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Remote Medical Script Nurse Jobs in Oregon (NOW HIRING)

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 ...

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Remote Medical Script Nurse information

What is the difference between Remote Medical Script Nurse vs Remote Medical Billing Specialist?

AspectRemote Medical Script NurseRemote Medical Billing Specialist
CredentialsRN license, medical scripting certificationsBilling certifications, coding credentials
Work EnvironmentHealthcare settings, telehealth platformsMedical offices, insurance companies, telehealth
Employer & IndustryHospitals, clinics, telehealth providersInsurance companies, healthcare billing firms
Search & Comparison IntentMedical scripting, telehealth nursingMedical 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.

What are popular job titles related to Remote Medical Script Nurse jobs in Oregon? For Remote Medical Script Nurse jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Remote Medical Script Nurse jobs in Oregon look for? The top searched job categories for Remote Medical Script Nurse jobs in Oregon are:
Infographic showing various Remote Medical Script Nurse job openings in Oregon as of June 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Nights. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution.
Remote RN - Medical Claims Reviewer

Remote RN - Medical Claims Reviewer

Broadway Ventures

OR • Remote

Other

Posted 19 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!