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Remote Rn Case Review Jobs in Newark, NJ (NOW HIRING)

MedReview

DRG Clinical Validation Nurse

Manhattan, NY · On-site +1

$85K - $95K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Maintains and manages case reviews with a high emphasis on quality * Demonstrates the ability to ... Unrestricted Registered Nurse with active RN licensure required * CCS (Certified Coding Specialist ...

Mercor

Utilisation Management Expert - RN

New York, NY · Remote

$100 - $150/hr

Remote Role Responsibilities * Lead utilisation management and case management operations ... Conduct and oversee clinical reviews against InterQual , MCG , or Milliman care guidelines to ...

Arlo

Senior Case Manager (RN)

New York, NY · Remote

$90K - $110K/yr

You'll review claims data, prior authorizations, and admission/discharge feeds to spot members who ... This is a role for an experienced RN who can think clinically, communicate warmly, and operate ...

Susquehanna University

Registered Nurse

Bronx, NY · On-site +1

$90K - $100K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Registered Nurse is responsible for the assessment, health management and intervention of the resident's actual or potential health problems through such services such as nursing case management ...

Services For The Underserved, Inc.

Registered Nurse

Bronx, NY · On-site +1

$90K - $100K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Registered Nurse is responsible for the assessment, health management and intervention of the resident's actual or potential health problems through such services such as nursing case management ...

Services For The Underserved, Inc.

Registered Nurse

Bronx, NY · On-site +1

$90K - $100K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Registered Nurse is responsible for the assessment, health management and intervention of the resident's actual or potential health problems through such services such as nursing case management ...

CVS Health

Case Manager RN - Field (Essex County, NJ)

Newark, NJ · Remote

$66K - $142K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Standard Working hours Monday - Friday 8-5 pm ICM Case Manager RN WFH Flexible Position Summary ... Uses clinical tools and information/data review to conduct an evaluation of member's needs and ...

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Showing results 41-60

All JobsRn Case Review JobsRemote Rn Case Review JobsRemote Rn Case Review Jobs in Newark, NJ

Remote Rn Case Review information

See Newark, NJ salary details

$20

$49

$83

How much do remote rn case review jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote rn case review in Newark, NJ is $49.71, according to ZipRecruiter salary data. Most workers in this role earn between $36.97 and $60.10 per hour, depending on experience, location, and employer.

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 popular job titles related to Remote Rn Case Review jobs in Newark, NJ?

For Remote Rn Case Review jobs in Newark, NJ, the most frequently searched job titles are:

What job categories do people searching Remote Rn Case Review jobs in Newark, NJ look for?

The top searched job categories for Remote Rn Case Review jobs in Newark, NJ are:

Remote Rn Case Review jobs near you
Infographic showing various Remote Rn Case Review job openings in Newark, NJ as of August 2026, with employment types broken down into 67% Full Time, and 33% Contract. Highlights an 100% Remote job distribution, with an average salary of $103,389 per year, or $49.7 per hour.

DRG Clinical Validation Nurse

MedReview

Manhattan, NY • On-site, Remote

$85K - $95K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 3 days ago

Job description

Position Summary
At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. We are seeking a registered nurse with experience in clinical validation to work within our coding department.
Candidate should be highly motivated, with strong clinical and coding background. This individual must have excellent communication skills and an analytical mindset to achieve and maintain high-level performance in a fast-paced environment.
This is a fulltime position (40 hours per week) Monday - Friday. You'll enjoy the flexibility to telecommute from anywhere within the United States. Training will be conducted virtually from your home.
If you are interested in this role with MedReview, please let us know. Here is what we are searching for:
Responsibilities:
  • Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical record
  • Must be able to interpret clinical guidelines/criteria and apply to clinical review
  • Solid understanding of anatomy and physiology, diagnostic and surgical procedures developed from specialized training and extensive experience with ICD-10-PCS code assignments
  • Demonstrates the ability to accurately interpret the medical record
  • Writes clear, accurate and concise rationales in support of findings
  • Maintains and manages case reviews with a high emphasis on quality
  • Demonstrates the ability to work in a high - volume production environment
  • Knowledge of health insurance business, industry terminology, and regulatory guidelines

Qualifications:
  • Minimum of two years' experience in clinical validation in a payment integrity setting required
  • May consider nurses with inpatient claims auditing experience or case management experience.
  • Unrestricted Registered Nurse with active RN licensure required
  • CCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification preferred
  • CCDS or CDIP Certification preferred
  • Knowledge of ICD-10 coding
  • Basic Knowledge of DRG validation and coding
  • Ability to use Windows PC with the ability to utilize multiple applications at the same time

Remote Work Requirements
  • High speed internet (100 Mbps per person recommended) with secured WIFI.
  • A dedicated workspace with minimal interruptions to protect PHI and HIPAA information.
  • Must be able to sit and use a computer keyboard for extended periods of time.

Benefits and perks include:
  • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents.
  • 401(k) with Employer Match - Join the team and we will invest in your future
  • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you're not feeling well, to observe holidays.
  • Wellness - We care about your well-being. From Commuter Benefits to FSAs, we've got you covered.
  • Learning & Development - Through continued education/mentorship on the job and our investment in LinkedIn Learning, we're focused on your growth as a working professional.

Salary Rate: $85,000 - 95,000/Annually.

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