Review and approve APP, RN, SW, and Pharmacy plans of care, and co-sign APP encounters. * Maintain ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review and approve APP, RN, SW, and Pharmacy plans of care, and co-sign APP encounters. * Maintain ... This position will be remote within the designated market with occasional in-home patient treatment ...
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?
| 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.
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 3 hours ago
Job description
Monogram Health is seeking a mission-driven Market Physician Executive (MPE) to lead its in-home multi-specialty polychronic care model within an assigned market. This key clinical leadership role involves developing and overseeing clinical strategies, policies, and operations to improve patient health outcomes. The MPE will deliver direct patient care, manage care services, and collaborate with community partners, focusing on enhancing patient experience, population health, and provider satisfaction.
Practice Info
- Lead an in-home multi-specialty polychronic care model in an assigned market.
- Each market comprises 5-10 territories led by local APPs, RNs, LCSWs, and pharmacists.
- Collaborate with Monogram Health's Multi-Specialty Platform to leverage employed specialists for in-home specialty care.
- Deploy a proven risk-based model utilizing proprietary next-generation AI algorithms to predict appropriate levels of care.
- Oversee daily clinical and business operations through direct patient care, care management, social worker support, and pharmacy services.
- Provide clinical guidance and direction to Market teams for Population Health Management activities.
Responsibilities
- Deliver on Monogram Health's proprietary evidence-based clinical pathways and ensure adherence to established clinical guidelines and the Monogram Model of Care.
- Review and approve APP, RN, SW, and Pharmacy plans of care, and co-sign APP encounters.
- Maintain overall accountability for reducing total cost of care and Medical Loss Ratio, and for clinical outcomes including intervention closure and utilization.
- Actively lead daily high-risk and concurrent review rounds.
- Provide direct supervision to front-line clinical and operations team members, including regular shadowing/ride-alongs.
- Provide direct and indirect patient care, including diagnosis and treatment of acute and chronic diseases, and engage patients on treatment plans.
- Conduct Peer to Peer consults with community, facility, and health plan partners.
- Order labs, referrals, and complete actions to drive patient outcomes, close care gaps, and ensure Clinical Intervention closure.
Compensation
- Competitive compensation
- 401k with employer match
Benefits
- Medical, dental, and vision insurance
- Employee assistance program
- Employer-paid and voluntary life insurance
- Disability insurance
- Health and flexible spending accounts
- Paid holidays
- Flexible vacation time/PSSL
- Paid parental leave
- Work life assistance resources
- Physical wellness perks
- Mental health support
- Employee referral program
- BenefitHub for employee discounts
Shift & Schedule
- Participate in Monogram On-Call rotation which will vary; e.g. 7 days on call minimum once/quarter.
- Provide coverage for other MPEs, during PTO or vacancy, as needed.
- This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.
Requirements
- Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.
- Willingness to become licensed in multiple states.
- MD or DO degree from an accredited medical school.
- BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.
- Active, unrestricted state medical license required in each state within the market, and ability to obtain additional states as needed.
- Demonstrated experience applying evidence-based clinical criteria.
- Experience in multispecialty, geriatrics, and/or value-based care.
- Advanced management and communication skills.
- Experience with high-need Medicare Advantage and managed Medicaid populations.
- Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.
About Monogram Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Brentwood, TN, US
Year founded
2019