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Remote Rn Chart Review Jobs in Riverside, CA (NOW HIRING)

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 ...

Registered Nurse

Pomona, CA · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

RN

Moreno Valley, CA · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

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Remote Rn Chart Review information

See Riverside, CA salary details

$16

$36

$64

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

As of May 29, 2026, the average hourly pay for remote rn chart review in Riverside, CA is $36.94, according to ZipRecruiter salary data. Most workers in this role earn between $29.11 and $40.27 per hour, depending on experience, location, and employer.

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 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 popular job titles related to Remote Rn Chart Review jobs in Riverside, CA? For Remote Rn Chart Review jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Chart Review jobs in Riverside, CA look for? The top searched job categories for Remote Rn Chart Review jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Rn Chart Review jobs? Cities near Riverside, CA with the most Remote Rn Chart Review job openings:
Infographic showing various Remote Rn Chart Review job openings in Riverside, CA as of May 2026, with employment types broken down into 71% Full Time, and 29% Contract. Highlights an 100% Remote job distribution, with an average salary of $76,841 per year, or $36.9 per hour.

Provider Quality Review Nurse, RN

Inland Empire Health Plan

Rancho Cucamonga, CA • On-site, Remote

$91.25K - $120.91K/yr

Full-time

Posted yesterday


Job description

Overview
This is a short-term assignment.
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!
At Inland Empire Health Plan (IEHP), we believe the highest quality of care should be delivered to all in the Inland Empire. We are thinking beyond the way Quality is viewed today - we believe it should be holistic and transformative. IEHP's provider incentive programs serve an important role in achieving IEHP's quality goals.
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for:
  • Receive and research all PQI and QR cases as assigned, provide a summary and recommendations to the Medical Director of case assignments
  • Effectuate all action items as determined by the Medical Director to resolution of case assignments
  • Reviewing escalated issues
  • Discussing and reviewing cases with Medical Directors referred to the Quality Management (QM) department
  • Investigation of cases includes, but not limited to, the documentation of case summaries, follow up actions, outreach efforts, and communications in the QM database

Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Key Responsibilities
  1. Investigate and complete case summaries and make recommendations for any Potential Quality of Care Incidents (PQI) referred to the QM department.
  2. Maintain direct communication with IEHP departments, external facilities including hospitals, Skilled Nursing Facilities, and/or Providers to ensure all PQI issues are thoroughly investigated, and care is coordinated in a timely manner, as needed.
  3. Review requested medical records to ensure complete case documentation is received from all practitioners, providers, and entities/agencies to ensure thorough investigation of the issue.
  4. Review case findings and recommendations with Medical Director. Issue Corrective Action Plans (CAP), review CAP responses, draft Opportunity for Improvement letters, and coordinate other interventions as needed to ensure all issues were addressed and future occurrences of the same issue are mitigated.
  5. Complete data entry into database systems, maintain updated documentation and other tracking mechanisms for all cases.
  6. Review and execute ad hoc requests, quality reviews, and/or focused audits, as needed.
  7. Escalate issues of non-compliance to the Quality Systems Management team.
  8. Maintain working knowledge of regulatory requirements as they relate to QM operations and protocols.
  9. Complete other tasks and assignments based on department and business needs.
  10. Demonstrate a commitment to incorporate LEAN principles into daily work.

Qualifications
Education & Requirements
  • Three (3) or more years of any individual or combined healthcare experience in quality assurance, quality management, quality improvement, utilization management, discharge planning, and/or case management
  • Three (3) or more years of work experience in a managed care, hospital, provider practice, or other comparable healthcare experience
  • Experience preferably in a quality/performance improvement setting
  • Bachelor's degree in Nursing from an accredited institution required
    • In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position
    • This experience is in addition to the minimum years listed in the Experience Requirements above
  • Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Healthcare Risk Management (CPHRM), or Clinical certification in area specialty) preferred
  • Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required

Key Qualifications
  • Must have a valid California Driver's License
  • Excellent understanding of performance improvement, quality assurance, and utilization management
  • Knowledgeable in clinical analysis of health records, assessing or evaluating quality, and identifying problems or issues with care delivery
  • Microcomputer applications: spreadsheet, database, and word processing
  • Excellent written and verbal communication skills
  • Excellent coordination skills
  • Ability to communicate findings and form recommendations based on clinical case reviews
  • Ability to demonstrate critical thinking, strong problem-solving capability. Strong attention to detail
  • Ability to prioritize work to ensure adherence to project deadlines. Ability to effectively escalate issues as identified, following established protocols
  • Positive attitude and ability to work in a team setting
  • Self-direction and ability to work with minimal supervision
  • Word processing and data entry involving computer keyboard and screens, automobile travel within the Inland Empire
  • Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval

Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
Telecommute (All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership)
Pay Range
USD $91,249.60 - USD $120,910.40 /Yr.