Remote RN Admissions Coordinator - Long-Term Care & Rehabilitation Company: Leading Managed Care ... Independently review clinical documentation and assessments to determine appropriate placement ...
Remote RN Admissions Coordinator - Long-Term Care & Rehabilitation Company: Leading Managed Care ... Independently review clinical documentation and assessments to determine appropriate placement ...
RN, Quality Assurance (Home Health) Remote
Roseville, CA · On-site +1
$38.02 - $52.14/hr
Registered Nurse (RN) licensure in the state of practice: Required Essential Functions: * Prepares ... Ensures chart reviews are timely, accurate, and meet all data requirements for CHAP, CMS, Medical ...
RN, Quality Assurance (Home Health) Remote
Roseville, CA · On-site +1
$38.02 - $52.14/hr
Registered Nurse (RN) licensure in the state of practice: Required Essential Functions: * Prepares ... Ensures chart reviews are timely, accurate, and meet all data requirements for CHAP, CMS, Medical ...
RN Clinical Documentation Integrity Specialist - Remote
Temecula, CA · On-site +1
$93K - $134K/yr
Responsible for reviewing medical records to identify payer population as documented upon admission and throughout the hospitalization. * Analyzes status of patient, current treatment plan, past ...
RN Clinical Documentation Integrity Specialist - Remote
Temecula, CA · On-site +1
$93K - $134K/yr
Responsible for reviewing medical records to identify payer population as documented upon admission and throughout the hospitalization. * Analyzes status of patient, current treatment plan, past ...
RN Clinical Supervisor
Napa, CA · Remote
$60 - $70/hr
... review and chart audits. Support QAPI and survey readiness. Train and mentor RNs/LVNs. Serve as ... Remote, flexible schedule. Leadership role across pediatric and adult skilled nursing. High-touch ...
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RN Clinical Supervisor
Napa, CA · Remote
$60 - $70/hr
... review and chart audits. Support QAPI and survey readiness. Train and mentor RNs/LVNs. Serve as ... Remote, flexible schedule. Leadership role across pediatric and adult skilled nursing. High-touch ...
RN Clinical Supervisor
Napa, CA · Remote
$60 - $70/hr
... review and chart audits. • Support QAPI and survey readiness. • Train and mentor RNs/LVNs. • ... Why Join Us? • $60/hour compensation. • Remote, flexible schedule. • Leadership role across ...
RN Clinical Supervisor
Napa, CA · Remote
$60 - $70/hr
... review and chart audits. • Support QAPI and survey readiness. • Train and mentor RNs/LVNs. • ... Why Join Us? • $60/hour compensation. • Remote, flexible schedule. • Leadership role across ...
RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)
Long Beach, CA · On-site +1
$30.37 - $59.21/hr
... review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)
Long Beach, CA · On-site +1
$30.37 - $59.21/hr
... review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Lead, Medical Review Nurse (RN)
Long Beach, CA · On-site +1
$28.76 - $62.30/hr
... chart coding principles, clinical guidelines, and objectivity in performance of medical audit ... review team members (i.e., development, training, and audits). • Demonstrates ownership of ...
Lead, Medical Review Nurse (RN)
Long Beach, CA · On-site +1
$28.76 - $62.30/hr
... chart coding principles, clinical guidelines, and objectivity in performance of medical audit ... review team members (i.e., development, training, and audits). • Demonstrates ownership of ...
Lead, Medical Review Nurse (RN)
Long Beach, CA · Remote
$37 - $50.25/hr
Integrates medical chart coding principles, clinical guidelines, and objectivity in performance of ... Demonstrates ownership of medical claim/internal appeals review job aids to ensure accuracy.
Lead, Medical Review Nurse (RN)
Long Beach, CA · Remote
$37 - $50.25/hr
Integrates medical chart coding principles, clinical guidelines, and objectivity in performance of ... Demonstrates ownership of medical claim/internal appeals review job aids to ensure accuracy.
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is ... Position is eligible for telecommuting/remote work location upon completing the necessary steps and ...
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is ... Position is eligible for telecommuting/remote work location upon completing the necessary steps and ...
Provider Quality Review Nurse, RN
Rancho Cucamonga, CA · On-site +1
$91K - $120K/yr
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is ... Position is eligible for telecommuting/remote work location upon completing the necessary steps and ...
Provider Quality Review Nurse, RN
Rancho Cucamonga, CA · On-site +1
$91K - $120K/yr
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is ... Position is eligible for telecommuting/remote work location upon completing the necessary steps and ...
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is ... Position is eligible for telecommuting/remote work location upon completing the necessary steps and ...
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is ... Position is eligible for telecommuting/remote work location upon completing the necessary steps and ...
Michigan is NOT included in a compact RN license. Job Duties Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes ...
Michigan is NOT included in a compact RN license. Job Duties Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Long Beach, CA · Remote
$29.05 - $67.97/hr
Michigan is NOT included in a compact RN license. Job Duties Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Long Beach, CA · Remote
$29.05 - $67.97/hr
Michigan is NOT included in a compact RN license. Job Duties Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes ...
Remote, but only considering candidates in PST. FLSA Status: Exempt Travel Requirement: None ... Conduct live reviews with payors and level of care chart reviews, conceptualizing the clinical ...
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Remote, but only considering candidates in PST. FLSA Status: Exempt Travel Requirement: None ... Conduct live reviews with payors and level of care chart reviews, conceptualizing the clinical ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Long Beach, CA · On-site +1
$29.05 - $67.97/hr
Michigan is NOT included in a compact RN license. Job Duties • Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Long Beach, CA · On-site +1
$29.05 - $67.97/hr
Michigan is NOT included in a compact RN license. Job Duties • Facilitates medical review of prospective, retrospective, and concurrent review of appeals for denied prior authorizations. Includes ...
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... Current Nursing licensure in the state of operation required; RN is required unless local state ...
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CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... Current Nursing licensure in the state of operation required; RN is required unless local state ...
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... Current Nursing licensure in the state of operation required; RN is required unless local state ...
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... Current Nursing licensure in the state of operation required; RN is required unless local state ...
Utilization Review Clinician (RN) - Weekends
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
... review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Utilization Review Clinician (RN) - Weekends
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
... review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Clinical Documenation Coordinator
Fountain Valley, CA · On-site +1
$57.81 - $83.81/hr
Ability to perform accurate patient chart review analysis and data collection. * Collaborative ... Clinical experience (RN, PA, NP, MD, or FMD) and/or Coding (CCS) required Education/Licensure ...
Clinical Documenation Coordinator
Fountain Valley, CA · On-site +1
$57.81 - $83.81/hr
Ability to perform accurate patient chart review analysis and data collection. * Collaborative ... Clinical experience (RN, PA, NP, MD, or FMD) and/or Coding (CCS) required Education/Licensure ...
Remote Primary Care Provider (NP/PA)
Round Mountain, CA · On-site +1
$106K - $137K/yr
Collaborate closely with RNs, LVNs, MAs, and care coordination teams Telehealth & Patient Care ... Participate in peer review, chart audits, and quality improvement initiatives * Adhere to all Joint ...
Remote Primary Care Provider (NP/PA)
Round Mountain, CA · On-site +1
$106K - $137K/yr
Collaborate closely with RNs, LVNs, MAs, and care coordination teams Telehealth & Patient Care ... Participate in peer review, chart audits, and quality improvement initiatives * Adhere to all Joint ...
Remote Rn Chart Review information
What are the key skills and qualifications needed to thrive as a Remote RN Chart Review, and why are they important?
How Can I Get a Remote Job as a Chart Review RN?
The qualifications to get a remote job as a chart review nurse include a nursing degree, a nursing license, and experience using medical records and coding systems. You can start out on this career path by becoming a registered nurse (RN) or a practical nurse (LPN). This process involves earning an associate or bachelor’s degree in nursing and passing the NCLEX-RN licensing exam. It’s essential to have strong communication and analytical skills, attention to detail, and a reliable computer with internet access to work from home. Earning certification from the American Association of Medical Audit Specialists or the American Academy of Professional Coders is a plus.
What is a Remote RN Chart Review?
What is the difference between Remote Rn Chart Review vs Remote LPN Chart Review?
| Aspect | Remote Rn Chart Review | Remote LPN Chart Review |
|---|---|---|
| Credentials | Registered Nurse (RN) license | Licensed Practical Nurse (LPN) license |
| Work Environment | Healthcare facilities, insurance companies, telehealth | Similar settings, often with more limited scope |
| Job Responsibilities | Comprehensive chart review, complex case analysis | Basic chart review, documentation verification |
Remote Rn Chart Review and Remote LPN Chart Review both involve reviewing patient records remotely. However, RNs typically handle more complex cases requiring a broader scope of practice and higher credentials, while LPNs focus on more routine documentation tasks. Both roles are essential in healthcare documentation and insurance claims, but RNs generally have more advanced responsibilities and qualifications.
What are some common challenges faced by Remote RN Chart Review nurses, and how can they be overcome?
- No Experience Utilization Review Nurse
- Medicare Review Nurse
- Remote Utilization Management
- Non Exempt No Experience Utilization Management Nurse
- No Experience Utilization Management Nurse
- Overnight Physician Case Reviewer
- Manager Utilization Management
- Remote Cvs Utilization Management Nurse
- Temporary Admission Discharge Nurse
- Weekend Physician Advisor Utilization Review
- Interqual
- Assistant Remote Utilization Review
- Aetna Utilization Review Nurse
- Flexible Cigna Utilization Review Nurse
- Full Time Cigna Utilization Review Nurse
- Remote Aetna Utilization Review
- Volunteer Navihealth Utilization Review
- Remote Chiropractic Utilization Review
- Registered Nurse Case Review
- Utilization Review Management

RN Admissions Coordinator - Long-Term Care & Rehabilitation (Remote)
Morgan StephensSan Diego, CA • Remote
$85K/yr
Other
Retirement, PTO
Posted 24 days ago
Job description
Job Title: Remote RN Admissions Coordinator - Long-Term Care & Rehabilitation
Company: Leading Managed Care Organization (serving CA Medicaid members)
Location: Remote - Must reside and be licensed in California
Job Type: Full-Time
Department: Care Management / Utilization Management
Salary: $85,000
Position Summary
A managed care organization serving California Medicaid members is seeking an experienced and compassionate Registered Nurse (RN) to join its Care Management team in a fully remote capacity. This position is responsible for coordinating and facilitating admissions to long-term care and rehabilitation facilities for members requiring skilled or extended care services. The ideal candidate will have a background in home health, senior living intake, or long-term care admissions, along with a strong understanding of Medicaid eligibility, coverage, and placement protocols.
Key Responsibilities
Coordinate and oversee admissions and transitions of care for members entering long-term care, skilled nursing facilities (SNFs), or subacute rehabilitation settings.
Independently review clinical documentation and assessments to determine appropriate placement based on member needs and CaliforniaMedicaid guidelines.
Serve as the primary liaison between the health plan, facility admissions teams, discharge planners, and providers to ensure smooth and timely placements.
Manage prior authorization processes, approve services within scope, and confirm Medicaid eligibility.
Collaborate with Utilization Management and Case Management teams to support continuity of care and efficient resource utilization.
Provide education to members and families regarding benefits, services, and expectations during care transitions.
Maintain accurate, detailed documentation in EMR and care management systems.
Ensure compliance with all state regulations, HIPAA requirements, and internal quality standards.
Qualifications
Active, unrestricted RN license in the State of CA(required).
Minimum of 3 years of clinical experience in home health, long-term care, rehabilitation, or admissions/intake coordination.
Strong knowledge of CaliforniaMedicaid systems, authorizations, and coverage criteria.
Excellent communication, critical thinking, and documentation skills.
Proficiency with electronic medical records (EMR) and care coordination software.
Ability to work independently and remotely in a fast-paced environment.
Preferred Experience
Managed care, health plan, or insurance case management background.
Experience in discharge planning, transitional care, or post-acute navigation.
Bilingual English/Spanish is a plus but not required.
Benefits Include
Competitive compensation, full benefits package, 401(k) with match, generous paid time off, continuing education support, and remote work flexibility.
About Morgan Stephens
Sourced by ZipRecruiter
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Tallahassee, FL, US
Year founded
2009