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
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
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 ...
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 ...
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
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
Remote Care Management Nurse
Portland, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
Remote Care Management Nurse
Portland, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
Remote Care Management Nurse
Salem, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
Remote Care Management Nurse
Salem, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
Remote Care Management Nurse
Bend, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
Remote Care Management Nurse
Bend, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
Remote Care Management Nurse
Medford, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
Remote Care Management Nurse
Medford, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
Registered Nurse / Wound Care (Tier 3) / VA Reviewer - Remote (#25276) Location ... Remote Employment Type: Contract (Case-based) Hourly Rate: Per Case Compensation (See details below ...
Registered Nurse / Wound Care (Tier 3) / VA Reviewer - Remote (#25276) Location ... Remote Employment Type: Contract (Case-based) Hourly Rate: Per Case Compensation (See details below ...
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 ...
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 ...
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
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
If you are a registered nurse licensed in the state of Oregon or are willing to obtain your Oregon ... Location: Remote: This position has the possibility of being 100% remote. About Us: Yamhill ...
If you are a registered nurse licensed in the state of Oregon or are willing to obtain your Oregon ... Location: Remote: This position has the possibility of being 100% remote. About Us: Yamhill ...
If you are a registered nurse licensed in the state of Oregon or are willing to obtain your Oregon ... Location: Remote: This position has the possibility of being 100% remote. About Us: Yamhill ...
If you are a registered nurse licensed in the state of Oregon or are willing to obtain your Oregon ... Location: Remote: This position has the possibility of being 100% remote. About Us: Yamhill ...
Strong understanding of both RN and PN scope of practice * Fluency in English with excellent writing, editing, and communication skills * Comfort working in a fast-paced, fully remote, and ...
Strong understanding of both RN and PN scope of practice * Fluency in English with excellent writing, editing, and communication skills * Comfort working in a fast-paced, fully remote, and ...
Healthcare Recruiters
OR · Remote
$55K/yr
... seeking remote Healthcare Recruiters to manage a high volume of local contract orders. Currently, their pipeline is a diverse 50/50 split between Registered Nurses (RNs) and Allied Health ...
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Healthcare Recruiters
OR · Remote
$55K/yr
... seeking remote Healthcare Recruiters to manage a high volume of local contract orders. Currently, their pipeline is a diverse 50/50 split between Registered Nurses (RNs) and Allied Health ...
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Medical & Disability Nurse Case Manager
Lake Oswego, OR · On-site +1
$67K/yr
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Medical & Disability Nurse Case Manager
Lake Oswego, OR · On-site +1
$67K/yr
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Remote HEDIS Specialist
OR · Remote
Must be bilingual, fluent in Spanish, they will be remote workers supporting Molina Puerto Rico Licensed RN/LVN/LPN HEDIS knowledge Ability to read and understand medical records Independent and able ...
Remote HEDIS Specialist
OR · Remote
Must be bilingual, fluent in Spanish, they will be remote workers supporting Molina Puerto Rico Licensed RN/LVN/LPN HEDIS knowledge Ability to read and understand medical records Independent and able ...
... RN license in state of residence. Education: · Nursing degree or diploma required, bachelor ... remote environment while maintaining adherence to timeliness and regulatory requirements. · ...
... RN license in state of residence. Education: · Nursing degree or diploma required, bachelor ... remote environment while maintaining adherence to timeliness and regulatory requirements. · ...
The RN Utilization Management (UM) Team Lead provides clinical and operational leadership to ... Remote leadership effectiveness: dependable attendance, organization, and ability to troubleshoot ...
The RN Utilization Management (UM) Team Lead provides clinical and operational leadership to ... Remote leadership effectiveness: dependable attendance, organization, and ability to troubleshoot ...
Remote Apheresis Rn information
What are the key skills and qualifications needed to thrive as a Remote Apheresis RN, and why are they important?
What are some common challenges faced by Remote Apheresis RNs and how can they be addressed?
What is the difference between Remote Apheresis Rn vs Apheresis Technician?
| Aspect | Remote Apheresis Rn | Apheresis Technician |
|---|---|---|
| Credentials | Registered Nurse (RN) license, specialized training in apheresis | Certification or training in apheresis procedures, often no RN license required |
| Work Environment | Primarily remote with some in-clinic oversight | In-clinic or mobile apheresis procedures |
| Industry Usage | Used in hospitals, clinics, and remote patient management | Typically works directly with patients during procedures |
Remote Apheresis Rns and Apheresis Technicians both work in apheresis procedures, but Rns have nursing credentials and often work remotely or oversee patient care, while Technicians focus on performing procedures on-site. Understanding these differences helps job seekers find roles aligned with their qualifications and career goals.
What are Remote Apheresis RNs?
Job description
Job Type: Full-time (40 hours/week)
Schedule: Monday-Friday, 8:00 AM - 5:00 PM
Max Salary: W-2 ($65,000/$31.25)
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.
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.
- 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).
- Associate Degree in Nursing
OR - Graduate of an accredited School of Nursing.
- Two years of clinical experience plus at least two years in one of the following:
- Home Health
- Utilization/Medical Review
- Quality Assurance
- 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.
- 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!
About BROADWAY VENTURES
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
11 - 50 Employees
Headquarters location
Canton, MS, US
Year founded
2013