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Remote Medical Review Nurse Jobs in Puerto Rico (NOW HIRING)

$11/hr

We are a multidisciplinary team of nurses, contact management specialists and technologists who ... Remote

$11/hr

We are a multidisciplinary team of nurses, contact management specialists and technologists who ... Remote

Epic Denials Management Operator

San Juan, PR · Remote

$17.75 - $23.50/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Review hospital account records and payer remittance records, communicate with relevant Client RCM ...

Administrative shift (support a 24/7 manufacturing operations, some remote work is possible) Why ... Experience authoring, reviewing, and approving qualification protocols, validation reports, and ...

$254K - $400K/yr

... nursing and other personnel as leader of a multidisciplinary team. Learn more about this agency ... Supervision shall include review of medical records, patient care, treatment, and consultation ...

... Medical Affairs, IT, and HR. Key Responsibilities * APAC Privacy Legal Advisor. Serve as the ... Advise on applicable transfer mechanisms and review/negotiate DPAs, vendor contracts, and data ...

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Showing results 1-20

Remote Medical Review Nurse information

What is a remote medical review nurse?

A Remote Medical Review Nurse evaluates medical records, treatment plans, and insurance claims to ensure compliance with healthcare regulations and policies. They work from home, reviewing clinical documentation to determine medical necessity, accuracy, and adherence to guidelines. This role often involves collaborating with healthcare providers, insurance companies, and case managers to support appropriate patient care and cost management. Strong clinical knowledge, attention to detail, and experience in utilization review or case management are essential for success in this position.

What are the typical daily responsibilities of a remote medical review nurse?

A Remote Medical Review Nurse primarily reviews patient medical records to ensure accuracy and compliance with clinical guidelines, and evaluates the necessity or appropriateness of treatments and services. They communicate with healthcare providers to clarify documentation or gather additional information and may participate in case discussions with insurance or healthcare teams. Nurses in this role also document findings and recommendations using specialized software and maintain up-to-date knowledge of regulatory requirements. The work is generally autonomous, but collaboration and timely reporting are key parts of daily routines.

What are the key skills and qualifications needed to thrive as a remote medical review nurse?

A Remote Medical Review Nurse must possess a valid RN license, strong clinical knowledge, experience in medical chart review, and excellent decision-making abilities. Familiarity with medical review software, electronic health records (EHRs), and URAC or relevant utilization management certifications are often required. Outstanding attention to detail, time management, and communication skills help set top candidates apart in this remote role. These core and soft skills enable nurses to evaluate medical records accurately, communicate findings clearly, and uphold healthcare quality standards while working independently.

What job categories do people searching Remote Medical Review Nurse jobs in Puerto Rico look for?

The top searched job categories for Remote Medical Review Nurse jobs in Puerto Rico are:

Infographic showing various Remote Medical Review Nurse job openings in Puerto Rico as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, 2% Temporary, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Pre-Litigation Associate - Of Counsel (Remote)

Jackson Lewis

San Juan, PR • Remote

$120K - $216K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago


Jackson Lewis rating

8.5

Company rating: 8.5 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

14th of 35 rated law firms


Job description

Focused on employment and labor law since 1958, Jackson Lewis P.C.'s 1,000+ attorneys located in major cities nationwide consistently identify and respond to new ways workplace law intersects business. We help employers develop proactive strategies, strong policies and business-oriented solutions to cultivate high-functioning workforces that are engaged and stable, and share our clients' goals to emphasize belonging and respect for the contributions of every employee.

The Firm is ranked in the First Tier nationally in the category of Labor and Employment Litigation, as well as in both Employment Law and Labor Law on behalf of Management, in the U.S. News - Best Lawyers "Best Law Firms".

This fully remote position is for an Associate - Of Counsel (Remote) is available nationwide in any state in which Jackson Lewis maintains an office. Applicants must be licensed to practice in California.

Summary of Position:


Pre-Litigation Associate - Of Counsel (Remote) at Jackson Lewis, P.C. are exempt attorneys employed to exercise their legal judgment to handle various duties in connection with the pre- litigation matters including demand letters, requests for records, and agency/administrative charges. Pre-Litigation Associate - Of Counsel (Remote) are a non-Principal track position. This role is available nationwide in any state in which Jackson Lewis maintains an office. The hours requirement for this role will be 1850.

Primary Duties consist of, but are not limited to:

  • Independently handling responding to demand letters, requests for records and agency/administrative charges without the need for more senior attorney level review.

  • Assessment of the claims and providing an analysis to the client and carrier.

  • Direct client and carrier contact in handling those responses.

  • Settlement related activity including attending mediations.

  • Work with the firm's Professional Development team in the delivery of work product to clients.

  • Comply with all client and firm related administrative tasks.

  • Other tasks as assigned by the firm including by a client relationship manager, an Office Managing Partner, Office Litigation Manager and/or Case Staffer.

Qualifications:

  • Must be admitted to the CA state bar and comply with all ethical requirements in the resident state, including being barred if required.

  • Must be in good standing.

  • Must have at least 4 years of experience (to be considered for an Associate role) handling California employment litigation matters including demand letters, requests for records and agency/administrative charges.

  • To be eligible for consideration for an Of Counsel level Remote role, you must generally have at least 9+ of relevant California experience and a demonstrated ability to operate in a first chair capacity

  • Strong organizational skills and attention to detail required to handle large volumes of documents and work associated with each matter.

  • Demonstrated ability to prioritize and balance competing demands and meet deadlines in a fast-paced professional environment.

  • Exceptional communication skills and strong legal research and drafting skills

  • Ability to foster strong collaboration across Legal Support, Operations and Attorney teams.

  • Proficient with Microsoft Office programs (Word, Excel, PowerPoint)

For California, Colorado, Connecticut, DC Region, Illinois, Maine, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New York, Ohio, Virginia, and Washington State, the expected salary range for this position is between $120,000 and $216,000. The actual compensation will be determined based on experience and other factors permitted by law.

This position is also eligible for annual bonuses.

Jackson Lewis offers a competitive benefits package that includes:

  • Medical, dental, vision, life and disability insurance
  • 401(k) Retirement Plan
  • Flexible Spending and Health Savings Account
  • 12 firm-paid holidays, paid vacation, and 1 hour of sick time for every 30 hours worked
  • Employee assistance program and other firm benefits

This job will be posted on July 6th, 2026, and we anticipate it will remain open for at least 30 days.

#LI-Remote

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status or any other characteristics protected by law. For those applying for a position in the city of Los Angeles, the firm will consider for employment qualified applicants with a criminal history in a manner consistent with applicable federal, state and local law.


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