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Remote Rn Chart Review Jobs in Mansfield, TX (NOW HIRING)

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

Allmed Staffing Inc

Pharmacy Technician

Irving, TX · Remote

$16.75 - $20.25/hr

... chart review and outreach. This is a short-term contact position. WORK LOCATION: FULLY REMOTE PAY ... Must be a registered Pharmacy Technician in TX * 6+ months in pharmacy, call center, or customer ...

Allmed Staffing Inc

Pharmacy Technician

Irving, TX · Remote

$16.75 - $20.25/hr

... chart review and outreach. This is a short-term contact position. WORK LOCATION: FULLY REMOTE PAY ... Must be a registered Pharmacy Technician in TX * 6+ months in pharmacy, call center, or customer ...

Allmed Staffing Inc

Pharmacy Technician

Irving, TX · Remote

$16.75 - $20.25/hr

... chart review and outreach. This is a short-term contact position. WORK LOCATION: FULLY REMOTE PAY ... Must be a registered Pharmacy Technician in TX * 6+ months in pharmacy, call center, or customer ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Altegra's nationwide network of registered nurses and certified coders professionally acquire ... by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Altegra's nationwide network of registered nurses and certified coders professionally acquire ... by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM ...

Corvel

Itemization Review Nurse II

Fort Worth, TX · Remote

$61K - $98K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...

CERiS

Itemization Review Nurse II

Fort Worth, TX · Remote

$61K - $98K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...

CVS Health

Case Manager Registered Nurse

Fort Worth, TX · Remote

$54K - $129K/yr

Case Manager RN (100% Remote - Nationwide) FullTime | Work from Anywhere Nationwide | No Travel ... Support inpatient review and discharge planning as appropriate * Advocate for members to maximize ...

New

CVS Health

Case Manager Registered Nurse

Fort Worth, TX · Remote

$54K - $129K/yr

Case Manager RN (100% Remote - Nationwide) FullTime | Work from Anywhere Nationwide | No Travel ... Support inpatient review and discharge planning as appropriate * Advocate for members to maximize ...

New

CVS Health

Case Manager Registered Nurse

Dallas, TX · Remote

$54K - $129K/yr

Case Manager RN (100% Remote - Nationwide) FullTime | Work from Anywhere Nationwide | No Travel ... Support inpatient review and discharge planning as appropriate * Advocate for members to maximize ...

New

CVS Health

Case Manager Registered Nurse

Dallas, TX · Remote

$54K - $129K/yr

Case Manager RN (100% Remote - Nationwide) FullTime | Work from Anywhere Nationwide | No Travel ... Support inpatient review and discharge planning as appropriate * Advocate for members to maximize ...

New

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All JobsRn Chart Review JobsRemote Rn Chart Review JobsRemote Rn Chart Review Jobs in Mansfield, TX

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?

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.

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?

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.

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.

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.
More about Remote Rn Chart Review jobs
What are popular job titles related to Remote Rn Chart Review jobs in Mansfield, TX? For Remote Rn Chart Review jobs in Mansfield, TX, the most frequently searched job titles are:
What job categories do people searching Remote Rn Chart Review jobs in Mansfield, TX look for? The top searched job categories for Remote Rn Chart Review jobs in Mansfield, TX are:
What cities near Mansfield, TX are hiring for Remote Rn Chart Review jobs? Cities near Mansfield, TX with the most Remote Rn Chart Review job openings:
Remote Rn Chart Review jobs near you
Infographic showing various Remote Rn Chart Review job openings in Mansfield, TX as of June 2026, with employment types broken down into 2% Internship, 2% As Needed, 46% Full Time, 35% Part Time, and 15% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution.
Utilization Review Nurse

Utilization Review Nurse

Oscar Health

Dallas, TX • Remote

$35 - $45.94/hr

Full-time

Posted 6 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

249th of 299 rated insurance

Job description

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.

About the role:

You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

You will report into the Supervisor, Utilization Review.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

  • Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines
  • Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines
  • Meet required decision-making SLAs
  • Refer members for further care engagement when needed
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
  • Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Nursing Diploma Program in Accredited School of Nursing
  • Ability to obtain additional state licenses to meet business needs
  • 1+ year of utilization review experience in a managed care setting
  • Strong experience utilizating MCG (Milliman Care Gudielines)
  • 1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)
  • Weekend availability is required; all applicants must be able to work at least one weekend day (Saturday or Sunday) each week.

Bonus points:

  • BSN
  • Previous experience conducting concurrent or inpatient reviews for a managed care plan

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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