ZipRecruiter

Log In

2

Remote Chart Review Nurse Jobs in Virginia (NOW HIRING)

Sentara Healthcare

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site +1

The Utilization Review Nurse is responsible for utilization management services within the scope of ... For positions that are available as remote work, Sentara Health employs associates in the following ...

CenterWell Primary Care

Nurse Practitioner

Hampton, VA · Remote

$149K - $206K/yr

... remote basis . This is a zero-hour contracted role , ideal for providers looking for flexible ... and chart reviews. * Complete all medical record documentation promptly working with a quality ...

New

Riverside

Compliance Analyst RMG

Newport, VA · Remote

$57K - $78K/yr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... Overview Primary responsibility is to independently perform clinical chart reviews, risk adjustment ...

State of North Carolina

$62K - $102K/yr

The Night Before The End Date This Position Is Eligible For A Fully Remote Work Option In The ... Surveys review many areas of care and operations, including resident rights, quality of care ...

Sentara Healthcare

IT HEDIS & Analytics Manager

Norfolk, VA · On-site +1

$29.25 - $38.75/hr

For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland ...

QTC

Registered Nurse

Mclean, VA · On-site +1

Provide support with chart reviews/documentation, scheduling and confirming appointments, answering ... State nursing license valid in Virginia * Advanced Cardiac Life Support (ACLS) and Basic Life ...

next page

Showing results 1-20

All JobsChart Review Nurse JobsRemote Chart Review Nurse JobsRemote Chart Review Nurse Jobs in Virginia

Remote Chart Review Nurse information

What is a remote chart review nurse?

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.

What does a remote chart review nurse do?

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.

What skills and qualifications are needed to be a remote chart review nurse?

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.

What are the most commonly searched types of Chart Review Nurse jobs in Virginia?

The most popular types of Chart Review Nurse jobs in Virginia are:

What are popular job titles related to Remote Chart Review Nurse jobs in Virginia?

For Remote Chart Review Nurse jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Remote Chart Review Nurse jobs in Virginia look for?

The top searched job categories for Remote Chart Review Nurse jobs in Virginia are:

What cities in Virginia are hiring for Remote Chart Review Nurse jobs?

Cities in Virginia with the most Remote Chart Review Nurse job openings:

Remote Chart Review Nurse jobs near you
Infographic showing various Remote Chart Review Nurse job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

UTILIZATION REVIEW NURSE

Sentara Healthcare

Norfolk, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz

498th of 898 rated healthcare providers

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse.
The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, retrospective review, medical director referrals and execution of member/provider approval and/or denial letter. Reviews provider requests for services requiring authorization. Conducts pre-certification, care coordination for appropriateness of treatment, set reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Responsible for written and/or verbal notification to members and providers. Ensures medical director written decision is consistent with criteria (CMS, state, medical policy, clinical criteria). Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.
Education:
• BSN (preferred)
Certification:
• Registered Nurse (required)
Experience:
• 3 years of acute care clinical experience (required)
• Previous Utilization Review experience (preferred)
• Milliman experience (preferred)
• Knowledge of NCQA (preferred)
• Microsoft suite (Word, Excel, Outlook) (preferred)
• Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
Keywords: Talroo- Health, Utilization Review Nurse, RN, Care Coordination, or Discharge Planning, Case Management, Milliman, NCQA
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

What Sentara Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply