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Remote Data Rn Jobs in Des Moines, 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 ... Accurately enter medical review data into the medical review system. * Apply clinical review ...

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 · On-site

$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 ...

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 ... data analysis and visualization. Your work directly contributes to refining intelligent systems ...

Corvel

Care Advocate Nurse

West Des Moines, IA · Remote

$61K - $98K/yr

... medical data in CareMC, validates and secures medical information, assesses and evaluates ... This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ...

Corvel

Telephonic Case Manager I

West Des Moines, IA · On-site

$62K - $93K/yr

Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote Equal Opportunity Employer This employer is required to notify all applicants of their ...

Corvel

Telephonic Case Manager I

West Des Moines, IA · On-site

$62K - $93K/yr

Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote Equal Opportunity Employer This employer is required to notify all applicants of their ...

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Remote Data Rn information

How does working as a Remote Data RN differ from traditional onsite nursing roles in terms of daily responsibilities and team collaboration?

As a Remote Data RN, your daily responsibilities typically focus on reviewing patient data, managing electronic health records, and coordinating care plans through digital platforms rather than providing direct bedside care. Collaboration is often conducted virtually, with frequent communication via secure messaging, emails, or video calls with physicians, case managers, and other healthcare professionals. While you maintain a flexible work environment, strong organizational and communication skills are essential to ensure seamless patient care and accurate data analysis. This role offers an opportunity to leverage nursing expertise in a tech-driven setting, supporting patient outcomes from a non-clinical environment.

What is a Remote Data RN?

A Remote Data RN, or Remote Data Registered Nurse, is a licensed nurse who works remotely to collect, analyze, and interpret patient health data. They often monitor patient records, review lab results, and provide virtual support to healthcare teams, ensuring accurate and timely documentation. This role may also involve patient education and coordination of care through telehealth platforms. Remote Data RNs play a crucial role in improving patient outcomes by enabling data-driven decision-making from a distance.

What is the difference between Remote Data Rn vs Data Analyst?

AspectRemote Data RnData Analyst
Required CredentialsRN license, healthcare data knowledgeBachelor's in Data Science, Statistics, or related field
Work EnvironmentRemote healthcare settings, hospitals, clinicsRemote or on-site corporate offices, healthcare organizations
Industry UsageHealthcare, medical data managementVarious industries including healthcare, finance, marketing
Common Search/ComparisonYesYes

The main difference between Remote Data Rn and Data Analyst lies in their credentials and industry focus. Remote Data Rn professionals are licensed RNs working with healthcare data, while Data Analysts typically hold degrees in data-related fields and work across multiple industries. Both roles can be remote, but their specific skills and industry applications differ significantly.

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

A Remote Data RN needs a solid background in nursing practice, data analysis, and healthcare documentation, usually supported by RN licensure and experience in clinical settings. Familiarity with electronic health records (EHRs), telehealth platforms, and data management systems is crucial. Strong attention to detail, critical thinking, and effective written communication are standout soft skills for this position. These competencies ensure accurate patient data management, compliance with healthcare regulations, and effective remote collaboration, all vital for delivering quality patient care from a distance.
What are popular job titles related to Remote Data Rn jobs in Des Moines, IA? For Remote Data Rn jobs in Des Moines, IA, the most frequently searched job titles are:
What job categories do people searching Remote Data Rn jobs in Des Moines, IA look for? The top searched job categories for Remote Data Rn jobs in Des Moines, IA are:
What cities near Des Moines, IA are hiring for Remote Data Rn jobs? Cities near Des Moines, IA with the most Remote Data Rn job openings:
Remote Data 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 19 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.