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Remote Cdi Rn Jobs in Springfield, IL (NOW HIRING)

AltaStaff, LLC

Care Review Clinician

Springfield, IL · Remote

$40 - $42/hr

This is a fully remote role but candidates must have a valid RN license in Illinois*** Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for ...

Humana

Manager, Care Management

Springfield, IL · Remote

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Humana

Manager, Care Management

Springfield, IL · Remote

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Humana

Manager, Care Management

Springfield, IL · Remote

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

All JobsCdi Rn JobsRemote Cdi Rn JobsRemote Cdi Rn Jobs in Springfield, IL

Remote Cdi Rn information

See Springfield, IL salary details

$20

$47

$74

How much do remote cdi rn jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote cdi rn in Springfield, IL is $47.50, according to ZipRecruiter salary data. Most workers in this role earn between $35.24 and $56.68 per hour, depending on experience, location, and employer.

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 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 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.

Are remote CDI RNs in demand?

Remote CDI RNs are in high demand due to the increasing need for accurate medical record documentation and coding in healthcare. Their skills in clinical documentation improvement and familiarity with electronic health record systems make them valuable in remote healthcare settings, with job opportunities growing as healthcare organizations prioritize compliance and reimbursement accuracy.

What are popular job titles related to Remote Cdi Rn jobs in Springfield, IL?

For Remote Cdi Rn jobs in Springfield, IL, the most frequently searched job titles are:

What job categories do people searching Remote Cdi Rn jobs in Springfield, IL look for?

The top searched job categories for Remote Cdi Rn jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Remote Cdi Rn jobs?

Cities near Springfield, IL with the most Remote Cdi Rn job openings:

Remote Cdi Rn jobs near you
Infographic showing various Remote Cdi Rn job openings in Springfield, IL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $98,810 per year, or $47.5 per hour.

Care Review Clinician

AltaStaff, LLC

Springfield, IL • Remote

$40 - $42/hr

Full-time

Posted 5 days ago

Job description

AltaStaff is a staffing agency currently looking for a Care Review Clinician I to work with our Managed Care Client!

Pay Rate: $40 - 42.00 hourly

Schedule: Monday-Friday 9am-5:30pm CST, Rotating Saturday 7-11am CST, Rotating Holidays

***This is a fully remote role but candidates must have a valid RN license in Illinois***

Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for medical necessity/utilization review aimed at providing members with the right care.

  • Assess and analyze clinical service requests (e.g., surgeries, outpatient therapies, DME) using evidence-based MCP/MCG criteria.

  • Verify member benefits and eligibility and Process prior authorization determinations within regulatory timelines

  • Collaborate with multidisciplinary teams

  • Completes/reviews Authorizations, reviewing faxes that can be 50-100 pages long

  • Will be expected to manage 25-30 cases successfully daily.

  • Should be able to quickly and accurately determine whether the criteria meet medical necessity.

  • Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review.

  • Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and

  • guidelines.

  • Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.

  • Additional duties assigned

Education/Experience: 

  • RN license in IL required

  • Must have 2+ years clinical practice experience (hospital, case management, utilization management)

  • Must have 1-3+ years of hospital or medical clinic, utilization review

  • Must have 2-3 years of Prior Authorization OR Med-Surg experience; Familiarity with Inpatient Medical Necessity

  • Must have solid experience within a clinical setting as RN’s must be able to use their knowledge to extrapolate key information during the authorization process

If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA

AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.

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