ZipRecruiter

Log In

2

Remote Rn Chart Review Jobs in Woodbridge, NJ (NOW HIRING)

Mercor

Utilisation Management Expert - RN

New York, NY · Remote

$100 - $150/hr

Remote Role Responsibilities * Lead utilisation management and case management operations ... Conduct and oversee clinical reviews against InterQual , MCG , or Milliman care guidelines to ...

CVS Health

Case Manager, Registered Nurse

New York, NY · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Perform medical necessity reviews. Required Qualifications * 5+ years' experience as a Registered ...

Adecco

Registered Nurse Assessor Bronx

New York, NY · Remote

$60/hr

Bronx, NY (3 days in community , 2 days remote) * Hours: Mon-Fri (8am-6pm) | Sat-Sun (10am-6pm ... Review consumer health referral forms and documentation for accuracy; transmit data into electronic ...

Varsity Tutors

NCLEX-RN Tutor

New Brunswick, NJ · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Paterson, NJ · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Hoboken, NJ · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Summit, NJ · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Elizabeth, NJ · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

previous page

Showing results 41-60

All JobsRn Chart Review JobsRemote Rn Chart Review JobsRemote Rn Chart Review Jobs in Woodbridge, NJ

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 Woodbridge, NJ? For Remote Rn Chart Review jobs in Woodbridge, NJ, the most frequently searched job titles are:
What job categories do people searching Remote Rn Chart Review jobs in Woodbridge, NJ look for? The top searched job categories for Remote Rn Chart Review jobs in Woodbridge, NJ are:
What cities near Woodbridge, NJ are hiring for Remote Rn Chart Review jobs? Cities near Woodbridge, NJ 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 Woodbridge, NJ as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Utilisation Management Expert - RN

Mercor

New York, NY • Remote

$100 - $150/hr

Full-time

Re-posted 11 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Utilisation Management / Case Management leader (RN/Physician-advisor)
Type: Contract
Compensation: $100–$150/hour
Location: Remote

Role Responsibilities

  • Lead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination.
  • Evaluate AI-generated medical necessity determinations and clinical review outputs for accuracy and clinical appropriateness.
  • Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission and level-of-care determinations.
  • Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals.
  • Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care transitions and discharge planning.
  • Annotate AI outputs and provide structured clinical feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in utilisation management, case management, or clinical review, with at least 2 years in a leadership role.
  • Active clinical licensure (RN required; physician advisor/MD preferred) with strong medical necessity review expertise.
  • Deep knowledge of InterQual, MCG, or Milliman clinical review criteria.
  • Expertise in CMS Two-Midnight Rule, observation status regulations, and inpatient criteria.
  • Experience managing physician advisor programs and peer-to-peer review processes with payers.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to critically evaluate clinical documentation and AI-generated UM outputs.

Preferred

  • CPUR, ACM, or CCM credential.
  • MD or DO with UM/physician advisor experience preferred for physician advisor roles.
  • Experience with UM software platforms (Allscripts, Utilisation Management software, or equivalent).
  • Familiarity with AI tools and comfort evaluating AI-generated clinical review content.
  • Background in health system, ACO, or value-based care organisation UM programs.

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.