Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Overland Park, KS · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Overland Park, KS · Remote
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Kansas City, KS · On-site +1
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Kansas City, KS · On-site +1
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Overland Park, KS · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Overland Park, KS · On-site +1
$50K/yr
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
RN, Virtual Expert Care
Kansas City, MO · On-site +1
Candidates with 2+ years of inpatient nursing experience strongly preferred This is not a remote ... RQI), Registered Nurse (KS) - National Council of State Boards of Nursing (NURSYS), Registered ...
RN, Virtual Expert Care
Kansas City, MO · On-site +1
Candidates with 2+ years of inpatient nursing experience strongly preferred This is not a remote ... RQI), Registered Nurse (KS) - National Council of State Boards of Nursing (NURSYS), Registered ...
Informatics Nurse Applications Analyst
Kansas City, MO · Remote
$35.91/hr
The work is remote, but employees will be required to come on-site for meetings or work. This is a ... Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire * One of the ...
Informatics Nurse Applications Analyst
Kansas City, MO · Remote
$35.91/hr
The work is remote, but employees will be required to come on-site for meetings or work. This is a ... Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire * One of the ...
RN Field Case Manager
Overland Park, KS · On-site +1
$77K - $97K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Overland Park, KS · On-site +1
$77K - $97K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Overland Park, KS · On-site +1
$77K - $97K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Overland Park, KS · On-site +1
$77K - $97K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
Supervisor, Utilization Management (RN)
Kansas City, MO · On-site +1
$75K - $135K/yr
CA RN LICENSE REQUIRED Pay Range: $75,300.00 - $135,400.00 per year Centene offers a comprehensive ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Supervisor, Utilization Management (RN)
Kansas City, MO · On-site +1
$75K - $135K/yr
CA RN LICENSE REQUIRED Pay Range: $75,300.00 - $135,400.00 per year Centene offers a comprehensive ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Supervisor, Utilization Management (RN)
Kansas City, MO · On-site +1
$75K - $135K/yr
CA RN LICENSE REQUIRED Pay Range: $75,300.00 - $135,400.00 per year Centene offers a comprehensive ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Supervisor, Utilization Management (RN)
Kansas City, MO · On-site +1
$75K - $135K/yr
CA RN LICENSE REQUIRED Pay Range: $75,300.00 - $135,400.00 per year Centene offers a comprehensive ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Manager, Payment Integrity- Readmission
Kansas City, MO · On-site +1
$87K - $157K/yr
An RN with coding background is highly preferred for this position that will lead and oversee PI ... Manages a team of auditors and clinical professionals and is accountable for audit quality ...
Manager, Payment Integrity- Readmission
Kansas City, MO · On-site +1
$87K - $157K/yr
An RN with coding background is highly preferred for this position that will lead and oversee PI ... Manages a team of auditors and clinical professionals and is accountable for audit quality ...
Conduct ongoing telephonic and remote case management activities, including follow-up calls ... Active Registered Nurse (RN) designation required. * Certification in Case Management through the ...
Conduct ongoing telephonic and remote case management activities, including follow-up calls ... Active Registered Nurse (RN) designation required. * Certification in Case Management through the ...
Inpatient Care Management Nurse - Remote
Kansas City, MO · Remote
$60K - $107K/yr
Active, unrestricted RN license in state of MO * 3 years of clinical nursing experience in a Hospital setting * Proficiency in computer skills - Windows, IM, Excel (Microsoft Suite), Outlook ...
Inpatient Care Management Nurse - Remote
Kansas City, MO · Remote
$60K - $107K/yr
Active, unrestricted RN license in state of MO * 3 years of clinical nursing experience in a Hospital setting * Proficiency in computer skills - Windows, IM, Excel (Microsoft Suite), Outlook ...
Virtual Family Medicine Physician - Live Anywhere in Missouri - Full-Time Remote
Kansas City, MO · Remote
... Registered Nurses, and Licensed Practical Nurses. * Partner with the clinical team to develop and ... If You're Interested If you're looking for a fully remote opportunity where you can build ...
Virtual Family Medicine Physician - Live Anywhere in Missouri - Full-Time Remote
Kansas City, MO · Remote
... Registered Nurses, and Licensed Practical Nurses. * Partner with the clinical team to develop and ... If You're Interested If you're looking for a fully remote opportunity where you can build ...
Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in ... Master's degree in nursing, with a current RN license in good standing; Doctorate degree and CNE ...
Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in ... Master's degree in nursing, with a current RN license in good standing; Doctorate degree and CNE ...
Nursing Education Specialist
Leawood, KS · On-site +1
Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in ... MSN and current RN license required. * 5+ years of experience as a full-time faculty member in a ...
Nursing Education Specialist
Leawood, KS · On-site +1
Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in ... MSN and current RN license required. * 5+ years of experience as a full-time faculty member in a ...
Clinical Psychologist- Remote
Kansas City, MO · Remote
$67K - $83K/yr
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Clinical Psychologist- Remote
Kansas City, MO · Remote
$67K - $83K/yr
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Remote Medical Scribe
Kansas City, MO · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
Quick apply
Remote Medical Scribe
Kansas City, MO · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
Family Practice - Without OB Physician
Kansas City, MO · Remote
$86.54 - $105.77/hr
... Registered Nurses, and Licensed Practical Nurses. * Partner with the clinical team to develop and ... If You're Interested If you're looking for a fully remote opportunity where you can build ...
Family Practice - Without OB Physician
Kansas City, MO · Remote
$86.54 - $105.77/hr
... Registered Nurses, and Licensed Practical Nurses. * Partner with the clinical team to develop and ... If You're Interested If you're looking for a fully remote opportunity where you can build ...
Remote Rn Auditor information
See Olathe, KS salary details
$19.06 - $21.42
6% of jobs
$21.42 - $23.79
6% of jobs
$23.79 - $26.15
3% of jobs
$27.67 is the 25th percentile. Wages below this are outliers.
$26.15 - $28.52
15% of jobs
$28.52 - $30.89
17% of jobs
The median wage is $31.21 / hr.
$30.89 - $33.25
23% of jobs
$34.10 is the 75th percentile. Wages above this are outliers.
$33.25 - $35.62
15% of jobs
$35.62 - $37.98
8% of jobs
$37.98 - $40.35
0% of jobs
$40.35 - $42.72
0% of jobs
$42.72 - $45.08
7% of jobs
$19
$31
$45
How much do remote rn auditor jobs pay per hour?
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?
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 a Remote RN Auditor?
Can you work remotely as a remote RN auditor?
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 6 days ago
Job description
- Serve as a consistent resource throughout the continuum of program services, which includes identifying barriers to therapy and helping the patient understand and navigate such barriers.
- Serve as an educator who possesses knowledge and practical experience about clinical treatments and the strong emotions and financial implications associated with a new diagnosis, living with a chronic medical condition or life-threatening condition.
- Enable patients by providing them with information and education about:
- their prescribed therapy and course of treatment, fairly balanced with benefits and known side effects per manufacturer product information
- proper administration and dosing of prescribed therapy
- calling and working with the patient’s insurance payer to determine coverage benefits, anticipated out-of-pocket costs associated with their therapy and resources for financial assistance, where applicable based upon needs communicated by the patient
- support to help better manage the stress involved in their diagnosis.
- Empower the patient to participate in their personal care process by triaging the patient to support for other non-program needs such as social or other intervention programs.
- Reporting of Adverse Events/ Product Complaint received in accordance with SOP and good manufacturer practices
- Other duties as assigned by management
- Utilize Valeris’ values as the driving force behind the team’s success
- On time adherence to training deadlines for all corporate policies and procedures
- Ensure all SOPs are followed with consistency
- Perform additional tasks or projects as assigned
- Clinical nursing experience with demonstrated competence in educating and managing patients with a new diagnosis or chronic medical condition
- Knowledge about clinical aspects of the relevant disease state, including protocol therapy and common prescribing algorithms
- General computer skills
- Able to adapt to changing work assignments
- Be service oriented and anticipate, recognize and meet the needs of others
- Excellent interpersonal skills required, with specific ability to communicate effectively with patients, family members, and physicians
- Ability to multitask effectively
- Ability to recognize emotions and their effects
- Sureness about self-worth and capabilities
- Manage disruptive impulses
- Maintain standards of honesty and integrity
- Take responsibility for performance
- Be adaptable and handle change with flexibility
- Be innovative and open to new ideas
- Achievement driven; constantly striving to improve or to meet a standard of excellence
- Align with the goals of the group or organization and communicate effectively within the group
- Ready to take initiative and act on opportunities
- Be optimistic and pursue goals persistently despite obstacles and setbacks
- Must have active RN licensure in current state of practice.
- 2-3 years of nursing experience with relevant disease state experience preferred.
- Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus.
- Case management or Clinical Trial Nurse experience, a plus.
- Bachelor's degree preferred.
- Remote work eligibility is subject to all work from home criteria met and based on business need.
- While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
- Although very minimal, flexibility to travel as needed is preferred.
- This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
- Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
- Additional health support, including telehealth and Employee Assistance Program (EAP) services
- Company match on Health Savings Account contributions
- Free Basic Life and AD amp;D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
- Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
- 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
- Paid Time Off (PTO) and Sick Leave to support work-life balance
- Team members receive nine paid holidays plus two floating holidays
- Opportunities for advancement in a company that supports personal and professional growth
- A challenging, stimulating work environment that encourages new ideas
- Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
- A mission-driven, inclusive culture where your work makes a meaningful impact
Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @valeris.com and/or @echo.newtonsoftware.com email address regarding next steps in our interview process.
Please Note:- PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @valeris.com or @echo.newtonsoftware.com email address, or through our scheduling platform, Calendly.
- We will never request your bank account information at any stage of the hiring process.
- We will never send a check (electronic or physical) to purchase home office equipment.
If you receive any suspicious communication regarding employment with PharmaCord, please report it to our Talent Acquisition team immediately at careers@valeris.com