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Remote Anticoagulation Clinic Rn Jobs in Oregon (NOW HIRING)

Broadway Ventures

Medical Claims Reviewer (RN)

OR · Remote

Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team

firsthand Health

Remote Triage Nurse

Eugene, OR · Remote

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...

Community Care Partners

Triage RN (Remote)

Eugene, OR · On-site +1

The Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This ...

Centene

RN Supervisor, Appeals, Managed Care, UM

OR · On-site +1

$75K - $135K/yr

REMOTE RN candidates may reside in any state but a current and active RN license from the state of California is strongly preferred Position Purpose: Supervises Prior Authorization, Concurrent Review ...

Boulder Care

Registered Nurse (Telehealth/SUD)

OR · Remote

This is a 100% remote, full-time, W2 position. We are looking for RNs who: * Have an active, unrestricted RN license in your state of residency * Have a minimum of 2 years of specialized nursing ...

Ultragenyx Pharmaceutical

Clinical Engagement Liaison (CEL)

OR · Remote

$65K - $87K/yr

... clinic team consisting of clinical geneticists, metabolic dietitians, nurse practitioners, genetic ... Remote: Officially documented as working full-time from home, with travel to Ultragenyx's offices ...

firsthand Health

Remote Triage Nurse

Eugene, OR · On-site +1

$80K/yr

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...

HealthEdge

UM RN - Behavioral Health

EDUCATION: Registered Nurse with current unrestricted Registered Nurse license required ... Remote, US Type of Employment: Full-time, permanent FLSA Classification (USA Only): Exempt Work ...

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Remote Anticoagulation Clinic Rn information

What is the difference between Remote Anticoagulation Clinic Rn vs Remote Cardiology Nurse?

AspectRemote Anticoagulation Clinic RnRemote Cardiology Nurse
CertificationsRN license, anticoagulation management certificationRN license, cardiology-specific certifications
Work EnvironmentTelehealth clinics focusing on anticoagulation therapyTelehealth or outpatient settings for general cardiology care
Industry UsagePrimarily in anticoagulation management servicesBroader cardiology care, including diagnostics and patient education

The Remote Anticoagulation Clinic Rn specializes in managing patients on anticoagulant therapy via telehealth, requiring specific certifications. In contrast, the Remote Cardiology Nurse covers a wider range of cardiology services, often with broader certifications. Both roles operate remotely within healthcare but focus on different aspects of cardiac care, with the anticoagulation nurse concentrating on blood-thinning therapies and the cardiology nurse providing comprehensive cardiac support.

What are the most commonly searched types of Anticoagulation Clinic Rn jobs in Oregon? The most popular types of Anticoagulation Clinic Rn jobs in Oregon are:
What cities in Oregon are hiring for Remote Anticoagulation Clinic Rn jobs? Cities in Oregon with the most Remote Anticoagulation Clinic Rn job openings:
Remote Anticoagulation Clinic Rn jobs near you
Infographic showing various Remote Anticoagulation Clinic Rn job openings in Oregon as of July 2026, with employment types broken down into 84% Full Time, 10% Part Time, and 6% Contract. Highlights an 19% In-person, and 81% Remote job distribution.

Medical Claims Reviewer (RN)

Broadway Ventures

OR • Remote

Other

Re-posted 18 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 (meets for both clinical and HH requirement for a total of 2 years)
    • 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!

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