Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team
Remote Triage Nurse
Eugene, OR · Remote
The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support ... Develop and deliver training on basic medical topics for peer mental health workers and social ...
Remote Triage Nurse
Eugene, OR · Remote
The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support ... Develop and deliver training on basic medical topics for peer mental health workers and social ...
Remote Care Management Nurse
Portland, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity ...
Remote Care Management Nurse
Portland, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity ...
Remote Care Management Nurse
Salem, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity ...
Remote Care Management Nurse
Salem, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity ...
Remote Care Management Nurse
Bend, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity ...
Remote Care Management Nurse
Bend, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity ...
Remote Care Management Nurse
Medford, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity ...
Remote Care Management Nurse
Medford, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity ...
... Med+. * Review and discuss patient intake information and medical history through video and chat ... Flexible scheduling; remote work. * Malpractice insurance provided. * Structured clinical protocols ...
... Med+. * Review and discuss patient intake information and medical history through video and chat ... Flexible scheduling; remote work. * Malpractice insurance provided. * Structured clinical protocols ...
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 ... Develop and deliver training on basic medical topics for peer mental health workers and social ...
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 ... Develop and deliver training on basic medical topics for peer mental health workers and social ...
Medical Claim Reviewer (CGS, DMEC)
OR · Remote
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team
Medical Claim Reviewer (CGS, DMEC)
OR · Remote
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team
Psychiatric Nurse Practitioner - 100% Remote - Oregon - Contract
Beaverton, OR · On-site +1
$74 - $125/hr
Psychiatric Nurse Practitioner - 100% Remote - Oregon - Contract Department: Clinical Care ... Holly Bechard Compensation: $74.00 - $125.00 / hour Description A WellPsyche Medical Group ...
Psychiatric Nurse Practitioner - 100% Remote - Oregon - Contract
Beaverton, OR · On-site +1
$74 - $125/hr
Psychiatric Nurse Practitioner - 100% Remote - Oregon - Contract Department: Clinical Care ... Holly Bechard Compensation: $74.00 - $125.00 / hour Description A WellPsyche Medical Group ...
Medical & Disability Nurse Case Manager
Lake Oswego, OR · Remote
$67K - $126K/yr
This is a remote position however, you will be required to report into the office twice a month per ... Follows general technical direction from nurse manager, senior medical and disability case manager ...
Medical & Disability Nurse Case Manager
Lake Oswego, OR · Remote
$67K - $126K/yr
This is a remote position however, you will be required to report into the office twice a month per ... Follows general technical direction from nurse manager, senior medical and disability case manager ...
Medical & Disability Nurse Case Manager
Lake Oswego, OR · Remote
$67K - $126K/yr
This is a remote position however, you will be required to report into the office twice a month per ... Follows general technical direction from nurse manager, senior medical and disability case manager ...
Medical & Disability Nurse Case Manager
Lake Oswego, OR · Remote
$67K - $126K/yr
This is a remote position however, you will be required to report into the office twice a month per ... Follows general technical direction from nurse manager, senior medical and disability case manager ...
This is a remote position however, you will be required to report into the office twice a month per ... Follows general technical direction from nurse manager, senior medical and disability case manager ...
This is a remote position however, you will be required to report into the office twice a month per ... Follows general technical direction from nurse manager, senior medical and disability case manager ...
Medical & Disability Nurse Case Manager
Lake Oswego, OR · On-site +1
$67K/yr
This is a remote position however, you will be required to report into the office twice a month per ... Follows general technical direction from nurse manager, senior medical and disability case manager ...
Medical & Disability Nurse Case Manager
Lake Oswego, OR · On-site +1
$67K/yr
This is a remote position however, you will be required to report into the office twice a month per ... Follows general technical direction from nurse manager, senior medical and disability case manager ...
This is a remote position however, you will be required to report into the office twice a month per ... Follows general technical direction from nurse manager, senior medical and disability case manager ...
This is a remote position however, you will be required to report into the office twice a month per ... Follows general technical direction from nurse manager, senior medical and disability case manager ...
... Medical Opinion is currently Recruiting for a Full Time Oncology Registered Nurse I. If you have ... This position is a Remote position. Applicants will be required to work 9am to 6pm CST. As an ...
... Medical Opinion is currently Recruiting for a Full Time Oncology Registered Nurse I. If you have ... This position is a Remote position. Applicants will be required to work 9am to 6pm CST. As an ...
Psychiatric Nurse Practitioner (PMHNP) - Remote
OR · Remote
$73 - $160/hr
Active medical license in good standing. * Comfortable prescribing medication when clinically ... Remote *Estimated effective hourly earnings are for licensed Psychiatric Mental Health Nurse ...
Psychiatric Nurse Practitioner (PMHNP) - Remote
OR · Remote
$73 - $160/hr
Active medical license in good standing. * Comfortable prescribing medication when clinically ... Remote *Estimated effective hourly earnings are for licensed Psychiatric Mental Health Nurse ...
Medical Assistant - Patient Care Coordinator (Remote)
Eugene, OR · Remote
$17.50 - $23/hr
This is a fully remote role -- you can work from home while making a real, daily difference in the ... N/LPN, CNA, Phlebotomist, Patient Care Technician, or similar) * Bachelor's degree strongly ...
Quick apply
Medical Assistant - Patient Care Coordinator (Remote)
Eugene, OR · Remote
$17.50 - $23/hr
This is a fully remote role -- you can work from home while making a real, daily difference in the ... N/LPN, CNA, Phlebotomist, Patient Care Technician, or similar) * Bachelor's degree strongly ...
Remote Psychiatric Nurse Practitioner (PMHNP) - Oregon
Portland, OR · Remote
$180K - $215K/yr
Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Proficiency using electronic medical records to document care accurately and efficiently * Strong ...
Quick apply
Remote Psychiatric Nurse Practitioner (PMHNP) - Oregon
Portland, OR · Remote
$180K - $215K/yr
Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Proficiency using electronic medical records to document care accurately and efficiently * Strong ...
Remote Medical Script Nurse information
What is the difference between Remote Medical Script Nurse vs Remote Medical Billing Specialist?
| Aspect | Remote Medical Script Nurse | Remote Medical Billing Specialist |
|---|---|---|
| Credentials | RN license, medical scripting certifications | Billing certifications, coding credentials |
| Work Environment | Healthcare settings, telehealth platforms | Medical offices, insurance companies, telehealth |
| Employer & Industry | Hospitals, clinics, telehealth providers | Insurance companies, healthcare billing firms |
| Search & Comparison Intent | Medical scripting, telehealth nursing | Medical billing, coding jobs |
The Remote Medical Script Nurse primarily focuses on reviewing and authorizing prescriptions, requiring nursing credentials and medical knowledge. In contrast, a Remote Medical Billing Specialist handles billing and coding tasks, requiring billing certifications. Both roles are remote, serve healthcare providers, and are commonly searched for by healthcare professionals seeking telehealth or administrative positions.

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.
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.
- 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).
- Associate Degree in Nursing
OR - Graduate of an accredited School of Nursing.
- Two years of clinical experience plus at least two years in one of the following:
- Home Health
- Utilization/Medical Review
- Quality Assurance
- 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.
- 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!
About BROADWAY VENTURES
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
11 - 50 Employees
Headquarters location
Canton, MS, US
Year founded
2013