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Remote Office Rn Jobs in Iowa (NOW HIRING)

ePATHUSA Inc

Medical Review Nurse

Clive, IA · Remote

$80K - $90K/yr

This is a remote position. Seeking Registered Nurse for fully remote role to perform complex ... an office/clinic-based medical practice. * A minimum of three (3) or more years' experience in ...

HealthCheck360

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the ...

HealthCheck360

Bilingual RN Case Manager

Des Moines, IA · Remote

$21 - $26.50/hr

Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the ...

Corvel

Care Advocate Nurse

West Des Moines, IA · Remote

$61K - $98K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...

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Remote Office Rn information

What is the difference between Remote Office Rn vs Remote Medical Assistant?

AspectRemote Office RnRemote Medical Assistant
CredentialsRegistered Nurse (RN) licenseCertified Medical Assistant (CMA) or Medical Assistant (MA) certification
Work EnvironmentRemote administrative and clinical support for healthcare providersRemote administrative support, scheduling, and patient communication
Industry UsageHealthcare, hospitals, clinics, telehealthMedical offices, clinics, telehealth services
Common Search IntentRN remote jobs, telehealth RN rolesMedical assistant remote jobs, telehealth MA roles

The main difference is that Remote Office Rn requires an RN license and involves clinical and administrative tasks, while Remote Medical Assistant roles typically require certification and focus on administrative support within healthcare settings. Both roles support healthcare providers remotely but differ in credentials and responsibilities.

How does a Remote Office RN maintain effective communication and collaboration with physicians and other care team members while working off-site?

As a Remote Office RN, maintaining strong communication with physicians and other healthcare professionals is crucial for delivering high-quality patient care. This is typically achieved through secure electronic health record (EHR) systems, regular virtual meetings, and scheduled check-ins to discuss patient cases. Many organizations also use instant messaging platforms and collaborative software to ensure that updates and critical information are shared promptly. Building clear protocols for escalation and documentation helps facilitate seamless teamwork, even when the RN is working from a remote location.

What are Remote Office RNs?

Remote Office RNs are registered nurses who perform their duties from a non-traditional healthcare setting, often from home or a centralized office, rather than at a hospital or clinic. Their responsibilities typically involve patient education, case management, triage, care coordination, and follow-up, all conducted via telephone or digital communication platforms. This role allows nurses to leverage their clinical expertise while working remotely, supporting patients and healthcare teams virtually.

What are the key skills and qualifications needed to thrive as a Remote Office RN, and why are they important?

To thrive as a Remote Office RN, you need an active RN license, strong clinical assessment skills, and experience in telehealth or case management. Familiarity with telemedicine platforms, EHR systems, and HIPAA compliance tools is essential. Excellent communication, self-motivation, and organizational skills help you provide effective care and support to patients remotely. These abilities ensure high-quality patient outcomes, regulatory compliance, and efficient remote healthcare delivery.
What are the most commonly searched types of Office Rn jobs in Iowa? The most popular types of Office Rn jobs in Iowa are:
What are popular job titles related to Remote Office Rn jobs in Iowa? For Remote Office Rn jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Remote Office Rn jobs in Iowa look for? The top searched job categories for Remote Office Rn jobs in Iowa are:
Remote Office Rn jobs near you
Medical Review Nurse

Medical Review Nurse

ePATHUSA Inc

Clive, IA • Remote

$80K - $90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 22 days ago

Job description

This is a remote position.

Seeking Registered Nurse for fully remote role to perform complex medical record and claim reviews (Standard or Program Integrity) to make coverage determinations based on applicable Medicare coverage policies and payment rules, coding guidelines, National and Local Coverage Determinations, utilization/practice guidelines, clinical review judgment and when appropriate, monitor for potential indicators of fraud, waste, and abuse. Provides professional assessment, planning, coordination, implementation, and reporting of complex data to support the Medical Review Accuracy Contract (MRAC).

Essential Functions

  • Perform complex medical record and claims review in accordance with all State and Federal mandated regulations/guidelines.
  • Accurately enter medical review data into the medical review system.
  • Apply clinical review judgment, based on clinical experience when applicable and review completeness of documentation to determine if documentation supports claim as billed.
  • Reasonably determines appropriateness to consult a Subject Matter Expert (SME) for clarification.
  • When performing Program Integrity (PI) reviews, assess investigative allegations and medical review findings, and/or other claims data to determine patterns and detect potential indicators of fraud, waste and abuse (FWA).
  • Accurately identify additional findings in the review of evidence of potential FWA not detected by the Medical Review Contractor.
  • Consistently meet or exceed productivity and accuracy standards of 98% minimum


Requirements
  • Registered Nurse, with a current unobstructed license to practice nursing in the United States. Graduate of a Board approved Registered Nursing program.
  • A Bachelor’s Degree in Nursing (BSN) or other related field is preferred.
  • Certification in coding highly preferred.
  • A minimum of five (5) years clinical experience in an acute care hospital, skilled nursing facility, and/or an office/clinic-based medical practice.
  • A minimum of three (3) or more years’ experience in medical review for payment accuracy, particularly with Medicare Part A, Skilled Nursing Facility, and/or Home Health
  • Minimum of 2 (two) years’ experience in the medical review processes of MACs, SMRC, and/or UPICs.
  • Desired experience performing medical review for fraud, waste, and abuse (FWA) investigations.
  • Knowledgeable of ICD-9-CM, ICD-10, CPT-4 and HCPCS coding.
  • One year or more of utilizing InterQual and/or Milliman guidelines against inpatient services experience is preferred.


Benefits

Benefit Package includes:

  • Paid Sick Time
  • Insurance for Medical, Dental, Vision and Life Available
  • 401(k) including Employer Match
  • HSA, Short-term & Long-term Disability Available
  • We are an EEO/Veterans/Disabled employer.