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Remote Rn Case Review Jobs in Providence, RI (NOW HIRING)

VIVA USA INC

Nurse Case Manager

Woonsocket, RI · On-site +1

Through the use of clinical tools and information/data review, conducts comprehensive assessments ... RN with unrestricted active license in Georgia. REQUIRED : Must have experience working a remote ...

VIVA USA INC

Nurse Case Manager

Woonsocket, RI · On-site +1

Through the use of clinical tools and information/data review, conducts comprehensive assessments ... RN with unrestricted active license in Georgia. REQUIRED : Must have experience working a remote ...

Lancesoft

Nurse Case Manager II

Woonsocket, RI · On-site +1

$34.35 - $37/hr

Remote Est. Pay Range: $34.35/hr. To $37.00/hr. all-inclusive on W2 Position Summary: The Case ... Through the use of clinical tools and information/data review, conducts comprehensive assessments ...

VIVA USA INC

Nurse Case Manager

Woonsocket, RI · On-site +1

Requires an OH RN with unrestricted active license or Compact license Duties Through the use of ... data review, conducts comprehensive assessments of referred member's needs/eligibility and ...

Varsity Tutors

NCLEX-RN Tutor

Providence, RI · 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 ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Providence, RI · On-site +1

$57.75 - $70.50/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Ourhrconnect

Medical Reviewer I

Carolina, RI · On-site +1

May provide any of the following in support of medical claims review and utilization review ... Active, unrestricted RN licensure from the United States and in the state of hire, OR, active ...

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Remote Rn Case Review information

See Providence, RI salary details

$19

$48

$80

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

As of Jun 13, 2026, the average hourly pay for remote rn case review in Providence, RI is $48.02, according to ZipRecruiter salary data. Most workers in this role earn between $35.72 and $58.03 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 Providence, RI? For Remote Rn Case Review jobs in Providence, RI, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Review jobs in Providence, RI look for? The top searched job categories for Remote Rn Case Review jobs in Providence, RI are:
Remote Rn Case Review jobs near you

RN- Case Management/ Clinical Documentation - Remote - RNCM 0609 RR#02

NavitasPartners

Fall River, MA • Remote

Full-time

Posted 3 days ago

Job description

RN- Case Management/ Clinical Documentation – Remote
Location: Hyannis, MA 02601
Shift: Day Shift (07:00 AM - 03:30 PM), 8*4, total 32hr/week
Duration: 13 weeks
Work Arrangement: Fully Remote
Required Experience: Epic EMR experience and prior fully remote work experience

Position Summary

The Clinical Documentation Specialist (CDS) reviews medical records to ensure accurate clinical documentation that reflects patient severity of illness, supports quality outcomes, and optimizes reimbursement. The role collaborates closely with physicians, HIM professionals, and clinical staff to improve documentation quality and compliance.

Key Responsibilities

  • Conduct comprehensive and timely medical record reviews.
  • Identify documentation improvement opportunities and issue clinically supported queries.
  • Collaborate with physicians, nursing staff, and HIM teams to resolve documentation discrepancies.
  • Maintain accurate data entry within the electronic medical record (EMR).
  • Follow up on outstanding queries and documentation issues.
  • Participate in CDI team meetings, task forces, and staff education initiatives.
  • Support clinical documentation strategies and regulatory compliance.
  • Manage multiple priorities while maintaining high-quality standards.
  • Provide excellent customer service and professional communication.

Qualifications

  • Current Massachusetts RN license required.
  • Graduate of an accredited nursing program; BSN preferred.
  • Certified Clinical Documentation Specialist (CCDS) or CDI Competency Exam required.
  • Recent acute care experience required, preferably ICU, CCU, or strong Medical/Surgical background; OR 4 years of recent Case Management experience (within the last 4 years).
  • Strong knowledge of pathophysiology, disease processes, Medicare Part A & B guidelines, DRG assignment, and regulatory requirements.
  • Epic EMR experience required.
  • Prior fully remote work experience required.
  • Excellent analytical, critical thinking, communication, organizational, and problem-solving skills.
  • Management or supervisory experience preferred.

Preferred Skills

  • Strong physician communication and query-writing abilities.
  • Ability to work independently in a remote environment.
  • Proficiency with Windows-based applications and electronic medical records.

For more details reach at vgill@navitassols.com or Call / Text at 516-862-1203.

About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided, and your salary will be discussed upfront.