Assess whether a review is needed for a member's return to their own occupation, and identify the ... Work Environment You will be working in an approved remote environment within the states of:
Quick apply
Assess whether a review is needed for a member's return to their own occupation, and identify the ... Work Environment You will be working in an approved remote environment within the states of:
Quick apply
Assess whether a review is needed for a member's return to their own occupation, and identify the ... Work Environment You will be working in an approved remote environment within the states of:
Assess whether a review is needed for a member's return to their own occupation, and identify the ... Work Environment You will be working in an approved remote environment within the states of:
Assess whether a review is needed for a member's return to their own occupation, and identify the ... Work Environment You will be working in an approved remote environment within the states of:
Almont, MI · Remote
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
Almont, MI · Remote
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
Farmington Hills, MI · Remote
$90K - $125K/yr
... reviews for our services making us one of Michigan's top home health care providers and the only ... Our family is growing, and we are now open for full time RN/OT positions in Wayne, Oakland and ...
Quick apply
Farmington Hills, MI · Remote
$90K - $125K/yr
... reviews for our services making us one of Michigan's top home health care providers and the only ... Our family is growing, and we are now open for full time RN/OT positions in Wayne, Oakland and ...
Farmington Hills, MI · Remote
$90K - $125K/yr
... reviews for our services making us one of Michigan's top home health care providers and the only ... Our family is growing, and we are now open for full time RN/OT positions in Wayne, Oakland and ...
Quick apply
Farmington Hills, MI · Remote
$90K - $125K/yr
... reviews for our services making us one of Michigan's top home health care providers and the only ... Our family is growing, and we are now open for full time RN/OT positions in Wayne, Oakland and ...
Troy, MI · Remote
$60K - $60K/yr
Communicate outcomes of UM authorization reviews, both verbally and in writing * Process ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
New
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Troy, MI · Remote
$60K - $60K/yr
Communicate outcomes of UM authorization reviews, both verbally and in writing * Process ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
New
Macomb, MI · On-site +1
$75K - $135K/yr
Reviews member data to identify trends and improve operating performance and quality care in ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Macomb, MI · On-site +1
$75K - $135K/yr
Reviews member data to identify trends and improve operating performance and quality care in ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Troy, MI · On-site +1
$20.50 - $25/hr
Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or ... nursing notes and discharge summary, etc. Verifies and/or requests documentation to support ...
Troy, MI · On-site +1
$20.50 - $25/hr
Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or ... nursing notes and discharge summary, etc. Verifies and/or requests documentation to support ...
Troy, MI · Remote
$20.50 - $25/hr
Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or ... nursing notes and discharge summary, etc. Verifies and/or requests documentation to support ...
Troy, MI · Remote
$20.50 - $25/hr
Using established coding principles and procedures reviews, analyzes and codes diagnostic and/or ... nursing notes and discharge summary, etc. Verifies and/or requests documentation to support ...
Troy, MI · Remote
$19/hr
Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes * Verify ... Initiate appeal cases and forward to UM Nurses for completion * Meet internal and regulator ...
Quick apply
Troy, MI · Remote
$19/hr
Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes * Verify ... Initiate appeal cases and forward to UM Nurses for completion * Meet internal and regulator ...
Troy, MI · On-site +1
$19/hr
Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes * Verify ... Initiate appeal cases and forward to UM Nurses for completion * Meet internal and regulator ...
Troy, MI · On-site +1
$19/hr
Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes * Verify ... Initiate appeal cases and forward to UM Nurses for completion * Meet internal and regulator ...
Registered Nurse (RN or BSN) and/or Coding Certification required. Coding Certification may be CPC, CCS, RHIT, and RHIA. #LI-VD1
Registered Nurse (RN or BSN) and/or Coding Certification required. Coding Certification may be CPC, CCS, RHIT, and RHIA. #LI-VD1
Registered Nurse (RN or BSN) and/or Coding Certification required. Coding Certification may be CPC, CCS, RHIT, and RHIA. #LI-VD1
Registered Nurse (RN or BSN) and/or Coding Certification required. Coding Certification may be CPC, CCS, RHIT, and RHIA. #LI-VD1
Registered Nurse (RN or BSN) and/or Coding Certification required. Coding Certification may be CPC, CCS, RHIT, and RHIA. #LI-VD1 Additional Information * Organization: Corporate Services * Department:
Registered Nurse (RN or BSN) and/or Coding Certification required. Coding Certification may be CPC, CCS, RHIT, and RHIA. #LI-VD1 Additional Information * Organization: Corporate Services * Department:
Registered Nurse (RN or BSN) and/or Coding Certification required. Coding Certification may be CPC, CCS, RHIT, and RHIA. #LI-VD1 Additional Information * Organization: Corporate Services * Department:
Registered Nurse (RN or BSN) and/or Coding Certification required. Coding Certification may be CPC, CCS, RHIT, and RHIA. #LI-VD1 Additional Information * Organization: Corporate Services * Department:
This position is 100% remote and will be reviewing Surgical coding and denials Hours have ... Registered Health Information Technician (RHIT) or RHIT Certification eligibility,CPC, CPC-A, CCS ...
This position is 100% remote and will be reviewing Surgical coding and denials Hours have ... Registered Health Information Technician (RHIT) or RHIT Certification eligibility,CPC, CPC-A, CCS ...
This position is 100% remote and will be reviewing Surgical coding and denials Hours have ... Registered Health Information Technician (RHIT) or RHIT Certification eligibility,CPC, CPC-A, CCS ...
This position is 100% remote and will be reviewing Surgical coding and denials Hours have ... Registered Health Information Technician (RHIT) or RHIT Certification eligibility,CPC, CPC-A, CCS ...
Macomb, MI · On-site +1
Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Macomb, MI · On-site +1
Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Sterling Heights, MI · Remote
$70 - $80/hr
Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...
Sterling Heights, MI · Remote
$70 - $80/hr
Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...
Sterling Heights, MI · Remote
$70 - $80/hr
Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...
Sterling Heights, MI · Remote
$70 - $80/hr
Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...
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.
| 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.
For Remote Rn Chart Review jobs in Oxford, MI, the most frequently searched job titles are:
Cities near Oxford, MI with the most Remote Rn Chart Review job openings:

Full-time
Posted 22 days ago
About the Role
We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. Your work directly supports improvement in members' (patients) disabling and co-morbid conditions and helps maximize their employability. You will own your caseload from start to finish and be responsible for an efficient, timely, and complete case management process.
What You'll Do
• Determine the appropriate case management track for each assigned case.
• Conduct telephonic clinical assessments covering activities of daily living, psycho-social factors, recent hospitalizations, current clinical status, treatment plans and medications, treating physicians, special needs, and the appropriate outreach interval for each case.
• Develop customized, member-specific clinical case management plans.
• Perform ongoing periodic telephonic outreach at intervals set during the initial clinical assessment.
• Request and track receipt of the records and documentation needed to identify ongoing case management needs.
• Build and maintain a case management resource library to provide members with information relevant to their conditions.
• Assess whether a review is needed for a member's return to their own occupation, and identify the appropriate physician specialty when it is.
• Collaborate with vocational specialists during the case management process when needed.
• Conduct thorough, ongoing quality review of all case documentation and ensure completeness and accuracy of case paperwork.
• Communicate with members, physicians, employers, and clients as appropriate.
• Enter case activities into the case management system accurately and within client-required timeframes.
• Maintain compliance with applicable practice standards and guidelines, including strict confidentiality and HIPAA adherence.
What You'll Bring
• Unrestricted RN licensure, without sanctions.
• Current certification in case management or a related field, or the ability to qualify for certification testing within six months of hire.
• Minimum of five years of clinical experience.
• Minimum of five years of case management experience in one or more of the following: medical, workers' compensation, auto, or disability case management.
• Working knowledge of diagnostic coding (ICD-10).
• Strong critical thinking, decision-making, and organizational skills with close attention to detail.
• Ability to meet deadlines and turnaround times consistently.
• Ability to work independently as well as within a team.
• Computer literacy, including solid working knowledge of Microsoft Word and Excel.
• Strong written, verbal, and telephonic communication skills, with the ability to manage multiple priorities.
• Bachelor's degree in nursing or a health-related field.
• Working knowledge of the insurance industry, medical claims, and/or disability claims.
• Experience with Lean production management.
Work Environment
You will be working in an approved remote environment within the states of: Michigan, Illinois, Florida, Texas, or Minnesota. Stressful conditions may arise when the workload becomes more demanding than usual.
Sourced by ZipRecruiter
Public administration
51 - 200 Employees
Novi, MI, US
2007