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

Oscar Health

Sr. Quality of Care Review Nurse

Tempe, AZ · Remote

$83K - $109K/yr

... Remote Pay Transparency: The base pay for this role is: $83,628 - $109,761.75 per year. You are ... Licensed Registered Nurse with active, unrestricted license in state of residence and willingness ...

Oscar Health

Case Management RN

Tempe, AZ · Remote

$32.60 - $42.79/hr

... Remote Pay Transparency: The base pay for this role is: $32.60 - $42.79 per hour. You are also ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

Honorhealth

RN Clinical Documentation

Phoenix, AZ · Remote

$32.75 - $44/hr

Clinical Documentation Option to work fully remote or in-office near Deer Valley, AZ. Must reside ... Conducts follow-up reviews of clinical documentation to ensure points of clarification have been ...

New

HonorHealth

RN Clinical Documentation

Phoenix, AZ · On-site +1

$32.75 - $44/hr

Clinical Documentation Option to work fully remote or in-office near Deer Valley, AZ. Must reside ... Conducts follow-up reviews of clinical documentation to ensure points of clarification have been ...

CommonSpirit Health

Care Transformation RN

Phoenix, AZ · Remote

$41.14 - $67.88/hr

Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...

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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?

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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For Per Diem Remote Rn Chart Review jobs in Arizona, the most frequently searched job titles are:

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What cities in Arizona are hiring for Per Diem Remote Rn Chart Review jobs?

Cities in Arizona with the most Per Diem Remote Rn Chart Review job openings:

Per Diem Remote Rn Chart Review jobs near you

Care Review Clinician (RN) Remote (AZ)

Molina Healthcare

Gilbert, AZ • Remote

$26.41 - $51.49/hr

Full-time

Posted 21 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

163rd of 307 rated insurance

Job description

JOB DESCRIPTION 

This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN licensure.  The ideal candidate will have experience with UM and prior authorization with both inpatient and outpatient.  Candidates with a Behavioral Health background are highly preferred. Further details to be discussed during our interview process. Prefers candidates with 3 years of experience.

Remote position, must reside in Arizona.

Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time with some weekends and holidays. 

Job Summary

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. 
Essential Job Duties 
• Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. 
• Analyzes clinical service requests from members or providers against evidence based clinical guidelines. 
• Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. 
• Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. 
• Processes requests within required timelines. 
• Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. 
• Requests additional information from members or providers as needed. 
• Makes appropriate referrals to other clinical programs. 
• Collaborates with multidisciplinary teams to promote the Molina care model. 
• Adheres to utilization management (UM) policies and procedures. 
Required Qualifications 
• At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. 
• Registered Nurse (RN). License must be active and unrestricted in state of practice. 
• Ability to prioritize and manage multiple deadlines. 
• Excellent organizational, problem-solving and critical-thinking skills. 
• Strong written and verbal communication skills. 
• Microsoft Office suite/applicable software program(s) proficiency. 
Preferred Qualifications 
• Certified Professional in Healthcare Management (CPHM). 
• Recent hospital experience in an intensive care unit (ICU) or emergency room. 
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: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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About Molina Healthcare

Sourced by ZipRecruiter

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.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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