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Remote Prior Authorization Rn Jobs in New York (NOW HIRING)

Mvphealthcare

Concurrent Review - RN

Tarrytown, NY · Remote

$69K - $92K/yr

Collects and reviews care plans and progress reports to justify extension of service authorization ... Whereyou'llbe: Location: Remote Pay Transparency MVP Health Care is committed to providing ...

HCS Home Care

Be Seen First

Field Registered Nurse (RN) Per Diem

New York, NY · Remote

$110/hr

Home Care Registered Nurse Requirements and Qualifications: * · Perform Initial Assessment at start of care * · Perform Reassessments as authorized * · Creating and updating the Plan of Care as ...

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Remote Prior Authorization Rn information

What is the difference between Remote Prior Authorization Rn vs Remote Medical Coder?

AspectRemote Prior Authorization RnRemote Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), high school diploma or equivalent
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding platforms
Industry UsageUtilization review, patient authorization, insurance approvalMedical record review, billing, coding for insurance claims

Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

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Remote Prior Authorization Rn jobs near you
Nurse Case Manager (1099) - Hybrid - NJ RN License Required

Nurse Case Manager (1099) - Hybrid - NJ RN License Required

The IMA Group

Jersey City, NJ • Remote

$35/hr

Contractor

Posted 14 days ago

Job description

 Hybrid Nurse Case Manager (RN) – Workers’ Compensation | 1099

• Must Reside in New Jersey or New York
•  Hybrid Role – Remote & Field Visits
• New Jersey RN License Required
• $35/Hour | Flexible Schedule
 
The IMA Group is seeking an experienced Hybrid Nurse Case Manager (RN) to support workers’ compensation cases through a combination of telephonic case management and local field visits. This 1099 independent contractor opportunity is ideal for nurses who enjoy autonomy, flexibility, and working directly with injured workers, providers, and claims professionals.
In this role, you’ll coordinate care, attend appointments when needed, and help guide injured workers through the recovery process while ensuring timely communication among all parties involved.
Responsibilities
  • Provide telephonic and field-based nurse case management services for workers’ compensation cases
  • Attend medical appointments and field visits as needed within the assigned territory
  • Coordinate treatment plans with providers, employers, attorneys, and claims adjusters
  • Monitor patient progress and facilitate appropriate medical care and return-to-work planning
  • Maintain timely, detailed, and accurate documentation
  • Communicate effectively with all members of the care and claims team
Qualifications
  • Active New Jersey RN license required
  • Must reside in New Jersey or New York
  • Prior workers’ compensation and/or nurse case management experience required
  • Reliable transportation and willingness to travel locally for field visits
  • Strong organizational, communication, and independent decision-making skills
  • Spanish-speaking candidates are encouraged to apply
Why Join The IMA Group?
  • Flexible hybrid schedule with remote and field-based work
  • Independent contractor autonomy
  • Meaningful work supporting injured workers through recovery
  • Collaborative and supportive team environment
  • Opportunity to apply your clinical expertise outside of bedside nursing
The IMA Group is an Affirmative Action/Equal Opportunity Employer.
Our Government Services Division supports local, state, and federal agencies through objective medical and psychological evaluations and ancillary services. Our Payer Services Division partners with carriers, TPAs, employers, and public entities to provide comprehensive evaluation and case management solutions across workers’ compensation, disability, liability, and auto markets. Our Clinical Research Division conducts Phase II–IV clinical trials nationwide through both onsite and virtual capabilities.
#LI-REMOTE
#LI-BC1
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About IMA Group

Sourced by ZipRecruiter

IMA Group is a prominent player in the healthcare sector headquartered in Tarrytown, NY, USA. The company is known for offering a range of comprehensive health assessments, disability evaluations, as well as related services. It has been providing these services for over three decades, having been established back in the late 1980s. IMA Group is driven by a core mission – to assist individuals and families through challenging times of their lives with their health and disability-related services. The company believes in delivering personalized, professional, and compassionate service.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Tarrytown, NY, US

Year founded

1990

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