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 ...
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Remote Rn Coding information
See Santa Rosa, CA salary details
$14.72 - $18.80
0% of jobs
$18.80 - $22.89
0% of jobs
$22.89 - $26.97
16% of jobs
$27.89 is the 25th percentile. Wages below this are outliers.
$26.97 - $31.06
40% of jobs
$31.06 - $35.15
5% of jobs
$35.15 - $39.23
9% of jobs
$41.53 is the 75th percentile. Wages above this are outliers.
$39.23 - $43.32
9% of jobs
$43.32 - $47.40
10% of jobs
$47.40 - $51.49
6% of jobs
$51.49 - $55.57
3% of jobs
$55.57 - $59.66
2% of jobs
$14
$36
$59
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.
$40/hr
Other
Posted 6 days ago
Job description
Job Title: Registered Nurse - Utilization Review
Location: Santa Rosa, CA
Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM
Contract Duration: 13 Weeks
Orientation: 40 Hours (Non-Billable)
Required Qualifications
- Active Registered Nurse (RN) License required
- Minimum 1-2 years acute care experience preferred
- Experience in Utilization Review, Case Management, or similar clinical coordination role preferred
- Strong understanding of medical necessity criteria and payer guidelines
- Knowledge of insurance authorization and review processes
- Strong documentation, analytical, and communication skills
- Ability to work independently in a remote setting
- Experience with EMR systems preferred (Epic preferred)
Job Responsibilities
- Perform utilization review for inpatient and outpatient services
- Evaluate medical records for appropriate level of care and medical necessity
- Process prior authorizations and continued stay reviews
- Collaborate with physicians, case managers, and insurance payers
- Document review decisions accurately in EMR systems
- Identify cases requiring escalation to clinical reviewers or medical directors
- Support discharge planning and care coordination when needed
- Ensure compliance with regulatory, payer, and facility guidelines
- Maintain productivity and quality standards in a remote environment
For more details contact at sthakur@navitashealth.com
About Navitas Healthcare, LLC 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.