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Home Remote Jobs in Oregon (NOW HIRING)

You would join a small, fun & amazing team in a full-time work-from-home (remote) position. Ideally, you will bring full-cycle recruiting experience and have recruited for technical (I.T.) positions.

You would join a small, fun & amazing team in a full-time work-from-home (remote) position. Ideally, you will bring full-cycle recruiting experience and have recruited for technical (I.T.) positions.

You would join a small, fun & amazing team in a full-time work-from-home (remote) position. Ideally, you will bring full-cycle recruiting experience and have recruited for technical (I.T.) positions.

Business Development Executive in the US/Caribbean Markets! WORK FROM ANYWHERE - remote opportunity Position Overview: We are seeking a highly motivated and experienced Business Developer to join our ...

Remote Recruiter

OR · Remote

$55K - $58K/yr

Seattle is our home and headquarters. We've been successful in this unique business for over 30 years and we continue to advance our technology and business processes to remain years ahead of what ...

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Home Remote information

What are the key skills and qualifications needed to thrive as a Remote Worker, and why are they important?

To thrive as a remote worker, you need strong self-motivation, time management, and relevant job-specific expertise, typically supported by a stable internet connection and proficiency in your field. Familiarity with digital collaboration tools such as Zoom, Slack, and project management platforms like Trello or Asana is essential. Excellent communication, adaptability, and problem-solving skills help remote workers stay connected and productive despite physical distance. These skills and qualities are crucial to ensure accountability, effective collaboration, and consistent performance outside a traditional office environment.

What are some common challenges faced by professionals working in home remote roles, and how can they be managed?

One common challenge for home remote professionals is maintaining clear communication and collaboration with team members who may be in different locations or time zones. To manage this, it's important to use reliable communication tools, set regular check-in meetings, and establish clear expectations for availability and response times. Additionally, remote workers often need to proactively create boundaries between work and personal life to avoid burnout and maintain productivity. Staying organized with daily task lists and leveraging project management platforms can also help ensure responsibilities are met and deadlines are achieved.

What are home remote jobs?

Home remote jobs are positions that allow employees to work from their own homes rather than commuting to a traditional office. These jobs span a wide range of industries, including customer service, writing, software development, data entry, and more. Home remote roles typically require a reliable internet connection, self-motivation, and the ability to manage time effectively. Many companies now offer remote work options to provide employees with greater flexibility and work-life balance.

What is the difference between Home Remote vs Customer Service Representative?

AspectHome RemoteCustomer Service Representative
Required CredentialsHigh school diploma or equivalent; some roles may require specific certificationsHigh school diploma or equivalent; customer service training often preferred
Work EnvironmentRemote, home-based setting with flexible hoursTypically office or call center, but increasingly remote options available
Industry UsageUsed across various industries including tech, sales, and supportPrimarily in retail, telecom, and service sectors
Common Search/ComparisonYesYes

Home Remote jobs and Customer Service Representative roles often overlap in work environment and required skills. While Home Remote positions offer flexibility and are suitable for those seeking remote work, Customer Service Representatives focus on assisting customers, often in call centers or online. Both roles are in high demand and frequently compared by job seekers looking for remote customer support opportunities.

What are the most commonly searched types of Home jobs in Oregon? The most popular types of Home jobs in Oregon are:
What are popular job titles related to Home Remote jobs in Oregon? For Home Remote jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Home Remote jobs in Oregon look for? The top searched job categories for Home Remote jobs in Oregon are:
What cities in Oregon are hiring for Home Remote jobs? Cities in Oregon with the most Home Remote job openings:

Remote Home Health RN - Medical Claims Reviewer

Broadway Ventures

Remote

Other

Posted 10 days ago


Job description

Job Type: Full-time (40 hours/week)
Schedule: Monday-Friday, 8:00 AM - 5:00 PM

Max Salary: W-2 ($60,000-$63,000)

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 QualificationsLicensure:
  • 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!