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Per Diem Remote Rn Chart Review Jobs in Arizona (NOW HIRING)

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee ...

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Per Diem Remote Rn Chart Review information

What are the key skills and qualifications needed to thrive as a Per Diem Remote RN Chart Review, and why are they important?

To excel as a Per Diem Remote RN Chart Review, you need an active RN license, clinical experience, and a thorough understanding of medical terminology and healthcare documentation. Familiarity with electronic health records (EHR) systems and chart review software, as well as knowledge of coding and compliance standards, is typically required. Strong attention to detail, self-motivation, and effective written communication set standout candidates apart. These skills ensure accurate and timely chart reviews, supporting quality care, risk management, and regulatory compliance in a remote environment.

What is the difference between Per Diem Remote Rn Chart Review vs Per Diem Remote Rn Case Management?

AspectPer Diem Remote Rn Chart ReviewPer Diem Remote Rn Case Management
CertificationsRN license, possibly specialized in reviewRN license, case management certification preferred
Work EnvironmentReviewing patient charts remotely, focused on documentationManaging patient care plans remotely, coordinating services
Employer & Industry UsageHospitals, insurance companies, healthcare agenciesInsurance companies, healthcare providers, case management firms
Search & Comparison IntentFocus on chart review tasks, documentation reviewFocus on patient care coordination, case management duties

While both roles are remote nursing positions, Per Diem Remote Rn Chart Review primarily involves reviewing patient records and documentation, whereas Per Diem Remote Rn Case Management focuses on coordinating patient care plans and services. Understanding these differences helps job seekers identify roles that match their skills and career goals.

What is a Per Diem Remote RN Chart Review?

A Per Diem Remote RN Chart Review is a nursing position where registered nurses work on an as-needed basis (per diem), reviewing patient medical charts remotely, often from home. The primary responsibility is to analyze health records for accuracy, completeness, and compliance with regulatory standards. Nurses in this role may help ensure proper documentation for billing, quality assurance, or clinical studies. This job requires strong attention to detail, clinical experience, and proficiency with electronic health records. Flexibility is a key benefit, as nurses can often choose their own hours and workload.

What are some common challenges faced by Per Diem Remote RN Chart Reviewers, and how can these be managed?

Per Diem Remote RN Chart Reviewers often face challenges such as adapting to varying documentation styles across different healthcare organizations, managing fluctuating workloads, and ensuring strict adherence to privacy regulations while working remotely. To manage these challenges, it's important to maintain strong organizational skills, stay updated on charting guidelines, and establish a secure and distraction-free workspace. Regular communication with team members and seeking clarification on ambiguous records can also help ensure accuracy and efficiency in reviews.
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Per Diem Remote Rn Chart Review jobs near you
Utilization Review Nurse

Utilization Review Nurse

Oscar Health

Tempe, AZ • Remote

$35 - $45.94/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

237th of 281 rated insurance

Job description

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.

About the role:

You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

You will report into the Supervisor, Utilization Review.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

  • Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines
  • Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines
  • Meet required decision-making SLAs
  • Refer members for further care engagement when needed
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
  • Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Nursing Diploma Program in Accredited School of Nursing
  • Ability to obtain additional state licenses to meet business needs
  • 1+ year of utilization review experience in a managed care setting
  • Strong experience utilizating MCG (Milliman Care Gudielines)
  • 1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)
  • Weekend availability is required; all applicants must be able to work at least one weekend day (Saturday or Sunday) each week.

Bonus points:

  • BSN
  • Previous experience conducting concurrent or inpatient reviews for a managed care plan

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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