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Remote Case Reviewer Jobs in Kentucky (NOW HIRING)

Deloitte

System Test and Validation Lead

Louisville, KY · On-site +1

Experience supporting periodic review programs for validated systems and associated CAPA triggers ... This compensation range is specific to a remote role and takes into account the wide range of ...

Deloitte

System Test and Validation Lead

Louisville, KY · On-site +1

Experience supporting periodic review programs for validated systems and associated CAPA triggers ... This compensation range is specific to a remote role and takes into account the wide range of ...

Deloitte

System Test and Validation Lead

Louisville, KY · On-site +1

Experience supporting periodic review programs for validated systems and associated CAPA triggers ... This compensation range is specific to a remote role and takes into account the wide range of ...

Xometry

Virtual Quality Control Inspector

Lexington, KY · On-site +1

The successful candidate will interact with DFM Engineering, Manufacturing, Quality Control, Case ... Previous remote work experience a plus #LI-Hybrid Xometry is an equal opportunity employer. All ...

Isaiah House Inc

Clinical Therapist Pool

Harrodsburg, KY · On-site +1

$47K - $63K/yr

Applications will be reviewed as staffing needs arise, and qualified candidates may be contacted ... Positions are primarily on-site; however, remote candidates may be considered depending on the ...

Humana

Senior Insider Threat Engineer

Louisville, KY · Remote

$110K - $150K/yr

Become a part of our caring community (Remote role, though selected candidate is required to live ... case creation, custodian management, search, review, and defensible export of evidence. Endpoint ...

Humana

Senior Insider Threat Engineer

Louisville, KY · On-site +1

$110K - $150K/yr

... case creation, custodian management, search, review, and defensible export of evidence. Endpoint ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

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Showing results 21-40

All JobsCase Reviewer JobsRemote Case Reviewer JobsRemote Case Reviewer Jobs in Kentucky

Remote Case Reviewer information

What are the key skills and qualifications needed to thrive as a remote case reviewer?

To thrive as a Remote Case Reviewer, you need strong analytical skills, attention to detail, and relevant professional credentials, often in fields like healthcare, insurance, or law. Familiarity with case management software, electronic documentation systems, and industry regulations (such as HIPAA for healthcare) is typically required. Excellent written communication, time management, and independent decision-making are standout soft skills for this role. These abilities ensure accurate, compliant, and efficient case evaluations while maintaining high-quality standards in a remote work environment.

What is the difference between Remote Case Reviewer vs Remote Claims Processor?

AspectRemote Case ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; healthcare or legal background often preferredHigh school diploma or equivalent; experience in insurance or claims processing beneficial
Work EnvironmentHome-based, independent review settingHome-based, processing insurance claims
Industry UsageHealthcare, legal, insurance sectorsInsurance companies, third-party administrators
Common Search/ComparisonRemote Case Reviewer vs Remote Claims Processor

While both roles are remote and involve handling cases or claims, Remote Case Reviewers primarily evaluate and assess cases, often requiring specialized knowledge in healthcare or legal fields. Remote Claims Processors focus on processing insurance claims, verifying information, and ensuring accurate payment. Understanding these differences helps job seekers identify the role that best matches their skills and career goals.

What are some common challenges remote case reviewers face, and how can they effectively manage them?

Remote Case Reviewers often encounter challenges such as managing a high volume of cases, staying organized with digital documentation, and maintaining clear communication with team members across different locations. To address these, it's important to develop strong time management skills, utilize standardized review checklists, and take advantage of collaboration tools like secure messaging platforms. Regular virtual meetings and clear protocols help ensure consistency and quality, while ongoing training can keep reviewers up to date on best practices.

What is a remote case reviewer?

Remote case reviewers are professionals who assess and evaluate cases, such as medical, legal, or insurance files, from a remote location rather than working on-site. Their responsibilities typically include reviewing documentation, ensuring compliance with policies and regulations, and providing recommendations or decisions based on their findings. Remote case reviewers use secure digital platforms to access and analyze case materials, enabling flexibility and efficiency in their work. This role can be found in industries like healthcare, law, insurance, and finance. Strong attention to detail and analytical skills are essential for success in this position.
What are the most commonly searched types of Case Reviewer jobs in Kentucky? The most popular types of Case Reviewer jobs in Kentucky are:
What are popular job titles related to Remote Case Reviewer jobs in Kentucky? For Remote Case Reviewer jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Remote Case Reviewer jobs in Kentucky look for? The top searched job categories for Remote Case Reviewer jobs in Kentucky are:
What cities in Kentucky are hiring for Remote Case Reviewer jobs? Cities in Kentucky with the most Remote Case Reviewer job openings:
Remote Case Reviewer jobs near you
Infographic showing various Remote Case Reviewer job openings in Kentucky as of August 2026, with employment types broken down into 71% Full Time, 15% Part Time, and 14% Contract. Highlights an 100% Remote job distribution.

Tele-Triage Registered Nurse - RN

Starting Point Nursing Services

Louisville, KY • On-site, Remote

$33/hr

Part-time

Posted 6 days ago

Job description

Our Company
Starting Point Nursing Services
Overview
Part Time Tele-Triage (Fully Remote) Registered Nurse Position:
*Must have compact state RN licensure from the state in which you currently reside
*Remote Triage & Home Health RN experience highly preferred
*Potential Start Date: 9/14/26
New Available PART TIME Schedules:
*Wednesday, 6p-10p CST (7p-11p EST) and Thursday, Friday & Saturday from 2p-10p CST (3p-11p EST)
This Registered Nurse provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care plans for persons served in the area of responsibility. The Tele-Triage RN assesses health status, identifies problems and needs of person(s) served in their assigned caseload, develops nursing care plans in collaboration with operations RN's. You will complete chart reviews and monthly host home reviews and perform On-Bound calling to assigned populations/locations. This RN performs data analysis in multiple systems.
Responsibilities
  • Monitor assigned phone lines during service hours to ensure timely response for caller needs
  • Triage all symptom-based calls and give recommendations according to the approved triage protocol
  • Triage patients by assessing severity of symptoms and referral to appropriate setting or level of care
  • Document in real time all care related recommendations and ensure local operations are notified of triage supports and outcomes
  • Initiate contact with acute care setting to coordinate services for clients receiving care in the ED/Hospital and coordinate the discharge planning; Notify operations of triage recommendations
  • Coordinate any medication orders with the assigned pharmacy and update MAR/QuickMar for appropriate administration
  • Work assigned prior authorizations to ensure timely documentation and submit to assigned pharmacy for billing
  • Complete/conduct assessment and reassessment of persons served as assigned
  • Develop/update care plans and determine persons served needs and secure physicians orders as needed
  • Communicate with beneficiaries primarily phone, text, online (web) chat, or email
  • Ensure compliance with state/local/payer requirements through review of documentation
  • Provide coaching and education related to the health and well-being of persons served
  • Participate in performance improvement activities and maintain ongoing clinical knowledge through internal/external training programs
  • Document above actions in Nurse's Notes or Service Delivery Log
  • Maintain time sheet log for weekly submission for productivity management to assigned supervisor
  • Notify each practice, physician, and/or managed care client of all encounters with patients, parents, or managed care clients regardless of follow-up needs before office opening
  • Notify designated leadership of operational concerns
  • Actively participate in applicable meetings and committees as requested (e.g., IDT, HRC, Safety/Quality committee, and annual person served directed/active treatment plan meetings)

Qualifications
  • Degree/certification from an accredited school of nursing
  • Current licensure as a Registered Nurse (RN) in the state of practice, which is current and remains in good standing. Must have a compact state RN license.
  • Clinical experience in providing services and supports to individuals with intellectual and developmental disabilities, home health and Hospice patients or related disorders
  • Two year Home Health nursing experience

About our Line of Business
Starting Point Nursing Services, an affiliate of BrightSpring Health Services, is staffed 100% by a team of remote registered nurses trained to support the post-acute continuum with clinical advice and interventions. Our 24/7 On-Call and Triage team responds to physician practices, home health agencies, intellectual disability providers, and assisted living providers. Our services are tailored to our partners, including remote physical/chart assessments, predictive care modeling, clinical programming interventions for high-risk populations, emergent care coordination, and case management. For more information, please visit www.startingpointnursing.com. Follow us on LinkedIn.
Salary Range
USD $33.00 - $35.00 / Hour

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