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Remote Rn Case Review Jobs in Maryland (NOW HIRING)

Clinical Navigator (Remote)

Baltimore, MD · Remote

  • Medical

  • Retirement

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Collaborates with CareFirst medical directors and participates in internal case rounds/discussions ...

Clinical Navigator (Remote)

Baltimore, MD · Remote

  • Medical

  • Retirement

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Collaborates with CareFirst medical directors and participates in internal case rounds/discussions ...

Clinical Support Specialist

Towson, MD · Remote

$77K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Clinical Support Specialist (RN or PT) - Home Health Senior Living BAYADA Home Health Care ... OASIS review, and Medicare compliance , with experience in clinical case management or ...

New

Clinical Support Specialist

Towson, MD · Remote

$77K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Clinical Support Specialist (RN or PT) - Home Health Senior Living BAYADA Home Health Care ... OASIS review, and Medicare compliance , with experience in clinical case management or ...

New

$10/hr

EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

$10/hr

EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

$139/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Summit,NJ - USA Position Requirements CRNA to join the New Jersey implementation team supporting ... Awards Case Assignments Diverse case mix. Shifts As part of our Implementation Team, you will find ...

Showing results 21-40

Remote Rn Case Review information

What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?

AspectRemote Rn Case ReviewRemote Rn Utilization Review
CredentialsRegistered Nurse (RN), licensure, case review certificationsRegistered Nurse (RN), licensure, utilization review certifications
Work EnvironmentRemote, healthcare settings, insurance companiesRemote, healthcare settings, insurance companies
Employer & IndustryHospitals, insurance firms, healthcare providersInsurance companies, healthcare management organizations

Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

What cities in Maryland are hiring for Remote Rn Case Review jobs?

Cities in Maryland with the most Remote Rn Case Review job openings:

Orthopedic Surgeon - PRN

STG International, Inc.

Rockville, MD • Remote

Per diem

Re-posted 8 days ago


Job description

STGi is currently seeking a Orthopedic Surgeon - Reviewing Medical Officer (RMO) - who is board certified in Orthopedic medicine for Federal Occupational Health Services. The position is open to candidates nationwide and is fully remote. 

The Reviewing Medical Officer (RMO) in the Medical Employability Program (MEP) provides consultative reviews for federal agencies requesting a formal written medical opinion on cases involving Reasonable Accommodation, FMLA, federal loan forgiveness, fitness for duty or return to work evaluations, handicapped parking requests, and Advanced Sick Leave among others. The Reviewing Medical Officer (RMO) works independently but provides consultation, training and collaboration for other team members to ensure the quality of reviews and a high level of customer service.  

ESSENTIAL FUNCTIONS: 

  • Providing expert advice on occupational health issues involving an Orthopedic Surgeon component  

  • Providing witness testimony regarding such issues as fitness for duty or reasonable accommodation cases, if necessary.  
  •  Applying program requirements to all interactions as required (training provided)  

  •  Attending required meetings and administering annual clinical structured interviews.  

  •  Determining position suitability based on the orthopedic surgeon interview and test results as they relate to the job task analysis and the medical standards provided.  

  •  Notifying when an employee fails the specified component of the medical standards or reasonable expectation employee is unable to perform their job in a safe, secure, reliable manner.  

  •  Communicating information related to the Orthopedic Surgeon program or employee suitability as needed.  

  •  Interfacing and consulting with others as needed.  
  •  Evaluating and assessing orthopedic surgeon program security information.  

  •  Making final orthopedic surgeon recommendations regarding difficult cases.  

  •  Receiving program direction from the FOH Medical Director.  

  •  Evaluating workers’ compensation case files, interprets medical reports, evaluates medical evidence and test results, translates technical medical language, and provides guidance or instruction to customer agencies regarding general medical issues that pertain to workers’ compensation cases.  

  •  Submitting monthly billing in the specified format and by specified deadlines  

  •  Complying with DFEC program requirements regarding access to and use of DOL databases or applications that contain confidential medical and personal information 

  •  May be required to conduct hands-on examinations (if so privileged by FOH), render a professional opinion as it relates to work clearances or recommendations consistent with the examination findings and established physical qualifications. 
  • Completing training on DFEC policy, procedures, and regulations prior to performing case reviews. 
  •  Performing medical consultation in accordance with FOH’s policy and standard operating procedures. 
  •  Completing reviews in accordance with evidence-based recommendations, industry standards, and nationally recognized health care quality organizations. 

Required Skills
  •  Must have experience in medical case review within the field as an Orthopedic Surgeon. Preferably worker’s compensation case review experience. 


STG International logo

About STG International

Sourced by ZipRecruiter

STG International is a leading organization in the field of Professional Services, providing a wide variety of solutions in healthcare staffing, executive level personnel, technical expertise and project management among others. The company, which began operations in 1997, is headquartered in Arlington, Virginia. STG International is underpinned by a strong mission to provide the highest quality of professional services to meet the evolving needs of its clientele in both public and private sectors, uniquely coupling innovative solutions with a client-focused approach.

Industry

Hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Arlington, VA, US

Year founded

1997

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