Job Summary Provides support for clinical member services review assessment processes. Responsible ... Registered Nurse (RN). License must be active and unrestricted in state of practice. SC Single ...
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Registered Nurse (RN). License must be active and unrestricted in state of practice. SC Single ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... SC Single state or Compact RN License. • Ability to prioritize and manage multiple deadlines. • ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · On-site +1
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... SC Single state or Compact RN License. • Ability to prioritize and manage multiple deadlines. • ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · Remote
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Registered Nurse (RN). License must be active and unrestricted in state of practice. SC Single ...
(RN) Remote Care Review Clinician - Utilization Review
Long Beach, CA · Remote
$25.08 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Registered Nurse (RN). License must be active and unrestricted in state of practice. SC Single ...
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... This is a telephonic remote position and productivity is important. Preferred candidates will have ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... This is a telephonic remote position and productivity is important. Preferred candidates will have ...
This RN will act as a Care Review Clinician supporting our Medicare members ... The position is fully remote. Excellent computer skills and attention to detail are very important ...
This RN will act as a Care Review Clinician supporting our Medicare members ... The position is fully remote. Excellent computer skills and attention to detail are very important ...
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Registered Nurse (RN). License must be active and unrestricted in state of practice(Nevada)
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Registered Nurse (RN). License must be active and unrestricted in state of practice(Nevada)
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Preservice Review Nurse RN - Remote
El Segundo, CA · On-site +1
$29 - $52/hr
Perform clinical coverage review services, which require interpretation of state and federal ... Current unrestricted RN license in the state of residency * 3+ RN years of experience, including ...
New
Preservice Review Nurse RN - Remote
El Segundo, CA · On-site +1
$29 - $52/hr
Perform clinical coverage review services, which require interpretation of state and federal ... Current unrestricted RN license in the state of residency * 3+ RN years of experience, including ...
New
Preservice Review Nurse RN - Remote
El Segundo, CA · Remote
$29 - $52/hr
Perform clinical coverage review services, which require interpretation of state and federal ... Current unrestricted RN license in the state of residency * 3 RN years of experience, including ...
New
Preservice Review Nurse RN - Remote
El Segundo, CA · Remote
$29 - $52/hr
Perform clinical coverage review services, which require interpretation of state and federal ... Current unrestricted RN license in the state of residency * 3 RN years of experience, including ...
New
This RN will act as a Care Review Clinician and provide clinical review support for Medicare inpatient utilization management activities. Conducts medical necessity reviews of inpatient admissions ...
This RN will act as a Care Review Clinician and provide clinical review support for Medicare inpatient utilization management activities. Conducts medical necessity reviews of inpatient admissions ...
This RN will act as a Care Review Clinician and provide clinical review support for Medicare inpatient utilization management activities. Conducts medical necessity reviews of inpatient admissions ...
This RN will act as a Care Review Clinician and provide clinical review support for Medicare inpatient utilization management activities. Conducts medical necessity reviews of inpatient admissions ...
... (RNs), Health Guides, Behavioral Health Specialists, and other clinical partners to deliver ... Nurse Practitioners through collaborative practice agreements, including structured chart review ...
Quick apply
... (RNs), Health Guides, Behavioral Health Specialists, and other clinical partners to deliver ... Nurse Practitioners through collaborative practice agreements, including structured chart review ...
Medical Review Nurse (RN) - UM/Appeals experience
Long Beach, CA · On-site +1
$29.05 - $56.64/hr
... review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. Compact ...
Medical Review Nurse (RN) - UM/Appeals experience
Long Beach, CA · On-site +1
$29.05 - $56.64/hr
... review and/or coding experience, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. Compact ...
... inpatient 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 ...
... inpatient 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 ...
Care Review Clinician (RN) - Remote in FL
Long Beach, CA · On-site +1
$26.41 - $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. • ...
Care Review Clinician (RN) - Remote in FL
Long Beach, CA · On-site +1
$26.41 - $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. • ...
Care Review Clinician (RN) - Remote in FL
Long Beach, CA · Remote
$26.41 - $43/hr
... inpatient 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 ...
Care Review Clinician (RN) - Remote in FL
Long Beach, CA · Remote
$26.41 - $43/hr
... inpatient 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 ...
Job Summary Provides support for inpatient and outpatient clinical claim review activities ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Advanced in ...
Job Summary Provides support for inpatient and outpatient clinical claim review activities ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Advanced in ...
Remote Rn Chart Review information
See Torrance, CA salary details
$16.50 - $20.87
3% of jobs
$20.87 - $25.24
4% of jobs
$29.25 is the 25th percentile. Wages below this are outliers.
$25.24 - $29.61
19% of jobs
The median wage is $32.36 / hr.
$29.61 - $33.98
37% of jobs
$37.80 is the 75th percentile. Wages above this are outliers.
$33.98 - $38.35
13% of jobs
$38.35 - $42.72
9% of jobs
$42.72 - $47.09
4% of jobs
$47.09 - $51.45
3% of jobs
$51.45 - $55.82
3% of jobs
$55.82 - $60.19
1% of jobs
$60.19 - $64.56
3% of jobs
$16
$36
$64
How much do remote rn chart review jobs pay per hour?
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?

Full-time
This job post has expired today. Applications are no longer accepted.
Molina Healthcare rating
8.0
Based on 197 frontline employees who took The Breakroom Quiz
162nd of 301 rated insurance
Job description
JOB DESCRIPTION
Job Summary
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to utilization management (UM) policies and procedures.
Required Qualifications
At least 2 years experience, including experience in hospital acute care, inpatient 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. SC Single state or Compact RN License.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Professional in Healthcare Management (CPHM).
Recent hospital experience in an intensive care unit (ICU) or emergency room.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
What Molina Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980