This is a full-time remote opportunity. Current States Eligible MA and CT SCHEDULE: * Monday ... CurrentMA RN License, required * Bachelor's degree, required * 3-5 years nursing experience
This is a full-time remote opportunity. Current States Eligible MA and CT SCHEDULE: * Monday ... CurrentMA RN License, required * Bachelor's degree, required * 3-5 years nursing experience
Clinical Operations Director (Premium) - Evernorth Health Services -Remote
Bloomfield, CT · On-site +1
Active Unencumbered Registered Nurse (RN) license required. * Minimum of 10 years of experience in healthcare operations, case management, or clinical program leadership. * Demonstrated leadership ...
Clinical Operations Director (Premium) - Evernorth Health Services -Remote
Bloomfield, CT · On-site +1
Active Unencumbered Registered Nurse (RN) license required. * Minimum of 10 years of experience in healthcare operations, case management, or clinical program leadership. * Demonstrated leadership ...
Strategic Clinical Quality Manager - North Connecticut and Western Mass Areas
Springfield, MA · Remote
$79.60K - $142.30K/yr
Remote: The position could require travel up to 10-15% SUPERVISION: * None EDUCATION AND REQUIRED CREDENTIALS : * Registered Nurse required * BSN or bachelor's degree in healthcare-related field ...
Strategic Clinical Quality Manager - North Connecticut and Western Mass Areas
Springfield, MA · Remote
$79.60K - $142.30K/yr
Remote: The position could require travel up to 10-15% SUPERVISION: * None EDUCATION AND REQUIRED CREDENTIALS : * Registered Nurse required * BSN or bachelor's degree in healthcare-related field ...
Strategic Clinical Quality Manager - North Connecticut and Western Mass Areas
Springfield, MA · On-site +1
$79.60K - $142.30K/yr
Remote: The position could require travel up to 10-15% SUPERVISION: * None EDUCATION AND REQUIRED CREDENTIALS : * Registered Nurse required * BSN or bachelor's degree in healthcare-related field ...
Strategic Clinical Quality Manager - North Connecticut and Western Mass Areas
Springfield, MA · On-site +1
$79.60K - $142.30K/yr
Remote: The position could require travel up to 10-15% SUPERVISION: * None EDUCATION AND REQUIRED CREDENTIALS : * Registered Nurse required * BSN or bachelor's degree in healthcare-related field ...
Registered Fire Protection Engineer strongly desired (New York, New Jersey or New England) * New York or Massachusetts specific fire and building code experience preferred #LI-BD1 #LI-Remote
Registered Fire Protection Engineer strongly desired (New York, New Jersey or New England) * New York or Massachusetts specific fire and building code experience preferred #LI-BD1 #LI-Remote
Territory Manager, Infusion Therapies and Platforms (Connecticut/Rhode Island)
Springfield, MA · Remote
$96K - $132K/yr
... Nursing, Pharmacy, Risk Management, and other departments throughout the hospital in the ... Willingness to travel to both remote and urban locations, independently or with other personnel.
Territory Manager, Infusion Therapies and Platforms (Connecticut/Rhode Island)
Springfield, MA · Remote
$96K - $132K/yr
... Nursing, Pharmacy, Risk Management, and other departments throughout the hospital in the ... Willingness to travel to both remote and urban locations, independently or with other personnel.
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... Registered nurse or HCP with experience in a sterile environment * Clinical experience with ...
While this is a remote position not located at a physical Medtronic site, the candidate hired will ... Registered nurse or HCP with experience in a sterile environment * Clinical experience with ...
Sr. Sales Representative, Coronary, Hartford, CT
Hartford, CT · Remote
$110K - $225K/yr
... RN) background with cath lab exposure. Specialized Skills / Other Requirements * Proven track ... LI-SM1 #LI-remote At Teleflex, we follow a comprehensive hiring process. We do not accept ...
Sr. Sales Representative, Coronary, Hartford, CT
Hartford, CT · Remote
$110K - $225K/yr
... RN) background with cath lab exposure. Specialized Skills / Other Requirements * Proven track ... LI-SM1 #LI-remote At Teleflex, we follow a comprehensive hiring process. We do not accept ...
VP, Clinical Insights, Innovation, & Policy - Aetna
Hartford, CT · On-site +1
$250K - $350K/yr
Remote or HybridQualifications * 15+ years of progressive leadership experience in healthcare, with ... Clinical degree (e.g., MD, DO, RN, PharmD) would be valued but not required * Previous experience ...
VP, Clinical Insights, Innovation, & Policy - Aetna
Hartford, CT · On-site +1
$250K - $350K/yr
Remote or HybridQualifications * 15+ years of progressive leadership experience in healthcare, with ... Clinical degree (e.g., MD, DO, RN, PharmD) would be valued but not required * Previous experience ...
Territory Director - (Inside Sales) Eastern
Hartford, CT · Remote
$55K - $70K/yr
This is a fully remote position. Onco360 Pharmacy is a unique oncology pharmacy model created to ... The targeted customers are physicians, NPs, PAs, nursing staff, office managers, administrative and ...
Territory Director - (Inside Sales) Eastern
Hartford, CT · Remote
$55K - $70K/yr
This is a fully remote position. Onco360 Pharmacy is a unique oncology pharmacy model created to ... The targeted customers are physicians, NPs, PAs, nursing staff, office managers, administrative and ...
Remote Rn Coding information
See Hartford, CT salary details
$13.58 - $17.35
0% of jobs
$17.35 - $21.12
0% of jobs
$21.12 - $24.89
16% of jobs
$25.73 is the 25th percentile. Wages below this are outliers.
$24.89 - $28.66
40% of jobs
$28.66 - $32.43
5% of jobs
$32.43 - $36.20
9% of jobs
$38.32 is the 75th percentile. Wages above this are outliers.
$36.20 - $39.96
9% of jobs
$39.96 - $43.73
10% of jobs
$43.73 - $47.50
6% of jobs
$47.50 - $51.27
3% of jobs
$51.27 - $55.04
2% of jobs
$13
$33
$55
How much do remote rn coding jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Remote RN Coder, and why are they important?
What are some common challenges faced by Remote RN Coders and how can they be addressed?
What is a Remote RN Coder?
What is the difference between Remote Rn Coding vs Remote Medical Coder?
| Aspect | Remote Rn Coding | Remote Medical Coder |
|---|---|---|
| Credentials | RN license, coding certifications (e.g., CPC, CCS) | Certification (CPC, CCS), no RN license needed |
| Work Environment | Healthcare facilities, insurance companies, remote clinics | Insurance companies, billing companies, healthcare organizations |
| Industry Usage | Hospitals, clinics, outpatient facilities | Insurance, billing, coding services |
| Job Focus | Clinical documentation, patient records, coding from RN perspective | Medical coding from documentation, billing codes, insurance claims |
Remote Rn Coding involves licensed RNs with coding certifications working primarily on clinical documentation and patient records, often within healthcare settings. Remote Medical Coder roles focus on coding insurance claims and billing documentation, typically requiring coding certifications but not an RN license. Both roles are essential in healthcare revenue cycle management but differ in credentials, work environment, and job focus.
Full-time
Medical, Dental, Vision, Life, PTO
Posted 22 days ago
Baystate Health rating
6.5
Based on 137 frontline employees who took The Breakroom Quiz
593rd of 864 rated healthcare providers
Job description
UM Inpatient Clinical Review Nurse- Baystate Health, Health New England
The UM Inpatient Clinical Review Nurse contributes to the overall success of the Utilization Management department by performing clinical reviews forinpatient, includingdeterminingthe member's overall health, reviewing the type of care being delivered,andevaluating medical necessity, in compliance with governing regulations, internal policies, and procedures.
Responsibilities
- Performs pre-service,concurrent, and retrospectivereviews of membersforappropriate careand setting todetermineoverall health andappropriate levelof care, using applicable coverage documents and clinical guidelines
- Collects, documents, andmaintainsreview findingsand actions taken on member medical records in health management systems, according toutilizationmanagement policies and guidelines
- Works with healthcare providers to approve medical determinations or provide recommendations based on requested service and review findings
- Collaborateswith MedicalDirectors,whendetermination to deny a request is indicated
- Assistswith providing education to providers onutilizationprocesses to ensure high quality,appropriate careto members
- Collaborates with care management on referral of members, as appropriate
- Performs clinical reviews for member and provider appeals related toinpatient services
- Participates in the weekend call program, as well as flexible work hours, as needed within the department
- Provides input to the Medical Policy Committeeregardingthe development/updating of medical policies
LOCATION:
This is a full-time remote opportunity. Current States Eligible MA and CT
SCHEDULE:
- Monday through Friday
- 6 weekends/ 1 holiday a year
- Flex schedule: 7:30-4:00pm, 8:00-4:30pm, 1 week a month working 8:30am-5:00pm
REQUIREMENTS:
- CurrentMA RN License, required
- Bachelor's degree, required
- 3-5 years nursing experience
- Knowledge ofutilizationmanagement, Medicare and Medicaid strongly preferred
- Highly developed critical thinking skills- prior nursing experience ICU or ER
- Computer literacy and ability to navigate through computer systems
- Excellent written and verbal communication skills, including delivering presentations
- Excellent time management skills with the ability to manage multiple priorities
- Ability to manage an assigned caseload independently
- Strong teamwork skills
THE ADVANTAGES OF WORKING WITH BAYSTATE/HEALTH NEW ENGLAND!
- Competitive High-quality, low-cost medical, dental and vision insurance
- Generous PTO
- Continuing education support and reimbursement
- Wellbeing programs that include but are not limited to mental, physical, and financial health
- Pet, home, auto and personal insurance
- Life insurance
- Reimbursement for a variety of wellbeing activities, included but limited to gym membership and equipment, personal trainer, massage and so much more!
About Health New England
Based in Springfield, Massachusetts, part of Baystate Health, Health New England is a regional not-for-profit health plan serving over 160,000 members in central and western Massachusetts and parts of Connecticut. Health New England has been meeting the health care needs of its members for nearly 40 years. Health New England is committed to improving the health and lives of people of our community, both in our workplace and for our members. We are committed to creating opportunities for individuals of all backgrounds to grow and thrive.
Working Conditions
Standard office environment, with extendedperiod of timesitting, looking at monitors, typing on laptops and
communicatingvia softphones/headsets for virtual meetings. No travelingrequired.
Education:
Bachelors Degree (Required)Certifications:
Compensation
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.
Minimum - Midpoint - Maximum
$89,606.00 - $103,001.00 - $121,804.00Equal Employment Opportunity Employer
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
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