Remote Utilization Review RN - Case Management Location: Santa Rosa, CA Contract Duration: 13 Weeks Schedule: • Day Shift | 5x8 Hours • 8:00 AM - 4:30 PM • 40 Hours per Week Profession:
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Remote Utilization Review RN - Case Management Location: Santa Rosa, CA Contract Duration: 13 Weeks Schedule: • Day Shift | 5x8 Hours • 8:00 AM - 4:30 PM • 40 Hours per Week Profession:
New
Quick apply
Remote Utilization Review RN - Case Management Location: Santa Rosa, CA Contract Duration: 13 Weeks Schedule: • Day Shift | 5x8 Hours • 8:00 AM - 4:30 PM • 40 Hours per Week Profession:
New
San Francisco, CA · Remote
$60 - $110/hr
Registered Nurses Type: Contract Compensation: $60-$110/hour Location ... Remote Duration: 3-4 weeks Commitment: 30-40 hours/week Role Responsibilities * Create deliverables ...
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San Francisco, CA · Remote
$60 - $110/hr
Registered Nurses Type: Contract Compensation: $60-$110/hour Location ... Remote Duration: 3-4 weeks Commitment: 30-40 hours/week Role Responsibilities * Create deliverables ...
Half Moon Bay, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
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Half Moon Bay, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
Dublin, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
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Dublin, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
Livermore, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
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Livermore, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
San Mateo, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
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San Mateo, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
Dublin, CA · On-site +1
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
Dublin, CA · On-site +1
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
San Jose, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
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San Jose, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
San Francisco, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
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San Francisco, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
Alameda, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
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Alameda, CA · Remote
$110 - $130/hr
As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the ... Ensure accurate ICD-10 coding and sequencing based on each patient's medical condition and co ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
New
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Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
New
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
New
Quick apply
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
New
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
New
Quick apply
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
New
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
New
Quick apply
Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details: Day Shift | 5x8 Hours ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
New
San Francisco, CA · Remote
$60 - $110/hr
Registered Nurses Type: Contract Compensation: $60-$110/hour Location ... Remote Duration: 3-4 weeks Commitment: 30-40 hours/week Role Responsibilities * Create deliverables ...
Quick apply
San Francisco, CA · Remote
$60 - $110/hr
Registered Nurses Type: Contract Compensation: $60-$110/hour Location ... Remote Duration: 3-4 weeks Commitment: 30-40 hours/week Role Responsibilities * Create deliverables ...
Danville, CA · Remote
$35.50 - $47.75/hr
Fully remote/work from home supporting a fully distributed team across the US. This is a fractional ... Advise Nurse Practitioners, Physicians, and RN Care Managers on accurate ICD-10-CM coding, HCC ...
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Danville, CA · Remote
$35.50 - $47.75/hr
Fully remote/work from home supporting a fully distributed team across the US. This is a fractional ... Advise Nurse Practitioners, Physicians, and RN Care Managers on accurate ICD-10-CM coding, HCC ...
New
$18.95 - $19.59
7% of jobs
$20.21 is the 25th percentile. Wages below this are outliers.
$19.59 - $20.24
19% of jobs
$20.24 - $20.88
5% of jobs
$20.88 - $21.53
3% of jobs
$21.53 - $22.18
14% of jobs
The median wage is $22.34 / hr.
$22.18 - $22.82
6% of jobs
$22.82 - $23.47
0% of jobs
$23.47 - $24.11
0% of jobs
$24.11 - $24.76
0% of jobs
$25.27 is the 75th percentile. Wages above this are outliers.
$24.76 - $25.41
26% of jobs
$25.41 - $26.05
20% of jobs
$18
$23
$26
A remote RN coder works with medical codes that healthcare providers use for patient records, billing, insurance, and quality assurance. In this career, your duties include using the internet to access patient records and reports. You then assign codes for each diagnosis and procedure that the patient receives in the medical facility’s database. You work with clinical coding systems like the International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes. In addition to applying codes, your responsibilities as an RN coder sometimes include auditing the work of other coders to ensure accuracy.
| Aspect | Remote Rn Coder | Remote Medical Biller |
|---|---|---|
| Credentials | Certification in coding (e.g., CPC, CCS) | Certification in billing (e.g., Certified Professional Biller) |
| Work Environment | Healthcare facilities, insurance companies, remote coding firms | Medical offices, billing companies, insurance companies |
| Industry Usage | Used primarily for coding diagnoses and procedures for reimbursement | Used for submitting claims and managing payments |
Remote Rn Coders focus on translating medical records into standardized codes for billing and reimbursement, requiring coding certifications. Remote Medical Billers handle the submission of claims and follow-up on payments. While both roles work remotely within healthcare, their core responsibilities differ, with Rn Coders concentrating on coding accuracy and Medical Billers on claims processing.
$40/hr
Full-time
This job post has expired today. Applications are no longer accepted.
Job Title: Remote Utilization Review RN – Case Management
Location: Santa Rosa, CA
Contract Duration: 13 Weeks
Schedule:
• Day Shift | 5x8 Hours
• 8:00 AM – 4:30 PM
• 40 Hours per Week
Profession: Registered Nurse (RN)
Specialty: Utilization Review
Position Overview:
Seeking an experienced Remote Utilization Review RN to support the Case Management team. The RN will review patient cases for medical necessity, coordinate with providers and payers, and ensure compliance with hospital and regulatory guidelines in a remote work environment.
Responsibilities:
• Conduct utilization reviews for inpatient and observation cases
• Assess medical necessity and appropriateness of admissions and continued stays
• Coordinate with physicians, case managers, and interdisciplinary teams
• Communicate with insurance providers for authorizations and concurrent reviews
• Ensure accurate and timely clinical documentation
• Identify and escalate potential denial risks when appropriate
• Monitor length of stay and resource utilization
• Maintain compliance with payer and regulatory guidelines
• Utilize EMR systems and utilization management tools effectively in a remote setting
Requirements:
• Active and unrestricted RN license required
• Minimum 2 years of Utilization Review, Case Management, or Acute Care RN experience required
• Previous inpatient utilization review experience preferred
• Knowledge of InterQual and/or MCG criteria preferred
• Strong understanding of payer authorization and medical necessity guidelines required
• Excellent communication, organizational, and critical thinking skills required
• Ability to work independently in a remote setting required
• BSN preferred
For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.
About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.