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Remote Rn Case Review Jobs in Washington (NOW HIRING)

NCLEX-RN Tutor

Alexandria, VA ยท Remote

$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 ...

NCLEX-RN Tutor

Fairfax, VA ยท Remote

$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 ...

NCLEX-RN Tutor

Bowie, MD ยท Remote

$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 ...

NCLEX-RN Tutor

Leesburg, VA ยท Remote

$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 ...

NCLEX-RN Tutor

Rockville, MD ยท Remote

$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 ...

NCLEX-RN Tutor

Washington, DC ยท Remote

$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 ...

NCLEX-RN Tutor

Laurel, MD ยท Remote

$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 ...

NCLEX-RN Tutor

College Park, MD ยท Remote

$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 ...

Registered Nurse

Mclean, VA ยท On-site +1

Leidos QTC Medical Group is seeking a full-time Registered Nurse to join our team at locations ... and review services, occupational health services, diagnostic testing, and case management ...

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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 Washington are hiring for Remote Rn Case Review jobs? Cities in Washington with the most Remote Rn Case Review job openings:

Nurse Practitioner - Medical Case Reviewer - Rockville, MD

Prime Physicians

Rockville, MD โ€ข Remote

$113K - $143K/yr

Contractor

Posted 20 days ago


Job description

Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization.ย Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.

Job Title: Nurse Practitioner โ€” Medical Case Reviewer

Specialty: Family, Adult-Gerontology, Pediatrics, or similar
Place of Work: Remote (U.S. only)
Duration: 6 months contract with a possibility of 6 months extensionLicense/Certifications: Active NP license, national certification (FNP-C, AGNP-C/BC, PNP-BC, etc.)
Education: Masterโ€™s or Doctorate in Nursing from accredited U.S. program
Minimum Qualification/Experience: At least 5 years of advanced practice clinical experience
Responsibilities:

  • Perform comprehensive chart reviews of medical records for HRSA programs, focusing on medical history, diagnosis, and treatment patterns.
  • Summarize findings into structured reports that support physician reviewers and program determinations.
  • Identify gaps in documentation and communicate the need for additional records when necessary.
  • Maintain consistency and accuracy while adhering to established templates and timelines. Collaborate with internal quality teams to refine processes and meet program standards.
  • Safeguard patient confidentiality and comply with all applicable legal and ethical guidelines.

Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.