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Professional Remote Rn Chart Review Jobs in Santa Rosa, CA

Atlas Home Health

RN Clinical Supervisor

Napa, CA · Remote

$60 - $70/hr

... review and chart audits. Support QAPI and survey readiness. Train and mentor RNs/LVNs. Serve as ... Remote, flexible schedule. Leadership role across pediatric and adult skilled nursing. High-touch ...

Atlas Home Health Inc

RN Clinical Supervisor

Napa, CA · Remote

$60 - $70/hr

... review and chart audits. • Support QAPI and survey readiness. • Train and mentor RNs/LVNs. • ... Why Join Us? • $60/hour compensation. • Remote, flexible schedule. • Leadership role across ...

Best Home Health Providers, Inc.

Registered Nurse

Napa, CA · Remote

$110 - $130/hr

Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Stay current with best practices through ongoing education and professional development. * Perform ...

DataAnnotation

Registered Nurse

Santa Rosa, CA · Remote

$40 - $60/hr

... 000 professionals who are driving real-world impact in AI development. Our platform offers an ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

DataAnnotation

RN

Santa Rosa, CA · Remote

$40 - $60/hr

... 000 professionals who are driving real-world impact in AI development. Our platform offers an ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

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Professional Remote Rn Chart Review information

What is the difference between Professional Remote Rn Chart Review vs Medical Records Reviewer?

AspectProfessional Remote Rn Chart ReviewMedical Records Reviewer
CredentialsRegistered Nurse (RN) licenseVaries; often includes medical background or certification
Work EnvironmentRemote, healthcare-focusedRemote or onsite, administrative or healthcare settings
Industry UsageHealthcare, insurance, legal casesHealthcare, insurance, legal documentation
Job FocusReviewing patient charts for accuracy, compliance, and medical necessityReviewing medical records for completeness, accuracy, and compliance

The Professional Remote Rn Chart Review primarily involves licensed RNs analyzing patient charts for medical accuracy and compliance, often for insurance or legal purposes. Medical Records Reviewers may have a broader background and focus on verifying the completeness and correctness of medical documentation. While both roles are remote and healthcare-related, the RN chart review emphasizes clinical expertise, whereas medical records reviewers may not require nursing credentials.

What cities near Santa Rosa, CA are hiring for Professional Remote Rn Chart Review jobs? Cities near Santa Rosa, CA with the most Professional Remote Rn Chart Review job openings:
Professional Remote Rn Chart Review jobs near you

Remote Utilization Review RN - RURR 26-06086

NavitasPartners

Healdsburg, CA • Remote

$40 - $45/hr

Other

Posted 9 days ago

Job description

Job Title: Remote Utilization Review RN

Location: Santa Rosa, CA
Assignment Duration: 13 Weeks
Schedule: Day Shift - 5x8 Hours (8:00 AM - 4:30 PM)

Compensation:
  • Pay Rate: $40-$45/hr based on experience
Position Overview:

We are seeking an experienced Remote Utilization Review Registered Nurse (RN) to support healthcare operations by ensuring the appropriate use of medical services and resources. The ideal candidate will have strong knowledge of medical necessity criteria, payer guidelines, and utilization review processes while working collaboratively with interdisciplinary healthcare teams.

Responsibilities:
  • Perform utilization review activities to ensure appropriate and cost-effective use of healthcare resources
  • Review patient medical records for medical necessity and compliance with payer requirements
  • Collaborate with physicians, case managers, and interdisciplinary healthcare teams
  • Submit, track, and monitor authorizations, approvals, and denials
  • Maintain accurate, timely, and compliant documentation
  • Ensure adherence to healthcare regulations and payer guidelines
  • Communicate effectively with providers and healthcare staff regarding review outcomes
  • Support quality improvement initiatives related to utilization management
Qualifications:
  • Active Registered Nurse (RN) License
  • Recent Utilization Review experience preferred
  • Strong understanding of payer guidelines and medical necessity criteria
  • Excellent communication, critical thinking, and organizational skills
  • Ability to work independently in a remote environment
  • Strong documentation and computer skills
  • Ability to manage multiple tasks in a fast-paced healthcare setting

For more details reach at Aditi.sharma@navitashealth.com or Call / Text at 516-587-6677.

About Navitas Healthcare, LLC: It is a certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

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