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Remote Contract Rn Jobs in Waukee, IA (NOW HIRING)

ePATHUSA Inc

Medical Review Nurse

Clive, IA · Remote

$80K - $90K/yr

This is a remote position. Seeking Registered Nurse for fully remote role to perform complex ... Contract (MRAC). Essential Functions * Perform complex medical record and claims review in ...

Varsity Tutors

NCLEX-RN Tutor

Ames, IA · Remote

$40/hr

What We Look For In a NCLEX-RN Tutor * Advanced Test Mastery: Deep knowledge of NCLEX-RN content ... Varsity Tutors does not contract in: Alaska, California, Colorado, Delaware, Hawaii, Maine, New ...

Accelerated Care Solutions

Triage RN

Des Moines, IA · Remote

$35 - $40/hr

The Triage RN's objective is to provide sound clinical communication and problem solving through a ... This is a guideline and does not constitute a written or implied employment contract. Company ...

HealthCheck360

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the ...

HealthCheck360

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the ...

HealthCheck360

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the ...

CVS Health

Case Manager, Registered Nurse

Des Moines, IA · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...

DataAnnotation

Registered Nurse - AI Trainer

Des Moines, IA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Corvel

Care Advocate Nurse

West Des Moines, IA · Remote

$61K - $98K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...

DataAnnotation

RN - AI Trainer

Des Moines, IA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

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Remote Contract Rn information

What are Remote Contract RNs?

Remote Contract Registered Nurses (RNs) are licensed nursing professionals who provide healthcare services remotely, often via telehealth platforms. They work on a contract basis, which means they are hired for a specific period or project rather than as permanent employees. Their duties can include patient consultations, triage, care coordination, and health education, all performed virtually or over the phone. This role offers flexibility but requires strong communication and technical skills to deliver quality care from a distance.

What is the difference between Remote Contract Rn vs Remote Contract Lpn?

AspectRemote Contract RnRemote Contract Lpn
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentPrimarily telehealth, patient assessments, care planningTelehealth support, basic patient care, documentation
Employer & Industry UsageHospitals, clinics, telehealth companiesHome health agencies, telehealth services
Common Search & ComparisonOften compared for scope of practice and responsibilitiesCompared for level of training and job duties

Remote Contract Rn and Remote Contract Lpn roles both involve telehealth services but differ mainly in required credentials and scope of practice. RNs typically handle more complex patient assessments and care planning, while LPNs focus on basic patient support and documentation. Understanding these differences helps job seekers find roles aligned with their qualifications and career goals.

How does a Remote Contract RN typically collaborate with on-site healthcare teams and physicians?

As a Remote Contract RN, collaboration with on-site teams is essential and usually accomplished through secure telehealth platforms, virtual meetings, and regular electronic communications. You may coordinate patient care plans, provide updates, and clarify orders directly with physicians and other healthcare staff. Strong communication skills and proficiency with digital health record systems are crucial for ensuring seamless teamwork and optimal patient outcomes. Remote RNs often attend virtual shift handovers and participate in multidisciplinary team discussions to stay aligned with overall patient care strategies.

What are the key skills and qualifications needed to thrive as a Remote Contract RN, and why are they important?

To thrive as a Remote Contract RN, you need an active RN license, strong clinical judgment, and experience in case management or telehealth nursing. Familiarity with telehealth platforms, electronic health records (EHRs), and secure communication systems is typically required. Excellent time management, independent decision-making, and clear virtual communication are vital soft skills for success in a remote setting. These skills ensure effective patient care, regulatory compliance, and seamless collaboration without direct supervision.
What are popular job titles related to Remote Contract Rn jobs in Waukee, IA? For Remote Contract Rn jobs in Waukee, IA, the most frequently searched job titles are:
What job categories do people searching Remote Contract Rn jobs in Waukee, IA look for? The top searched job categories for Remote Contract Rn jobs in Waukee, IA are:
What cities near Waukee, IA are hiring for Remote Contract Rn jobs? Cities near Waukee, IA with the most Remote Contract Rn job openings:
Remote Contract Rn jobs near you
Medical Review Nurse

Medical Review Nurse

ePATHUSA Inc

Clive, IA • Remote

$80K - $90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 15 days ago

Job description

This is a remote position.

Seeking Registered Nurse for fully remote role to perform complex medical record and claim reviews (Standard or Program Integrity) to make coverage determinations based on applicable Medicare coverage policies and payment rules, coding guidelines, National and Local Coverage Determinations, utilization/practice guidelines, clinical review judgment and when appropriate, monitor for potential indicators of fraud, waste, and abuse. Provides professional assessment, planning, coordination, implementation, and reporting of complex data to support the Medical Review Accuracy Contract (MRAC).

Essential Functions

  • Perform complex medical record and claims review in accordance with all State and Federal mandated regulations/guidelines.
  • Accurately enter medical review data into the medical review system.
  • Apply clinical review judgment, based on clinical experience when applicable and review completeness of documentation to determine if documentation supports claim as billed.
  • Reasonably determines appropriateness to consult a Subject Matter Expert (SME) for clarification.
  • When performing Program Integrity (PI) reviews, assess investigative allegations and medical review findings, and/or other claims data to determine patterns and detect potential indicators of fraud, waste and abuse (FWA).
  • Accurately identify additional findings in the review of evidence of potential FWA not detected by the Medical Review Contractor.
  • Consistently meet or exceed productivity and accuracy standards of 98% minimum


Requirements
  • Registered Nurse, with a current unobstructed license to practice nursing in the United States. Graduate of a Board approved Registered Nursing program.
  • A Bachelor’s Degree in Nursing (BSN) or other related field is preferred.
  • Certification in coding highly preferred.
  • A minimum of five (5) years clinical experience in an acute care hospital, skilled nursing facility, and/or an office/clinic-based medical practice.
  • A minimum of three (3) or more years’ experience in medical review for payment accuracy, particularly with Medicare Part A, Skilled Nursing Facility, and/or Home Health
  • Minimum of 2 (two) years’ experience in the medical review processes of MACs, SMRC, and/or UPICs.
  • Desired experience performing medical review for fraud, waste, and abuse (FWA) investigations.
  • Knowledgeable of ICD-9-CM, ICD-10, CPT-4 and HCPCS coding.
  • One year or more of utilizing InterQual and/or Milliman guidelines against inpatient services experience is preferred.


Benefits

Benefit Package includes:

  • Paid Sick Time
  • Insurance for Medical, Dental, Vision and Life Available
  • 401(k) including Employer Match
  • HSA, Short-term & Long-term Disability Available
  • We are an EEO/Veterans/Disabled employer.