment - Total annual on-target earnings of $180k-$215k+ , consisting of base ...
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Lincoln, NE · Remote
$180K - $215K/yr
Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Full-time W-2 employment - Total annual on-target earnings of $180k-$215k+ , consisting of base ...
Lincoln, NE · On-site +1
$117K - $170K/yr
... chart reviews. * Primary care providers will act as surrogates for absent primary care providers ... full-time, part-time or intermittent. Contact the hiring agency for more information on the ...
Lincoln, NE · On-site +1
$117K - $170K/yr
... chart reviews. * Primary care providers will act as surrogates for absent primary care providers ... full-time, part-time or intermittent. Contact the hiring agency for more information on the ...
Lincoln, NE · On-site +1
$230K - $235K/yr
... full time, permanent Primary Care Physician. * The Physician will be responsible for delivery of ... chart reviews. * Primary care physicians will act as surrogates for absent primary care providers ...
Lincoln, NE · On-site +1
$230K - $235K/yr
... full time, permanent Primary Care Physician. * The Physician will be responsible for delivery of ... chart reviews. * Primary care physicians will act as surrogates for absent primary care providers ...
Lincoln, NE · Remote
$53K - $88K/yr
Participate in provider business reviews and performance discussions * Recommend process ... Clinical experience or exposure (RN, LPN, Pharmacy Technician, etc.) * Experience managing complex ...
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Lincoln, NE · Remote
$53K - $88K/yr
Participate in provider business reviews and performance discussions * Recommend process ... Clinical experience or exposure (RN, LPN, Pharmacy Technician, etc.) * Experience managing complex ...
Lincoln, NE · Remote
$53K - $88K/yr
Participate in provider business reviews and performance discussions * Recommend process ... Clinical experience or exposure (RN, LPN, Pharmacy Technician, etc.) * Experience managing complex ...
Lincoln, NE · Remote
$53K - $88K/yr
Participate in provider business reviews and performance discussions * Recommend process ... Clinical experience or exposure (RN, LPN, Pharmacy Technician, etc.) * Experience managing complex ...
Lincoln, NE · On-site +1
$61K - $122K/yr
... Registered Nurses). * Stability and proven success in sales * Subject matter expert and high ... Remote ADDITIONAL LOCATIONS: WORK SHIFT: Standard TRAVEL: Yes, 10 % of the Time MEDICAL ...
Lincoln, NE · On-site +1
$61K - $122K/yr
... Registered Nurses). * Stability and proven success in sales * Subject matter expert and high ... Remote ADDITIONAL LOCATIONS: WORK SHIFT: Standard TRAVEL: Yes, 10 % of the Time MEDICAL ...
Lincoln, NE · Remote
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits ... treatment reviews Help clients strengthen coping tools and make sense of current challenges ...
Lincoln, NE · Remote
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits ... treatment reviews Help clients strengthen coping tools and make sense of current challenges ...
Lincoln, NE · On-site +1
$74K - $98K/yr
The project engineer is a registered professional engineer, whose supervision and guidance relate ... The project engineer supervises, coordinates, and reviews work of engineers or technicians and ...
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Lincoln, NE · On-site +1
$74K - $98K/yr
The project engineer is a registered professional engineer, whose supervision and guidance relate ... The project engineer supervises, coordinates, and reviews work of engineers or technicians and ...
Lincoln, NE · On-site +1
$15.76 - $23.65/hr
... Temp Full-Time Regular Work Schedule Monday - Friday, 8:00AM-5:00PM; Hours May Vary Remote ... Initial application review will begin on the date provided in the field above. Applications ...
Lincoln, NE · On-site +1
$15.76 - $23.65/hr
... Temp Full-Time Regular Work Schedule Monday - Friday, 8:00AM-5:00PM; Hours May Vary Remote ... Initial application review will begin on the date provided in the field above. Applications ...
Lincoln, NE · On-site +1
$17.40 - $26.10/hr
... Temp Full-Time Regular Work Schedule Monday - Friday, 8:00AM-5:00PM; Hours May Vary Remote ... Initial application review will begin on the date provided in the field above. Applications ...
Lincoln, NE · On-site +1
$17.40 - $26.10/hr
... Temp Full-Time Regular Work Schedule Monday - Friday, 8:00AM-5:00PM; Hours May Vary Remote ... Initial application review will begin on the date provided in the field above. Applications ...
Syracuse, NE · On-site +1
Come join one of the 2026 Best Places to Work in Healthcare in a full-time role with full benefits ... This role supports the healthcare team by reviewing and improving the content and accuracy of the ...
Syracuse, NE · On-site +1
Come join one of the 2026 Best Places to Work in Healthcare in a full-time role with full benefits ... This role supports the healthcare team by reviewing and improving the content and accuracy of the ...
Lincoln, NE · On-site +1
$95K - $120K/yr
... Type: Full-Time Work Arrangement: Remote / Hybrid Join a Firm That Values Expertise, Professional ... Position Responsibilities * Prepare and review individual, partnership, S corporation, C ...
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Lincoln, NE · On-site +1
$95K - $120K/yr
... Type: Full-Time Work Arrangement: Remote / Hybrid Join a Firm That Values Expertise, Professional ... Position Responsibilities * Prepare and review individual, partnership, S corporation, C ...
Lincoln, NE · On-site +1
This role offers flexible work options, including remote and hybrid opportunities, to accommodate ... Must be a registered professional engineer (PE) #LI-DD1 Additional Information Olsson specializes ...
Quick apply
Lincoln, NE · On-site +1
This role offers flexible work options, including remote and hybrid opportunities, to accommodate ... Must be a registered professional engineer (PE) #LI-DD1 Additional Information Olsson specializes ...
Lincoln, NE · On-site +1
Coordinates detailed reviews of technical work to ensure high-quality work is being performed and ... This role offers flexible work options, including remote and hybrid opportunities, to accommodate ...
Quick apply
Lincoln, NE · On-site +1
Coordinates detailed reviews of technical work to ensure high-quality work is being performed and ... This role offers flexible work options, including remote and hybrid opportunities, to accommodate ...
Lincoln, NE · On-site +1
$61K - $80K/yr
Receives reviews, and processes unit Army Material Status System (AMSS) reports and Missile ... Males born after 31 December 1959 must be registered for Selective Service. * Obtain/maintain the ...
Lincoln, NE · On-site +1
$61K - $80K/yr
Receives reviews, and processes unit Army Material Status System (AMSS) reports and Missile ... Males born after 31 December 1959 must be registered for Selective Service. * Obtain/maintain the ...
Experience reviewing and/or negotiating real estate contracts * A bachelor's degree is required; a ... Must be capable of performing well within a remote team, and representing Olsson's real estate ...
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Experience reviewing and/or negotiating real estate contracts * A bachelor's degree is required; a ... Must be capable of performing well within a remote team, and representing Olsson's real estate ...
$20.93 - $24.58
5% of jobs
$24.58 - $28.23
15% of jobs
$29.68 is the 25th percentile. Wages below this are outliers.
$28.23 - $31.89
13% of jobs
$31.89 - $35.54
15% of jobs
The median wage is $36.24 / hr.
$35.54 - $39.19
14% of jobs
$39.19 - $42.85
11% of jobs
$44.33 is the 75th percentile. Wages above this are outliers.
$42.85 - $46.50
8% of jobs
$46.50 - $50.15
6% of jobs
$50.15 - $53.80
8% of jobs
$53.80 - $57.46
3% of jobs
$57.46 - $61.11
2% of jobs
$20
$39
$61
| Aspect | Full Time Remote Rn Chart Review | Full Time Remote LPN Chart Review |
|---|---|---|
| Credentials | Registered Nurse (RN) license | Licensed Practical Nurse (LPN) license |
| Work Environment | Remote, healthcare documentation review | Remote, healthcare documentation review |
| Industry Usage | Common in healthcare, insurance, and legal sectors | Less common, primarily in healthcare documentation |
| Job Focus | Detailed medical record review, complex case analysis | Basic record review, data entry, and documentation |
While both roles involve remote healthcare documentation review, RNs typically handle more complex cases requiring clinical expertise, whereas LPNs focus on more routine record reviews. The choice depends on your credentials and desired level of clinical involvement.

Lincoln, NE • Remote
$27.59 - $56.63/hr
Full-time
Re-posted 21 days ago
8.0
Based on 197 frontline employees who took The Breakroom Quiz
161st of 300 rated insurance
JOB DESCRIPTION
This position will offer remote work flexibility, but the selected candidate must reside in Michigan.
Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team as a Clinical Auditor. The person filling this role will be an instrumental part of the team work to align the Medicaid Team compliance guidelines with those followed by our corporate teams. Knowledge and experience working with NCQA standards is vital to success in this role.
The preferred candidate will have 3 - 5 years of experience in a MCO and at least 2 years of clinical auditing and/or review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill sets we are seeking. Licensure should be an LPC, RN, LLMSW, LMSW, LBSW.
Hours are Monday - Friday, 8AM - 5PM in your time zone.
Job Summary
Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Performs audits in care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. May also perform non-clinical system and process audits as needed.
Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met.
Assesses clinical staff regarding appropriate clinical decision-making.
Reports monthly outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
Ensures auditing approaches follow a Molina standard in approach and tool use.
Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA), and professionalism in all communications.
Adheres to departmental standards, policies and protocols.
Maintains detailed records of auditing results.
Assists healthcare services training team with developing training materials or job aids as needed to address findings in audit results.
Meets minimum production standards related to clinical auditing.
May conduct staff trainings as needed. Communicates with quality and/or healthcare services leadership regarding issues identified and works collaboratively to subsequently resolve/correct.
Required Qualifications
At least 2 years health care experience, with at least 1 year experience in care management, and/or managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and restricted in state of practice.
Strong attention to detail and organizational skills.
Strong analytical and problem-solving skills.
Ability to work in a cross-functional, professional environment.
Ability to work on a team and independently.
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Care management, behavioral health and/or long-term services and supports (LTSS) clinical review/auditing experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $27.59 - $56.63 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980