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Remote Rn Chart Review Jobs in Issaquah, WA (NOW HIRING)

CHPW

Case Manager I (MSW/RN) Cascade Select

Seattle, WA · On-site +1

$37.96 - $58.84/hr

Possess Current, unrestricted license in the State of Washington as a registered nurse (RN) ... Reviews and revises the plan of care with the interdisciplinary care team to reflect changing ...

COMPASSUS

Clinical Documentation Specialist

Seattle, WA · Remote

$39.50 - $53.25/hr

Providence at Home with Compassus Position Summary The Clinical Documentation Specialist RN [Registered Nurse], is responsible for the quality review of all OASIS documents and review of key elements ...

StoreOcean

Shopify Expert (Remote)

Seattle, WA · Remote

S ize Chart Popup * P roduct Description Tabs * A dd Social Media Icons In Footer Required Skills ... For more information on how we handle candidate data at StoreOcean, we invite you to review our ...

YO AI Labs

Pharmacovigilance Expert - Remote

Seattle, WA · Remote

$70 - $80/hr

Author and review evaluation tasks based on DSURs, PSURs/PBRERs, safety data, and case-level ... Advanced degree in life sciences, pharmacy, nursing, medicine, or related fields (PharmD, MD, MSc ...

YO AI Labs

Pharmacovigilance Expert - Remote

Seattle, WA · Remote

$70 - $80/hr

Author and review evaluation tasks based on DSURs, PSURs/PBRERs, safety data, and case-level ... Advanced degree in life sciences, pharmacy, nursing, medicine, or related fields (PharmD, MD, MSc ...

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Remote Rn Chart Review information

What is a remote RN chart review?

A Remote RN Chart Review is a nursing role where registered nurses review and analyze patient medical records from a remote location, rather than working on-site at a hospital or clinic. These nurses assess documentation for accuracy, completeness, and compliance with healthcare regulations. Their work helps ensure quality care, proper coding for billing, and adherence to legal standards. Remote chart reviewers often work for insurance companies, healthcare organizations, or third-party vendors, using secure digital platforms to access and evaluate patient charts.

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 are the key skills and qualifications needed to thrive as a remote RN chart review, and why are they important?

To thrive as a Remote RN Chart Review, you need a thorough understanding of clinical guidelines, patient care documentation, and medical coding, supported by an active RN license and experience in clinical settings. Proficiency with electronic medical records (EMR) systems, chart auditing tools, and sometimes certification in coding (like CPC or CCS) is often required. Strong attention to detail, analytical thinking, and effective written communication are vital soft skills for accurately reviewing and summarizing medical records. These skills and qualifications ensure the accuracy and compliance of patient documentation, which is critical for quality assurance and regulatory standards in healthcare.

What are some common challenges faced by remote RN chart review nurses, and how can they be overcome?

Remote RN Chart Review nurses often encounter challenges such as managing large volumes of medical records, ensuring data accuracy, and maintaining effective communication with healthcare teams from a distance. Staying organized and utilizing electronic health record (EHR) systems efficiently can help manage workload and prevent errors. Proactive communication through secure messaging or virtual meetings is crucial for clarifying documentation and collaborating with physicians and other staff. Additionally, ongoing training in compliance and evolving chart review standards can help nurses stay current and confident in their role.

What is the difference between Remote Rn Chart Review vs Remote LPN Chart Review?

AspectRemote Rn Chart ReviewRemote LPN Chart Review
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentHealthcare facilities, insurance companies, telehealthSimilar settings, often with more limited scope
Job ResponsibilitiesComprehensive chart review, complex case analysisBasic 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.

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Remote Rn Chart Review jobs near you
Infographic showing various Remote Rn Chart Review job openings in Issaquah, WA as of August 2026, with employment types broken down into 2% As Needed, 82% Full Time, 14% Part Time, and 2% Contract. Highlights an 100% Remote job distribution.

Case Manager I (MSW/RN) Cascade Select

Seattle, WA • On-site, Remote

CHPW
See more jobs at CHPWexternal

$37.96 - $58.84/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Job description

This position is available remotely in Washington State.
Who we are
Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.
Our commitment is to:
  • Strive to apply an equity lens to all our work.
  • Reduce health disparities.
  • Create an equitable work environment.

About the Role
Responsible for the operational delivery of the plan's case management and coordination programs and processes. Provides case management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness, and/or highly complex medical/behavioral and social conditions. The goal is to improve members' quality of life and ensure cost-effective outcomes by using internal and community-based resources. The Case Manager level will be determined by the hiring manager based on education, previous experience, and demonstrated leadership skills.
To be successful in this role, you:
  • Have a Bachelor's degree in nursing, or a master's degree in social work and/or related behavior health field (preferred)
  • Possess Current, unrestricted license in the State of Washington as a registered nurse (RN) (required) OR
  • Current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required), OR
  • Current, unrestricted license in the State of Washington as a Mental Health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required)
  • Have a minimum of one (1) year case management, home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR
  • Have a minimum of one (1) year facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse/substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families. Experience with those who have disabilities and knowledge of Child and Families Services
  • Have a minimum three (3) years of clinical experience in an acute care and/or outpatient setting (required)
  • Experience and proficiency with Microsoft Office products
  • Possess a Case Management Certification (preferred)
  • Have Bilingual abilities (preferred)

Essential functions and Roles and Responsibilities:
The Case Manager I is responsible for performing telephonic case management for members with acute, chronic, and complex needs.
Examples listed below are not necessarily exhaustive and may be revised by the employer.
  • Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions.
  • Works within a multi-functional team to connect with providers, members, caregivers, contracted vendors, community resources, and health plan partners to assess the member's health status, identify care needs and ensure access to appropriate services to achieve positive health outcomes.
  • Assesses, evaluates, plans, implements, and documents care of members within the organization's clinical database system, in accordance with organizational policies and procedures.
  • Responsible for the assessment of members, including identifying and coordinating access to the appropriate level of care and treatment. Uses the assessment information to assign the appropriate risk and complexity level, and create and document a care plan in coordination with the member, family and health team input.
  • Initiates a plan of care based on member-specific needs, assessment data and the medical/behavioral plan of care. Goals for members are measurable and developed in conjunction with the patient/family to improve quality of life.
  • Plans care in collaboration with members of the multidisciplinary team, and considers the physical, behavioral, cultural, psychosocial, spiritual, age specific and educational needs of the member in the plan of care.
  • Reviews and revises the plan of care with the interdisciplinary care team to reflect changing member needs based on evaluation of the members' status, and/or as a result of reassessment.
  • Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. Engages community resources where applicable.
  • Conducts interdisciplinary care team meetings with the member/family to assess care plan and recommend adjustments as indicated.
  • Continuously evaluate members' progress towards goals, identify potential barriers to attaining goals and expected outcomes in collaboration with other health care team members.
  • Documents all case activity using the CHPW care management system and follows documentation standards and protocols.
  • Collaborates with the Transition of Care (TOC) team if a member is hospitalized.
  • Serves as a liaison at various local and statewide meetings and/or workgroups and provides clinical support to providers' network to enhance integrated care coordination.
  • Assesses barriers to care and assist members and health care team to address concerns.
  • Implements developed workflow activities and activities for designated programs.
  • Conduct member case management in the field at Provider(s) office, member's home, inpatient medical or psychiatric hospitals, skilled nursing facilities, adult family homes, or in a community setting.
  • Attend member appointments or care conferences in-person in collaboration with the members care team when indicated.
  • This position may require traveling on behalf of the Company and working in the field. It is required that a current driver's license, proof of insurance and an acceptable driving record are maintained.
  • Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards.
  • Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.

Knowledge, Skills, and Abilities:
  • Managed care (Medicaid and/or Medicare) experience
  • Previous experience using Care Management software applications
  • Knowledge of, and experience with, community resources preferred
  • Knowledge of Medicare and Medicaid regulations
  • Experience in care management workflow systems
  • Effective verbal and written communication skills
  • Strong organizational, time management, and project management skills
  • Ability to work independently
  • Comfortable presenting in a group setting
  • Perform all functions of the job with accuracy, attention to detail and within established timeframes.
    • Meet attendance and punctuality standards

As part of our hiring process, the following criteria must be met:
  • Complete and successfully pass a criminal background check

Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.
  • Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency
  • Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.

Compensation and Benefits:
The position is FLSA Exempt and is not eligible for overtime. Based on market data, this position grade is 66E and has a 10% annual incentive target based on company, department, and individual performance goals.
CHPW offers the following benefits for Full and Part-time employees and their dependents:
  • Medical, Prescription, Dental, and Vision
  • Telehealth app
  • Flexible Spending Accounts, Health Savings Accounts
  • Basic Life AD&D, Short and Long-Term Disability
  • Voluntary Life, Critical Care, and Long-Term Care Insurance
  • 401(k) Retirement and generous employer match
  • Employee Assistance Program and Mental Fitness app
  • Financial Coaching, Identity Theft Protection
  • Time off including PTO accrual starting at 17 days per year
  • 40 hours Community Service volunteer time
  • 10 standard holidays, 2 floating holidays
  • Compassion time off, jury duty

Sensory/Physical/Mental Requirements:
Sensory*:
  • Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance.

Physical*:
  • Extended periods of sitting, computer use, talking, and possibly standing
  • Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion

Mental:
  • Frequent decision-making.

Work Environment:
Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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