If you answered "yes" to any of these questions - this is the position for you! RN Field Behavioral Health Case Manager will work 70% in the field and 30% remote. The patient members that they will ...
If you answered "yes" to any of these questions - this is the position for you! RN Field Behavioral Health Case Manager will work 70% in the field and 30% remote. The patient members that they will ...
Field Case Manager - Vocational
Toledo, OH · On-site +1
... remote work environment that allows face to face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or Bachelor's degree in health or human services field ...
Field Case Manager - Vocational
Toledo, OH · On-site +1
... remote work environment that allows face to face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or Bachelor's degree in health or human services field ...
Field Case Manager - Vocational
Toledo, OH · On-site +1
... remote work environment that allows face to face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or Bachelor's degree in health or human services field ...
Field Case Manager - Vocational
Toledo, OH · On-site +1
... remote work environment that allows face to face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or Bachelor's degree in health or human services field ...
Clinical Resource Specialist
Toledo, OH · On-site +1
This will be a remote position responsible for covering the Midwest/West region. The ideal ... Who You Are * LPN or RN * Three to Five (3-5) years of experience in the healthcare industry within ...
Clinical Resource Specialist
Toledo, OH · On-site +1
This will be a remote position responsible for covering the Midwest/West region. The ideal ... Who You Are * LPN or RN * Three to Five (3-5) years of experience in the healthcare industry within ...
Remote Rn Auditor information
See Toledo, OH salary details
$19.39 - $21.80
6% of jobs
$21.80 - $24.21
6% of jobs
$24.21 - $26.62
3% of jobs
$28.17 is the 25th percentile. Wages below this are outliers.
$26.62 - $29.03
15% of jobs
$29.03 - $31.44
17% of jobs
The median wage is $31.76 / hr.
$31.44 - $33.84
23% of jobs
$34.70 is the 75th percentile. Wages above this are outliers.
$33.84 - $36.25
15% of jobs
$36.25 - $38.66
8% of jobs
$38.66 - $41.07
0% of jobs
$41.07 - $43.48
0% of jobs
$43.48 - $45.88
7% of jobs
$19
$32
$45
How much do remote rn auditor jobs pay per hour?
As of Aug 12, 2026, the average hourly pay for remote rn auditor in Toledo, OH is $32.46, according to ZipRecruiter salary data. Most workers in this role earn between $28.37 and $35.48 per hour, depending on experience, location, and employer.
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?
To become a remote RN auditor, you typically need a valid registered nurse license, relevant experience in healthcare or medical record review, and knowledge of coding and compliance standards such as HIPAA. Many employers also prefer candidates with certifications like Certified Professional Medical Auditor (CPMA) or Certified Coding Specialist (CCS). Strong attention to detail and proficiency with electronic health record systems are essential for success in this role.
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?
To thrive as a Remote RN Auditor, you need a strong background in nursing, clinical documentation, and auditing practices, typically with an active RN license and experience in medical record review. Familiarity with electronic health record (EHR) systems, coding standards (such as ICD-10 and CPT), and auditing software is essential. Attention to detail, strong analytical thinking, and effective written communication are standout soft skills in this role. These capabilities ensure accurate audits, regulatory compliance, and clear reporting in a remote healthcare environment.
What are some common challenges faced by Remote RN Auditors, and how can they be effectively managed?
Remote RN Auditors often encounter challenges such as navigating complex electronic health record systems, ensuring data accuracy while working independently, and staying updated on frequently changing compliance regulations. To manage these, successful auditors develop strong organizational skills, maintain regular communication with team members, and participate in ongoing training. Proactively seeking clarification on ambiguous cases and leveraging available resources from their organization can also help maintain high-quality audit outcomes and job satisfaction.
What is a Remote RN Auditor?
A Remote RN Auditor is a registered nurse who reviews medical records, clinical documentation, and billing information to ensure compliance with healthcare regulations and standards—all while working remotely. Their primary focus is to verify accuracy in coding, billing, and adherence to clinical guidelines, often for insurance companies, hospitals, or healthcare organizations. They play a crucial role in identifying errors, preventing fraud, and improving the quality of patient care. This job typically requires an active RN license, strong attention to detail, and experience with healthcare compliance and auditing.
Can you work remotely as a remote RN auditor?
Yes, remote RN auditors can often work from home, as the role primarily involves reviewing medical records and documentation electronically. Strong computer skills, familiarity with auditing software, and relevant nursing licensure are typically required, and employers may set specific remote work policies or schedules.
More about Remote Rn Auditor jobs
What are popular job titles related to Remote Rn Auditor jobs in Toledo, OH? For Remote Rn Auditor jobs in Toledo, OH, the most frequently searched job titles are:
What job categories do people searching Remote Rn Auditor jobs in Toledo, OH look for? The top searched job categories for Remote Rn Auditor jobs in Toledo, OH are:
What cities near Toledo, OH are hiring for Remote Rn Auditor jobs? Cities near Toledo, OH with the most Remote Rn Auditor job openings:
Full-time
Re-posted 22 days ago
Job description
Company Description
Are you an experienced Administrative Assistant looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!
Job Description
RN Field Behavioral Health Case Manager will work 70% in the field and 30% remote. The patient members that they will be assessing are dual eligible Medicare/ Medicaid. There duties include; day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life. RN Field Behavioral Health Case Manager assess members' current functional level and, in collaboration with the member, develop and monitor the Case Management Treatment Plan, monitor quality of care; assisting with discharge planning, participating in special clinical projects and communicate with departmental and plan administrative staff to facilitate daily operations of the High Risk Case Management functions. Collaborate with both medical and behavioral providers to ensure optimal care for members.
Daily Responsibilities:
RN Field Behavioral Health Case Manager will be responsible for the Lucas County patient members'
Work telephonically with patients identified as high risk to identify needs, set goals and implement action steps towards achieving goals.
Empower patients to help them improve their quality of life.
Comply with established referral, pre-certification and authorization policies, procedures and processes by related Medical Management staff.
RN Field Behavioral Health Case Manager participate in on-going communication between case management staff, utilization management staff, health plan partners and contracted providers.
RN Field Behavioral Health Case Manager will assist with the implementation of policies and procedures regarding case management and utilization management functions.
Working with these members to identify needs and goals to achieve improved quality of life.
Maintain HIPAA compliance.
Qualifications
Requirements:
MUST have a valid RN License in the State of OH
3 years of Behavioral Health experience
3-5 years of case and/or utilization management experience.
CCM (Certified Case Manager) or other clinical certification preferred
Hours for this Position:
Monday - Friday 8 am - 5 pm.
Advantages of this Opportunity:
Competitive salary
Growing Company
Medical benefits go into effect 30 days after start date
Additional Information
If you are interested in applying to this position, please contact Shanna Ramirez, (407) 636-7030 ext. 170 and click the Green "I'm Interested" Button to email your resume.
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
The greatest compliment to our business is a referral.If you know of someone looking for a new opportunity, please pass along my contact information!
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003