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Remote Integrative Medicine Rn Jobs in Oregon (NOW HIRING)

firsthand Health

Remote Triage Nurse

Eugene, OR · Remote

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...

Community Care Partners

Triage RN (Remote)

Dallas, OR · On-site +1

The Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This ...

firsthand Health

Remote Triage Nurse

Eugene, OR · On-site +1

$80K/yr

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...

Centene

Supervisor, Appeals

OR · On-site +1

$75K - $135K/yr

REMOTE RN candidates may reside in any state but a current and active RN license from the state of California is strongly preferred Position Purpose: Supervises Prior Authorization, Concurrent Review ...

New

Lumimeds

Healthcare Content Creator (LP/NP/RN/PA/MD)

OR · Remote

Background in obesity medicine, endocrinology, primary care, or metabolic health Bonus * Experience ... Fully remote, U.S.-based * Time commitment: ~4-10 hours/month, flexible scheduling around shoots ...

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Remote Integrative Medicine Rn information

What is the difference between Remote Integrative Medicine Rn vs Remote Holistic Nurse?

AspectRemote Integrative Medicine RnRemote Holistic Nurse
CredentialsRegistered Nurse (RN), certifications in integrative or complementary medicineRegistered Nurse (RN), certifications in holistic or complementary nursing
Work EnvironmentTelehealth platforms, clinics offering integrative therapiesTelehealth, wellness centers, holistic health programs
Industry UsageHealthcare, integrative medicine clinics, wellness programsHolistic health, alternative medicine, wellness coaching

Remote Integrative Medicine Rns focus on combining conventional medical care with complementary therapies via telehealth, while Remote Holistic Nurses emphasize a broader holistic approach to health, including emotional and spiritual well-being. Both roles require RN credentials and work in telehealth settings, but their focus areas and certifications differ slightly.

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What job categories do people searching Remote Integrative Medicine Rn jobs in Oregon look for? The top searched job categories for Remote Integrative Medicine Rn jobs in Oregon are:
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Remote Integrative Medicine Rn jobs near you
Remote RN - Medical Claims Reviewer

Remote RN - Medical Claims Reviewer

Broadway Ventures

OR • Remote

Other

Re-posted 4 days ago

Job description

Job Type: Full-time (40 hours/week)
Schedule: Monday-Friday, 8:00 AM - 5:00 PM

Max Salary: W-2 ($65,000/$31.25)

Location: Remote (U.S. - Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.

About the Role

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.

Key Responsibilities
  • Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
  • Assess payment determinations using clinical information and established guidelines.
  • Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
  • Provide clear, well-documented rationales for service approvals or denials.
  • Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
  • Support quality control activities to meet corporate and team objectives.
  • Provide guidance to LPN team members and support non-clinical staff through training and discussions.
  • Assist with special projects and additional responsibilities as assigned.
Minimum QualificationsLicensure:
  • Active, unrestricted RN license in the U.S. and in the state of hire
    OR
  • Active compact multistate RN license (as defined by the Nurse Licensure Compact).
Education:
  • Associate Degree in Nursing
    OR
  • Graduate of an accredited School of Nursing.
Experience:
  • Two years of clinical experience plus at least two years in one of the following:
    • Home Health
    • Utilization/Medical Review
    • Quality Assurance
Skills & Competencies:
  • Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings.
  • Ability to interpret and apply medical review criteria and clinical guidelines.
  • Proficiency in Microsoft Office and word processing software.
  • Strong analytical, organizational, and decision-making skills.
  • Ability to work independently while managing priorities effectively.
  • Excellent customer service, communication, and critical thinking skills.
  • Ability to handle confidential information with discretion.
Preferred Qualifications
  • Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred).
  • Proficiency in using multiple screens and software programs simultaneously.

If you are a detail-oriented RN with a passion for medical review, we encourage you to apply!

Apply