Dallas, TX · Remote
$42/hr
The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for ...
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Dallas, TX · Remote
$42/hr
The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for ...
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This ...
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This ...
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This ...
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CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This ...
Plano, TX · Remote
***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Plano, TX · Remote
***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Monterey Park, CA · Remote
$34 - $47/hr
This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... Complete prior authorization/retrospective review of elective inpatient admissions, outpatient ...
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Monterey Park, CA · Remote
$34 - $47/hr
This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... Complete prior authorization/retrospective review of elective inpatient admissions, outpatient ...
Monterey Park, CA · Remote
$34 - $47/hr
This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... Complete prior authorization/retrospective review of elective inpatient admissions, outpatient ...
Monterey Park, CA · Remote
$34 - $47/hr
This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... Complete prior authorization/retrospective review of elective inpatient admissions, outpatient ...
Remote Utilization Review Registered Nurse (UR RN) Location: Remote (Texas RN License or Compact License Required) Company: Nexus Health Systems Employment Type: Full-Time Make an Impact from ...
Remote Utilization Review Registered Nurse (UR RN) Location: Remote (Texas RN License or Compact License Required) Company: Nexus Health Systems Employment Type: Full-Time Make an Impact from ...
Murray, UT · On-site +1
Reviews patient chart to ensure patient continues to meet medical necessity. * Documentation of all ... Performs verbal/fax clinical review with payer as determined by nursing judgment and/or ...
Murray, UT · On-site +1
Reviews patient chart to ensure patient continues to meet medical necessity. * Documentation of all ... Performs verbal/fax clinical review with payer as determined by nursing judgment and/or ...
Atlanta, GA · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Atlanta, GA · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Dallas, TX · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Dallas, TX · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Miami, FL · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Miami, FL · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Franklin, TN · On-site +1
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
Franklin, TN · On-site +1
The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective utilization management reviews. The primary ...
Review and evaluate electronic medical records of emergency department admissions and screen for ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
Review and evaluate electronic medical records of emergency department admissions and screen for ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
$34.73 - $45.15/hr
Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
Reviews patient chart to ensure patient continues to meet medical necessity. * Documentation of all ... Performs verbal/fax clinical review with payer as determined by nursing judgment and/or ...
Reviews patient chart to ensure patient continues to meet medical necessity. * Documentation of all ... Performs verbal/fax clinical review with payer as determined by nursing judgment and/or ...
Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Chicago, IL · Remote
$41/hr
Remote position, however, candidates must reside in the State of TX or State of IL This position is ... Pay: $41/hour RN working in the insurance or managed care industry using medically accepted ...
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Chicago, IL · Remote
$41/hr
Remote position, however, candidates must reside in the State of TX or State of IL This position is ... Pay: $41/hour RN working in the insurance or managed care industry using medically accepted ...
Review and evaluate electronic medical records of emergency department admissions and screen for ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
Review and evaluate electronic medical records of emergency department admissions and screen for ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
Review and evaluate electronic medical records of emergency department admissions and screen for ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
Review and evaluate electronic medical records of emergency department admissions and screen for ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
$17.31 - $21.68
3% of jobs
$21.68 - $26.05
7% of jobs
$29.33 is the 25th percentile. Wages below this are outliers.
$26.05 - $30.42
20% of jobs
The median wage is $34.13 / hr.
$30.42 - $34.79
24% of jobs
$34.79 - $39.16
14% of jobs
$41.84 is the 75th percentile. Wages above this are outliers.
$39.16 - $43.53
11% of jobs
$43.53 - $47.90
7% of jobs
$47.90 - $52.27
5% of jobs
$52.27 - $56.64
3% of jobs
$56.64 - $61.01
3% of jobs
$61.01 - $65.38
2% of jobs
$17
$38
$65
A Remote Chart Review Nurse is a licensed nurse who reviews medical records remotely to ensure accuracy, compliance, and quality of care. They analyze patient charts for coding accuracy, insurance requirements, risk adjustment, or legal compliance. This role is often found in insurance companies, healthcare organizations, and legal firms. It requires strong attention to detail, clinical knowledge, and proficiency in electronic health records (EHR) systems.
A Remote Chart Review Nurse spends most of their day independently reviewing patient medical records, extracting relevant clinical data, and ensuring accuracy and compliance with guidelines. This role often includes collaborating with other nurses, physicians, and quality assurance teams via virtual meetings or secure messaging platforms. Tasks can range from auditing charts for quality measures to preparing summaries or reports that support clinical or insurance decisions. While most of the work is self-directed, there may be deadlines to meet and occasional team meetings or training sessions to attend. This flexible structure allows you to work from home while still playing a key role in improving patient care quality.
To thrive as a Remote Chart Review Nurse, you need an active RN license, strong clinical knowledge, and proficient medical record analysis skills. Familiarity with electronic health record (EHR) systems, HIPAA compliance, and URAC or NCQA standards is typically required, and experience with chart review software is a plus. Excellent attention to detail, time management, and strong written communication are key soft skills in this remote position. These abilities are crucial for ensuring accurate, timely reviews of patient charts, maintaining patient privacy, and supporting healthcare decision-making from a remote environment.
Cities with the most Remote Chart Review Nurse job openings:
The most popular types of Chart Review Nurse jobs are:
States with the most job openings for Remote Chart Review Nurse jobs include:
The top searched job categories for Remote Chart Review Nurse jobs are:
$42/hr
Full-time
Posted 13 days ago
This is a contract assignment that will start right away and end on April 30th 2024
Review Nurse
SUMMARY DESCRIPTION:
The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing comprehensive review of medical records to abstract relevant clinical data during HEDIS. HEDIS abstractions are completed in accordance with NCQA guidelines and technical specifications. Additional responsibilities include but not limited to folder and file management, annotating medical records and saving completed documents with correct naming conventions on a shared drive as well as data entry into QSHR.
ESSENTIAL FUNCTIONS:
JOB REQUIREMENTS:
Preferred Skills:
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