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 to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...
Remote Triage Nurse
Eugene, OR · Remote
The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...
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 Care Management Nurse
Portland, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
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 ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
This position is a Remote position. Applicants will be required to work 9am to 6pm CST. As an Oncology Registered Nurse I, you will be responsible for managing the member's clinical experience from ...
This position is a Remote position. Applicants will be required to work 9am to 6pm CST. As an Oncology Registered Nurse I, you will be responsible for managing the member's clinical experience from ...
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 ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
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 ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
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 ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
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 ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
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 ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
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 ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
Registered Nurse / Wound Care (Tier 3) / VA Reviewer - Remote (#25276) Location ... Remote Employment Type: Contract (Case-based) Hourly Rate: Per Case Compensation (See details below ...
Registered Nurse / Wound Care (Tier 3) / VA Reviewer - Remote (#25276) Location ... Remote Employment Type: Contract (Case-based) Hourly Rate: Per Case Compensation (See details below ...
Summary The Quality Registered Nurse (RN) is responsible for overseeing clinical quality, clinic ... Primarily remote or hybrid, with periodic travel to clinic sites as needed * Collaborative, fast ...
Summary The Quality Registered Nurse (RN) is responsible for overseeing clinical quality, clinic ... Primarily remote or hybrid, with periodic travel to clinic sites as needed * Collaborative, fast ...
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 to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...
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 to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...
Case Manager, Registered Nurse
Salem, OR · Remote
$54K - $155K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...
Case Manager, Registered Nurse
Salem, OR · Remote
$54K - $155K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...
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
If you are a registered nurse licensed in the state of Oregon or are willing to obtain your Oregon ... Location: Remote: This position has the possibility of being 100% remote. About Us: Yamhill ...
If you are a registered nurse licensed in the state of Oregon or are willing to obtain your Oregon ... Location: Remote: This position has the possibility of being 100% remote. About Us: Yamhill ...
If you are a registered nurse licensed in the state of Oregon or are willing to obtain your Oregon ... Location: Remote: This position has the possibility of being 100% remote. About Us: Yamhill ...
If you are a registered nurse licensed in the state of Oregon or are willing to obtain your Oregon ... Location: Remote: This position has the possibility of being 100% remote. About Us: Yamhill ...
Strong understanding of both RN and PN scope of practice * Fluency in English with excellent writing, editing, and communication skills * Comfort working in a fast-paced, fully remote, and ...
Strong understanding of both RN and PN scope of practice * Fluency in English with excellent writing, editing, and communication skills * Comfort working in a fast-paced, fully remote, and ...
Healthcare Recruiters
OR · Remote
$55K/yr
... seeking remote Healthcare Recruiters to manage a high volume of local contract orders. Currently, their pipeline is a diverse 50/50 split between Registered Nurses (RNs) and Allied Health ...
Quick apply
Healthcare Recruiters
OR · Remote
$55K/yr
... seeking remote Healthcare Recruiters to manage a high volume of local contract orders. Currently, their pipeline is a diverse 50/50 split between Registered Nurses (RNs) and Allied Health ...
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Description If you're a registered nurse looking for a new opportunity to work in a fast-paced ... This is a remote position however, you will be required to report into the office twice a month per ...
Utilization and Care Management Nurse
Salem, OR · Remote
$36.80 - $49.80/hr
Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or ... Remote Pay ranges vary based on the candidate's work location. The expected hiring range depends on ...
Utilization and Care Management Nurse
Salem, OR · Remote
$36.80 - $49.80/hr
Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or ... Remote Pay ranges vary based on the candidate's work location. The expected hiring range depends on ...
Remote Postpartum Rn information
What are some common challenges faced by Remote Postpartum RNs, and how can they be managed?
What is the difference between Remote Postpartum Rn vs Remote Pediatric Nurse?
| Aspect | Remote Postpartum Rn |
|---|---|
| Certifications | RN license, postpartum care certification |
| Work Environment | Telehealth, postpartum support settings |
| Industry Usage | Maternal health, postpartum care |
| Common Search | Remote postpartum nurse vs remote pediatric nurse |
The main difference between a Remote Postpartum Rn and a Remote Pediatric Nurse lies in their focus areas. The postpartum RN specializes in maternal and newborn care after childbirth, while the pediatric nurse focuses on children's health. Both roles require RN licensure and involve telehealth settings, but their patient populations and clinical expertise differ significantly.
What are the key skills and qualifications needed to thrive as a Remote Postpartum RN, and why are they important?
What is a Remote Postpartum RN?

Other
Posted 11 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.
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