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Remote Mds Nurse Jobs in Riverside, CA (NOW HIRING)

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... Current Nursing licensure in the state of operation required; RN is required unless local state ...

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Remote Mds Nurse information

See Riverside, CA salary details

$20

$43

$66

How much do remote mds nurse jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for remote mds nurse in Riverside, CA is $43.26, according to ZipRecruiter salary data. Most workers in this role earn between $35.87 and $46.88 per hour, depending on experience, location, and employer.

What is a Remote MDS Nurse?

A Remote MDS Nurse is a registered nurse (RN) or licensed practical nurse (LPN) who assesses and compiles patient data for the Minimum Data Set (MDS) from a remote location. They ensure accurate documentation for Medicare and Medicaid reimbursement, care planning, and compliance with federal regulations. This role typically involves reviewing patient records, coordinating with healthcare teams, and submitting reports electronically. Remote MDS Nurses must have experience in long-term care and MDS 3.0, along with strong analytical and communication skills.

What skills and qualifications are needed to be a Remote MDS Nurse?

To thrive as a Remote MDS Nurse, you need a valid RN license, in-depth knowledge of the Minimum Data Set (MDS) process, and strong clinical assessment skills. Familiarity with MDS software (like PointClickCare), electronic health records (EHR), and CMS guidelines is typically required, along with RAC-CT certification being highly desirable. Excellent attention to detail, strong communication, self-motivation, and the ability to work independently are standout soft skills in remote settings. These skills and qualities ensure accurate patient assessments, regulatory compliance, and effective collaboration across healthcare teams despite working remotely.

What does a Remote MDS Nurse do?

A typical day for a Remote MDS Nurse involves reviewing patient records, completing and submitting MDS assessments, and ensuring all documentation meets regulatory and facility standards. You’ll frequently collaborate with on-site nursing staff, interdisciplinary care teams, and sometimes residents’ families to gather and clarify information. Much of your work will be done independently using secure online platforms, but regular virtual meetings or check-ins with colleagues are common. Successful candidates are self-disciplined, communicative, and comfortable with a technology-driven workflow. This role offers the flexibility of working from home while staying deeply involved in the care planning process.

What are popular job titles related to Remote Mds Nurse jobs in Riverside, CA? For Remote Mds Nurse jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Mds Nurse jobs in Riverside, CA look for? The top searched job categories for Remote Mds Nurse jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Mds Nurse jobs? Cities near Riverside, CA with the most Remote Mds Nurse job openings:
Remote Mds Nurse jobs near you
Infographic showing various Remote Mds Nurse job openings in Riverside, CA as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 100% Remote job distribution, with an average salary of $89,979 per year, or $43.3 per hour.

CA Utilization Review Nurse I

Corvel

Rancho Cucamonga, CA • Remote

$30.64 - $45.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

83rd of 150 rated financial services

Job description

The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay while supporting the goals of the Case Management department and of CorVel.

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Identifies the necessity of the review process and communicates issues of concern to the appropriate claims staff/customer
  • Collects data and analyzes information to make decisions regarding certification or denial of treatment
  • Documents all work in the appropriate manner
  • Promotes utilization review services with stakeholders
  • Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
  • Additional duties as assigned

KNOWLEDGE & SKILLS: 

  • Must have thorough knowledge of both CPT and ICD coding
  • Ability to interface with claims staff, attorneys, physicians and their representatives, as well as advisors/clients and coworkers
  • Effective organization skills in a high-volume, fast-paced environment
  • Strong time management skills with the ability to meet designated deadlines
  • Excellent written and verbal communication skills
  • Ability to work both independently and within a team environment
  • Strong interpersonal skills
  • Ability to utilize Microsoft Office including Excel spreadsheets
  • Knowledge of the workers’ compensation claims process preferred
  • Knowledge of outpatient utilization review preferred

EDUCATION & EXPERIENCE: 

  • Graduate of accredited school of nursing with an associate’s degree, Bachelor of Science degree or Bachelor of Science in Nursing
  • Current Nursing licensure in the state of operation required; RN is required unless local state regulations permit LVN/LPN
  • 4 or more years of recent clinical experience
  • Prospective, concurrent, and retrospective utilization review experience preferred
  • Experience in the clinical areas of OR, ICU, CCU, ER and/or orthopedics preferred

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $30.64 - $45.80 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.   CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.  We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.  Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). 

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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