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Remote Optum Rn Jobs in Greenfield, IN (NOW HIRING)

RADcube

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Registered Nurse

Indianapolis, IN · Remote

$60K - $70K/yr

Remote with Occasional travel - Downtown Indianapolis, IN We are seeking a detail-oriented Registered Nurse to support medical record reviews, billing compliance audits for the Indiana Health ...

Briljent

Clinical Auditor - RN

Indianapolis, IN · Remote

This is a remote position with occasional travel required within Indiana. Key Responsibilities ... Requirements * RN license preferred; Indiana license or compact license accepted. * Coding ...

York Risk Services

RN Field Case Manager

Indianapolis, IN · On-site +1

$74K - $94K/yr

... RN Field Case Manager This Field Case Manager will cover our Indianapolis, IN region and must live ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Indianapolis, IN · On-site +1

$74K - $94K/yr

... RN Field Case Manager This Field Case Manager will cover our Indianapolis, IN region and must live ... remote work environment that allows face to face interaction with injured workers and medical ...

DataAnnotation

Registered Nurse - AI Trainer

Carmel, IN · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

Registered Nurse - AI Trainer

Fishers, IN · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Humana

Care Coordinator, RN Field Based

Speedway, IN · Remote

Licensed Registered Nurse (RN) in the state of Indiana without restrictions * At least one (2) ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Franklin, IN · Remote

Licensed Registered Nurse (RN) in the state of Indiana without restrictions * At least one (2) ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Speedway, IN · Remote

Licensed Registered Nurse (RN) in the state of Indiana without restrictions * At least one (2) ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Lawrence, IN · Remote

Licensed Registered Nurse (RN) in the state of Indiana without restrictions * At least one (2) ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

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All JobsRemote Optum Rn JobsRemote Optum Rn Jobs in Greenfield, IN

Remote Optum Rn information

What is the difference between Remote Optum Rn vs Remote UnitedHealth Group Rn?

AspectRemote Optum RnRemote UnitedHealth Group Rn
CredentialsRegistered Nurse (RN) license, applicable certificationsRegistered Nurse (RN) license, applicable certifications
Work EnvironmentRemote healthcare services, telehealth platformsRemote healthcare services, telehealth platforms
Employer & IndustryOptum, healthcare and health services industryUnitedHealth Group, healthcare and insurance industry

Both Remote Optum Rn and Remote UnitedHealth Group Rn roles involve providing remote nursing care within the healthcare industry. They require similar credentials and work environments, often utilizing telehealth platforms. The main difference lies in the employer and specific focus areas within the healthcare sector, with Optum focusing on health services and UnitedHealth Group encompassing broader health insurance and services.

What are popular job titles related to Remote Optum Rn jobs in Greenfield, IN? For Remote Optum Rn jobs in Greenfield, IN, the most frequently searched job titles are:
What job categories do people searching Remote Optum Rn jobs in Greenfield, IN look for? The top searched job categories for Remote Optum Rn jobs in Greenfield, IN are:
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Remote Optum Rn jobs near you
Registered Nurse

Registered Nurse

RADcube

Indianapolis, IN • Remote

$60K - $70K/yr

Full-time

Medical, Dental, Vision, Life, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Job Title: Registered Nurse Clinical Auditor - Junior

Location: Remote with Occasional travel - Downtown Indianapolis, IN


We are seeking a detail-oriented Registered Nurse to support medical record reviews, billing compliance audits for the Indiana Health Coverage Programs. This role is responsible for evaluating quality of care, reviewing medical records and program policies and identifying compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings clinical knowledge, regulatory awareness, and strong analytical and writing skills. This is a remote position with occasional travel required within Indiana.


Key Responsibilities

  • Review medical records and related documentation to evaluate provider compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations.
  • Conduct medical record and compliance reviews independently and provide preliminary findings to the Lead Reviewer.
  • Identify potential documentation deficiencies, and billing compliance issues.
  • Maintain detailed workpapers documenting procedures performed, records reviewed, findings identified, and conclusions reached.
  • Assist with audit responses and appeals as needed.
  • Ensure all work aligns with state, federal, and national healthcare and Medicaid guidelines.
  • Stay current on clinical guidelines, policies, regulations, and Indiana Medicaid program and policy updates.
  • Research Indiana Medicaid rules and maintain internal repositories of bulletins, policies, and procedures.
  • Adapt quickly to changing priorities, policies, regulatory updates, and review requirements while maintaining accuracy and meeting deadlines.

Qualifications

  • RN license preferred; Indiana license or compact license accepted.
  • Coding certification such as CCS or CPC are strongly preferred.
  • Candidate located in or near the Indianapolis area are preferred.
  • At least 1 year of Medicaid claims review, billing compliance, or healthcare reimbursement experience.
  • Familiarity with Indiana Medicaid policies, payer guidelines, and documentation requirements preferred.
  • Knowledge of CPT coding guidelines and ICD-10 standards.
  • Proficiency in Microsoft Excel, Word, and Outlook.
  • Strong analytical, critical thinking, problem-solving, and technical writing skills.
  • Ability to work independently and collaboratively in a fast-paced environment.
  • Experience working with healthcare providers is strongly preferred.
  • Knowledge of healthcare claims data and fraud, waste, and abuse preferred.

Company Description

RADcube is a data services and AI enablement company providing innovative and hands on support to clients through their technological transformation journey. We provide 360° development, support and security solutions backed by world-class expertise and precise execution. We specialize in niche technology solutions and innovative software using the latest technologies. We partner with AWS, Microsoft, Salesforce, MuleSoft, UIPath, Azure, Automation Anywhere and many more.
Recognized for its innovation-led culture, RADcube operates RADlabs, an R&D hub focused on high-impact solutions like Responsible AI and Intelligent Automation. The firm is committed to a human-centric approach, ensuring cutting-edge technology delivers measurable business outcomes and long-term success for global clients.
The company’s commitment to innovation has earned significant industry honors:
2026 TechPoint Mira Awards Finalist: Named a finalist for Tech Company of the Year, recognizing high-growth pioneers that demonstrate extraordinary leadership.
Public Sector Excellence: Awarded the Utah NASPO Cloud & Software Solutions Contract, solidifying their role as a trusted partner for large-scale government digital initiatives and more.