Role Overview: The Director, ICT Care Coordination, is responsible for leading the strategic direction, operational execution, and performance of care coordination and population health programs
Role Overview: The Director, ICT Care Coordination, is responsible for leading the strategic direction, operational execution, and performance of care coordination and population health programs
Meet the Leader Join a health system that's redefining excellence in outpatient care. As the Outpatient Clinical Documentation (CDI) Manager, you'll lead the strategy, people, and processes behind
Meet the Leader Join a health system that's redefining excellence in outpatient care. As the Outpatient Clinical Documentation (CDI) Manager, you'll lead the strategy, people, and processes behind
Meet the Leader Join a health system that's redefining excellence in outpatient care. As the Outpatient Clinical Documentation (CDI) Manager, you'll lead the strategy, people, and processes behind
Meet the Leader Join a health system that's redefining excellence in outpatient care. As the Outpatient Clinical Documentation (CDI) Manager, you'll lead the strategy, people, and processes behind
Meet the Leader Join a health system that's redefining excellence in outpatient care. As the Outpatient Clinical Documentation (CDI) Manager, you'll lead the strategy, people, and processes behind
Meet the Leader Join a health system that's redefining excellence in outpatient care. As the Outpatient Clinical Documentation (CDI) Manager, you'll lead the strategy, people, and processes behind
Meet the Leader Join a health system that's redefining excellence in outpatient care. As the Outpatient Clinical Documentation (CDI) Manager, you'll lead the strategy, people, and processes behind
Meet the Leader Join a health system that's redefining excellence in outpatient care. As the Outpatient Clinical Documentation (CDI) Manager, you'll lead the strategy, people, and processes behind
New locum need for Radiologist-Neuroradiology in Detroit, MI-$400 Hr-Dec 2025 to December 2026-MI li
Detroit, MI · Remote
New locum need for Radiologist-Neuroradiology in Detroit, MI-$400 Hr-Dec 2025 to December 2026-MI license only-TELEHEALTH coverage DMC Harper -Hutzel University Hospital - TPR 3990 John R St Detroit,
New locum need for Radiologist-Neuroradiology in Detroit, MI-$400 Hr-Dec 2025 to December 2026-MI li
Detroit, MI · Remote
New locum need for Radiologist-Neuroradiology in Detroit, MI-$400 Hr-Dec 2025 to December 2026-MI license only-TELEHEALTH coverage DMC Harper -Hutzel University Hospital - TPR 3990 John R St Detroit,
Company Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's
Quick apply
Company Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's
Licensed Psychologist - Remote
Detroit, MI · Remote
$650/wk
Private practice with no doors and no overhead. BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care -- not admin or
Quick apply
Licensed Psychologist - Remote
Detroit, MI · Remote
$650/wk
Private practice with no doors and no overhead. BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care -- not admin or
Licensed Professional Counselor - Remote
Detroit, MI · Remote
$650/wk
Private practice with no doors and no overhead. BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care -- not admin or
Quick apply
Licensed Professional Counselor - Remote
Detroit, MI · Remote
$650/wk
Private practice with no doors and no overhead. BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care -- not admin or
*Inpatient Complex Coder/Full Time/Remote
Troy, MI · Remote
$20.50 - $25/hr
GENERAL SUMMARY: Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing
*Inpatient Complex Coder/Full Time/Remote
Troy, MI · Remote
$20.50 - $25/hr
GENERAL SUMMARY: Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing
*Inpatient Complex Coder/Full Time/Remote
Troy, MI · On-site +1
$20.50 - $25/hr
GENERAL SUMMARY: Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing
*Inpatient Complex Coder/Full Time/Remote
Troy, MI · On-site +1
$20.50 - $25/hr
GENERAL SUMMARY: Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing
Master Social Worker - Clinical Specialty - Remote
Detroit, MI · Remote
$650/wk
Private practice with no doors and no overhead. BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care -- not admin or
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Master Social Worker - Clinical Specialty - Remote
Detroit, MI · Remote
$650/wk
Private practice with no doors and no overhead. BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care -- not admin or
Licensed Marriage and Family Therapist - Remote
Detroit, MI · Remote
$650/wk
Private practice with no doors and no overhead. BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care -- not admin or
Quick apply
Licensed Marriage and Family Therapist - Remote
Detroit, MI · Remote
$650/wk
Private practice with no doors and no overhead. BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care -- not admin or
Remote Medical Scribe
Lansing, MI · Remote
$14 - $17/hr
Description Become a Medical Scribe First Scribe-X offers unparalleled clinical experience and preparation for medical school. * Receive extensive paid training that will help you master EMR systems
Quick apply
Remote Medical Scribe
Lansing, MI · Remote
$14 - $17/hr
Description Become a Medical Scribe First Scribe-X offers unparalleled clinical experience and preparation for medical school. * Receive extensive paid training that will help you master EMR systems
$14 - $17/hr
Description Become a Medical Scribe First Scribe-X offers unparalleled clinical experience and preparation for medical school. * Receive extensive paid training that will help you master EMR systems
Quick apply
$14 - $17/hr
Description Become a Medical Scribe First Scribe-X offers unparalleled clinical experience and preparation for medical school. * Receive extensive paid training that will help you master EMR systems
ERP System Administrator
Farmington Hills, MI · On-site +1
DiaMedical USA is a fast-growing medical equipment distributor located in Farmington Hills, MI. At DiaMedical USA, our mission is to improve quality healthcare by acting as a turnkey solution for
ERP System Administrator
Farmington Hills, MI · On-site +1
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Clinical Documentation Coordinator / Second Level Reviewer (Remote) Full‑Time | 80 Hours per Pay Per
Kalamazoo, MI · On-site +1
$32.75 - $44.25/hr
CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and
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Kalamazoo, MI · On-site +1
$32.75 - $44.25/hr
CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and
Salvo Health is looking for an experienced Lincensed Clinical Social Worker to play an integral role on our care team. This role will work directly with patients virtually, offering personalized
Salvo Health is looking for an experienced Lincensed Clinical Social Worker to play an integral role on our care team. This role will work directly with patients virtually, offering personalized
Care Manager (LMSW)
Macomb, MI · On-site +1
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll
Care Manager (LMSW)
Macomb, MI · On-site +1
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll
Care Manager (LMSW)
Detroit, MI · On-site +1
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll
Care Manager (LMSW)
Detroit, MI · On-site +1
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll
Remote Rn Auditor information
See Michigan salary details
$17.18 - $19.31
6% of jobs
$19.31 - $21.45
6% of jobs
$21.45 - $23.58
3% of jobs
$24.95 is the 25th percentile. Wages below this are outliers.
$23.58 - $25.71
15% of jobs
$25.71 - $27.85
17% of jobs
The median wage is $28.14 / hr.
$27.85 - $29.98
23% of jobs
$30.74 is the 75th percentile. Wages above this are outliers.
$29.98 - $32.11
15% of jobs
$32.11 - $34.25
8% of jobs
$34.25 - $36.38
0% of jobs
$36.38 - $38.51
0% of jobs
$38.51 - $40.65
7% of jobs
$17
$28
$40
How much do remote rn auditor jobs pay per hour?
What is a Remote RN Auditor?
What does a Remote RN Auditor do?
As a remote RN auditor, your job is to review claims and audit financial statements to ensure validity and accuracy. In this role, you may examine documentation from the patient or clinic, evaluate the effectiveness of care, or ensure that claims comply with government regulations. RN auditors often provide advice for cutting costs and contact both healthcare providers and clients to negotiate specific claims or resolve billing issues. Remote RN auditors often work with daily or weekly batches of work as assigned, but in rare cases, you may be asked to prioritize auditing certain material when time is of the essence.
What are the key skills and qualifications needed to thrive as a Remote RN Auditor?
What are some common challenges faced by Remote RN Auditors, and how can they be effectively managed?
What is the difference between Remote Rn Auditor vs Remote Rn Reviewer?
| Aspect | Remote Rn Auditor | Remote Rn Reviewer |
|---|---|---|
| Certifications | RN license, auditing certifications (e.g., CHAP, RAC) | RN license, clinical review certifications |
| Work Environment | Healthcare organizations, insurance companies, auditing firms | Healthcare providers, insurance companies, utilization review |
| Primary Responsibilities | Auditing medical records for compliance, coding accuracy, and billing | Reviewing medical records for appropriateness and medical necessity |
Remote Rn Auditors focus on compliance and coding accuracy through audits, while Remote Rn Reviewers primarily assess medical necessity and appropriateness of care. Both roles require RN licensure and related certifications, often working within healthcare or insurance settings. The key difference lies in their core functions: auditing versus clinical review, though both contribute to quality and compliance in healthcare reimbursement.
How do I become a remote RN auditor?
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For Remote Rn Auditor jobs in Michigan, the most frequently searched job titles are:
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The top searched job categories for Remote Rn Auditor jobs in Michigan are:
What cities in Michigan are hiring for Remote Rn Auditor jobs?
Cities in Michigan with the most Remote Rn Auditor job openings:

Full-time
Re-posted 29 days ago
Key responsibilities
Oversee market-specific clinical programs, including Case Management, Bright Start Maternity program, and Community Outreach.
Direct and oversee Care Coordination - Integrated Care Team (ICT) clinical and non-clinical staff, supporting staffing, hiring, and professional development.
Lead performance measurement efforts, monitor care coordination quality metrics, and implement corrective actions as needed.
AmeriHealth Caritas rating
8.3
Based on 73 frontline employees who took The Breakroom Quiz
134th of 315 rated insurance
Job description
Role Overview: The Director, ICT Care Coordination, is responsible for leading the strategic direction, operational execution, and performance of care coordination and population health programs within the assigned market to ensure the delivery of high-quality, compliant, and member-centered clinical and non-clinical services.
Work Arrangement:
- Remote - Fully remote associate must be located in Michigan (MI).
- Some travel to state and other meetings will be required
Responsibilities:
- Partner with the Market Chief Medical Officer (CMO) and other market leaders to develop, execute, and monitor the plan's population health strategy while supporting equitable, whole-person care for members.
- Collaborate with CMO, Quality Director, and other market leaders and evaluate continuous quality improvement and process optimization efforts across care coordination programs and initiatives
- Oversee market-specific clinical programs, including Case Management (CM), Bright Start Maternity program, and Community Outreach
- Ensure alignment of care coordination programs with population health strategy, enterprise policies, and contractual requirements
- Direct and oversee Care Coordination - Integrated Care Team (ICT) clinical and non-clinical staff; support staffing, hiring, and professional development
- Ensure compliance with state, federal, and contract requirements, including the Michigan Department of Health & Human Services (MDHHS) contract
- Implement processes for identifying, assessing, and developing care plans for members with special healthcare needs
- Ensure coordination of care across physical health, behavioral health, and community-based services
- Serve as the primary point of contact with state regulatory agencies on care coordination-related activities
- Develop and implement engagement strategies for members
- Ensure effective coordination of services across multiple healthcare entities and providers
- Drive integration of care coordination and disease management within population health and quality improvement initiatives
- Lead performance measurement efforts to assess and improve health outcomes and operational effectiveness
- Monitor transition of care programs and care coordination quality performance metrics; implement corrective actions as needed
- Serve as liaison between market and enterprise leadership; share best practices and align strategies
- Partner with regulatory, external quality review organizations such as (but not limited to) the National Committee for Quality Assurance (NCQA), and Quality Assessment and Performance Improvement (QAPI) teams
- Prepare and deliver reporting, including key performance indicators (KPIs), program performance, and utilization trends
- Support procurement activities (RFPs/RFIs) and provide subject-matter expertise for care coordination and population health expansion efforts
- Perform other duties as assigned
Education & Experience:
- Bachelor's degree in Nursing or other health related field with an active, unrestricted Registered Nurse (RN) licensure in MI required plus a Masters Degree or other advanced degree in nursing, social work, health services research, health policy, information technology, or other relevant field
- 3 to 5 years of progressive management experience, including staff management, within a Medicaid managed care environment
- 3 years of experience leading case management programs, including program design, implementation, and strategic execution
- 3 years of experience with NCQA standards and regulatory guidelines
- Certified Case Manager (CCM) certification required
- Experience developing, driving, and measuring clinical operations, population health strategy, and performance improvement initiatives preferred
Licensure:
- Active, unrestricted RN licensure in MI required.
Skills & Abilities:
- Strong leadership and team management skills with the ability to lead multidisciplinary clinical and non-clinical teams
- Deep understanding of population health, care coordination, and managed care operations
- Knowledge of Medicaid regulations, state contract requirements, and compliance standards
- Proven ability to design, implement, and optimize clinical programs and operational workflows
- Strong analytical and performance management capabilities with a focus on outcomes and quality improvement
- Excellent communication and collaboration skills, with the ability to engage executive leadership and external stakeholders
- Ability to manage multiple priorities and drive execution in a complex, highly regulated environment
- Strategic thinker with the ability to translate population health goals into actionable operational plans
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint)
What AmeriHealth Caritas employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About AmeriHealth Caritas
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1983