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Remote Cdi Rn Jobs in North Carolina (NOW HIRING)

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Oshi Health

GI- Nurse Practitioner

Charlotte, NC · Remote

Preferred RN compact License Required Location: We are only hiring from the following states ... Remote-first -- work from home anywhere in the US within our approved states * Growth: Advanced ...

SalvoHealth

Registered Dietitian, Remote

Charlotte, NC · On-site +1

$30.50 - $41/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...

SalvoHealth

Registered Dietitian, Remote

Charlotte, NC · Remote

$30.50 - $41/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Work closely with a multidisciplinary team, including fellow registered dietitians, licensed nurses ...

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How much do remote cdi rn jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote cdi rn in North Carolina is $43.56, according to ZipRecruiter salary data. Most workers in this role earn between $32.36 and $51.97 per hour, depending on experience, location, and employer.

What are the typical daily responsibilities of a Remote CDI RN?

As a Remote CDI RN, your daily tasks generally include reviewing patient medical records, identifying opportunities to clarify documentation, and collaborating with physicians and coding teams to ensure accuracy and completeness. You may participate in team meetings, provide education to clinical staff about documentation best practices, and use specialized software to track workflow and metrics. Working remotely requires effective time management as you balance multiple reviews and communications electronically. This role directly impacts quality reporting, risk management, and reimbursement for healthcare organizations.

What is a Remote CDI RN?

A Remote CDI RN (Clinical Documentation Integrity Registered Nurse) is a nursing professional who reviews medical records to ensure accurate and complete documentation for coding and billing purposes. They work remotely, collaborating with physicians and healthcare teams to clarify diagnoses and improve documentation quality. This role helps optimize reimbursement, ensures compliance with regulations, and enhances patient care accuracy. Strong clinical knowledge, coding proficiency, and communication skills are essential for success in this position.

What are the key skills and qualifications needed to thrive in the Remote CDI RN position, and why are they important?

To thrive as a Remote CDI RN, you need a current registered nursing license, solid clinical experience, and a deep understanding of clinical documentation improvement (CDI) processes. Familiarity with electronic health record (EHR) software, coding systems like ICD-10, and sometimes certifications such as CCDS or CDIP are commonly required. Strong attention to detail, effective communication, and the ability to work independently make candidates stand out. These skills are critical to ensuring accurate clinical documentation that reflects appropriate patient care and supports organizational compliance and reimbursement.

What are popular job titles related to Remote Cdi Rn jobs in North Carolina? For Remote Cdi Rn jobs in North Carolina, the most frequently searched job titles are:
What job categories do people searching Remote Cdi Rn jobs in North Carolina look for? The top searched job categories for Remote Cdi Rn jobs in North Carolina are:
What cities in North Carolina are hiring for Remote Cdi Rn jobs? Cities in North Carolina with the most Remote Cdi Rn job openings:
Remote Cdi Rn jobs near you
Infographic showing various Remote Cdi Rn job openings in North Carolina as of August 2026, with employment types broken down into 81% Full Time, and 19% Part Time. Highlights an 100% Remote job distribution, with an average salary of $90,604 per year, or $43.6 per hour.

RN Utilization Management Reviewer

Sagility LLC

Concord, NC • Remote

$35 - $40/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

Sagility rating

4.6

Company rating: 4.6 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

62nd of 71 rated call and contact centers

Job description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

RN Utilization Management Reviewer

Job Description:

We are currently hiring a talented RN, Utilization Management Reviewer. This role will be responsible in day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS compliance standards in the area of service decisions and organizational determinations. Successful candidates must hold a valid, current license issued by the Massachusetts Board of Registration in Nursing.

Key responsibilities:

  • Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but not limited to surgical procedures, Medicare Part B medications, Long Term Services and Supports (LTSS), and Home Health (HH)
  • Applies established criteria (e.g., InterQual and other available guidelines) and employs clinical expertise to interpret clinical criteria to determine medical necessity of services
  • Communicates results of reviews verbally, in the medical record, and through official written notification to the primary care team, specialty providers, vendors and members in adherence with regulatory and contractual requirements
  • Provides decision-making guidance to clinical teams on service planning as needed
  • Works closely with Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in accordance with Standard Operating Procedures
  • Ensures accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy
  • Works with UM Manager and other clinical leadership to ensure that departmental and organizational policies and procedures as well as regulatory and contractual requirements are met
  • Additional duties as requested by supervisor
  • Maintains knowledge of CMS, State and NCQA regulatory requirements

Education Requirements:

  • RN - Associate's Degree required, Bachelor's Degree preferred
  • RN, current license issued by the Massachusetts Board of Registration in Nursing
  • CCM (Certified Case Manager) a plus

Required Experience (must have):

  • 1 to 2 years Utilization Management experience.
  • 2 or more years working in a clinical setting

Desired Experience (nice to have):

  • 2 or more years of Home Health Care experience
  • 2 or more years working in a Medicare Advantage health Plan

Required Knowledge, Skills & Abilities (must have):

  • Ability to complete assigned work in a timely and accurate manner
  • Knowledge of the Utilization management process
  • Ability to work independently

Desired Knowledge, Skills, Abilities & Language (nice to have):

  • Ability to apply predetermined criteria (e.g., Medical Necessity Guidelines, InterQual) to service decision requests to assess medical necessity
  • Flexibility and understanding of individualized care plans
  • Ability to influence decision making
  • Strong collaboration and negotiation skills
  • Strong interpersonal, verbal, and written communication skills
  • Comfort working in a team-based environment
  • Knowledge of Medicare and Mass health services and benefits

Salary: $35.00 - $40.00 Hourly pending experience

Hours: Monday through Friday 9AM to 5:30PM Eastern Time. May require weekends

This is a fully remote work at home role. You must have a secure, private wok at home area with a hardwired internet connection with speeds greater than 5MB upload and 10MB download.

Sagility Offers Competitive Benefits Including:

  • Medical
  • Dental
  • Vision
  • Life Insurance
  • Short-Term and Long-Term Disability
  • Flexible Spending Account
  • Life Assistance Program
  • 401K with employer contribution
  • PTO and Sick Time
  • Tuition Reimbursement

Join our team, we look forward to talking with you!

An Equal Opportunity Employer/Vet/Disability

Location:

Work@Home USAUnited States of America

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