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Remote Rn Case Review Jobs in Texas (NOW HIRING)

CERiS

Itemization Review Nurse II

Fort Worth, TX · Remote

$61K - $98K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...

Corvel

Itemization Review Nurse II

Fort Worth, TX · Remote

$61K - $98K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · Remote

$65K - $75K/yr

Qualifications RN, LPN/LVN graduate from an accredited school of nursing Current, active ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · On-site +1

$65K - $75K/yr

Qualifications • RN, LPN/LVN graduate from an accredited school of nursing • Current, active ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

Varsity Tutors

NCLEX-RN Tutor

Arlington, TX · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

Allen, TX · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

Grand Prairie, TX · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

Mckinney, TX · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

Pearland, TX · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

Houston, TX · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

Missouri City, TX · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

Brownsville, TX · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

Irving, TX · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

Sugar Land, TX · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Varsity Tutors

NCLEX-RN Tutor

El Paso, TX · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

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All JobsRemote Rn Case Review JobsRemote Rn Case Review Jobs in Texas

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 are the most commonly searched types of Rn Case Review jobs in Texas? The most popular types of Rn Case Review jobs in Texas are:
What are popular job titles related to Remote Rn Case Review jobs in Texas? For Remote Rn Case Review jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Review jobs in Texas look for? The top searched job categories for Remote Rn Case Review jobs in Texas are:
What cities in Texas are hiring for Remote Rn Case Review jobs? Cities in Texas with the most Remote Rn Case Review job openings:
Remote Rn Case Review jobs near you
Itemization Review Nurse II

Itemization Review Nurse II

CERiS

Fort Worth, TX • Remote

$61K - $98K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges.

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Collects supporting data and analyzes information to make decisions regarding accuracy of billing
  • Appropriately documents work and final conclusions in designated computer program
  • Understanding of Surgical Implants
  • Meets department's expectations and standards 
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Understanding of Itemization Review for designated clients
  • Understanding of CERIS systems and Data Base informatics
  • Understanding of HIPAA regulations
  • Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly
  • Demonstrated leadership skills; ability to work with Leadership Team(s) within a positive team environment
  • Strategic problem solving, analytical, and critical thinking skills
  • Effective written and verbal communication skills
  • Ability to work independently and within a team environment
  • Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams

EDUCATION & EXPERIENCE:

  • Must maintain current licensure as a Registered Nurse in the state of employment
  • Must have a minimum of 5 years’ experience in the O.R., ICU, or E.R. as an R.N.
  • Associate Degree in Nursing or higher
  • Experience in medical bill auditing preferred but not mandatory

PAY RANGE: 

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time. 

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process. 

Pay Range:  $61,053 – $98,334 

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management 

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CERIS:

CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). 

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. 

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About CERIS

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

51 - 200 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1990

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