Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
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Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
Quick apply
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
Quick apply
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
Washington, DC · Remote
$98K - $108K/yr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Remote-first culture 401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...
Washington, DC · Remote
$98K - $108K/yr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Remote-first culture 401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...
Washington, DC · Remote
$98K - $108K/yr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Remote-first culture 401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...
Quick apply
Washington, DC · Remote
$98K - $108K/yr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Remote-first culture 401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...
Washington, DC · Remote
$59.13 - $65.04/hr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Details of the incentive structure will be discussed during the interview process. #LI-REMOTE #LI ...
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Washington, DC · Remote
$59.13 - $65.04/hr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Details of the incentive structure will be discussed during the interview process. #LI-REMOTE #LI ...
6AM City, LLC is seeking a residential Registered Nurse Case Manager/Delegating Nurse to oversee the health care needs of individuals with intellectual/developmental disabilities in a home-based ...
6AM City, LLC is seeking a residential Registered Nurse Case Manager/Delegating Nurse to oversee the health care needs of individuals with intellectual/developmental disabilities in a home-based ...
6AM City, LLC is seeking a residential Registered Nurse Case Manager/Delegating Nurse to oversee the health care needs of individuals with intellectual/developmental disabilities in a home-based ...
6AM City, LLC is seeking a residential Registered Nurse Case Manager/Delegating Nurse to oversee the health care needs of individuals with intellectual/developmental disabilities in a home-based ...
Baltimore, MD · Remote
$46 - $51/hr
Qualification And Education: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire. * LPN - Licensed Practical Nurse - State Licensure. * CNS-Clinical Nurse Specialist ...
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Baltimore, MD · Remote
$46 - $51/hr
Qualification And Education: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire. * LPN - Licensed Practical Nurse - State Licensure. * CNS-Clinical Nurse Specialist ...
Baltimore, MD · Remote
THIS IS A PRIMARILY REMOTE POSITION THAT ONLY REQUIRES ONSITE WORK QUARTERLY*** JOB SUMMARY: The ... BSN or higher nursing degree required * Current RN license in Maryland (or compact state as ...
Baltimore, MD · Remote
THIS IS A PRIMARILY REMOTE POSITION THAT ONLY REQUIRES ONSITE WORK QUARTERLY*** JOB SUMMARY: The ... BSN or higher nursing degree required * Current RN license in Maryland (or compact state as ...
VA · On-site +1
$17 - $22/hr
General information Job Posting Title Bilingual Health Specialist - Remote Date Tuesday, July 28 ... This position requires an active, valid RN license ** Fluency in both English and Spanish required
VA · On-site +1
$17 - $22/hr
General information Job Posting Title Bilingual Health Specialist - Remote Date Tuesday, July 28 ... This position requires an active, valid RN license ** Fluency in both English and Spanish required
Licenses/Certifications: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required. * CCM - Certified Case Manager Upon Hire Preferred. Experience: Three (3) years ...
Licenses/Certifications: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required. * CCM - Certified Case Manager Upon Hire Preferred. Experience: Three (3) years ...
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. California RN license is required for this role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the patient ...
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. California RN license is required for this role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the patient ...
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. California RN license is required for this role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the patient ...
Quick apply
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. California RN license is required for this role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the patient ...
Licenses/Certifications: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required. * CCM - Certified Case Manager Upon Hire Preferred. * LNCC - Legal Nurse ...
Licenses/Certifications: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required. * CCM - Certified Case Manager Upon Hire Preferred. * LNCC - Legal Nurse ...
Rockville, MD · Remote
$22/hr
A rare opportunity for remote techs is now open! Clinician must be able to submit comprehensive ... FMG, RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect ...
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Rockville, MD · Remote
$22/hr
A rare opportunity for remote techs is now open! Clinician must be able to submit comprehensive ... FMG, RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect ...
Columbia, MD · Remote
$125K - $145K/yr
Be available for remote clinical support and video consultations as needed Ideal Background * Nurse ... Previous infusion services experience required * 10+ years of RN and/or NP experience preferred ...
Columbia, MD · Remote
$125K - $145K/yr
Be available for remote clinical support and video consultations as needed Ideal Background * Nurse ... Previous infusion services experience required * 10+ years of RN and/or NP experience preferred ...
We are seeking a dynamic, self-motivated Registered Nurse who is passionate about patient-centered ... remote patient monitoring, virtual platforms and telephone outreach * Identify changes in patient ...
We are seeking a dynamic, self-motivated Registered Nurse who is passionate about patient-centered ... remote patient monitoring, virtual platforms and telephone outreach * Identify changes in patient ...
Washington, DC · Remote
$10/hr
Remote Care Manager Location: Remote The Care Manager will be assigned a patient panel based on ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...
Washington, DC · Remote
$10/hr
Remote Care Manager Location: Remote The Care Manager will be assigned a patient panel based on ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...
Washington, DC · On-site +1
$89 - $269/hr
... * APRN-CNP / APRN-FPA / APRN-PA * APN * PMHNP-BC * NP Ready to get started? We are excited to begin helping you if you are a fully-licensed, ANCC or AANP board-certified Psychiatric Nurse ...
Washington, DC · On-site +1
$89 - $269/hr
... * APRN-CNP / APRN-FPA / APRN-PA * APN * PMHNP-BC * NP Ready to get started? We are excited to begin helping you if you are a fully-licensed, ANCC or AANP board-certified Psychiatric Nurse ...
Nottingham, MD · On-site +1
$103K - $131K/yr
... anticoagulation, and hypertension - including recognizing duplicate, inappropriate, or ... For Nurse Practitioners: active and in-good-standing RN and APRN licenses. * For Physician ...
Nottingham, MD · On-site +1
$103K - $131K/yr
... anticoagulation, and hypertension - including recognizing duplicate, inappropriate, or ... For Nurse Practitioners: active and in-good-standing RN and APRN licenses. * For Physician ...
$29.8K - $36K
1% of jobs
$36K - $42.3K
2% of jobs
$42.3K - $48.6K
2% of jobs
$48.6K - $54.9K
0% of jobs
$54.9K - $61.1K
5% of jobs
$61.1K - $67.4K
11% of jobs
$68.5K is the 25th percentile. Wages below this are outliers.
$67.4K - $73.7K
21% of jobs
The median wage is $76K / yr.
$73.7K - $79.9K
20% of jobs
$84.2K is the 75th percentile. Wages above this are outliers.
$79.9K - $86.2K
18% of jobs
$86.2K - $92.5K
11% of jobs
$92.5K - $98.7K
9% of jobs
$29.8K
$75.9K
$98.7K
Baltimore, MD • Remote
Full-time
Re-posted 2 days ago
Job Responsibilities
Review beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse.
Conduct desk reviews in alignment with applicable contract requirements to identify potential fraud or overpayment.
Prepare detailed case summaries and provide results to investigators to support the investigative process.
Perform case-specific or plan-specific data entry and reporting to ensure accuracy and compliance.
Required Qualifications
Active, non-restricted Registered Nurse (RN) license.
Strong computer proficiency with excellent written communication skills.
Demonstrated research and analytical skills.
Preferred Qualifications
Coding certification (e.g., CPC, CCS, or equivalent).
Familiarity with Medicaid and Medicare regulations.
Experience with medical chart review.
Broad clinical background; experience in Hospice, Home Health, or Skilled Nursing Facility (SNF) review highly beneficial.