... and discussions. * Assist with special projects and additional responsibilities as assigned ... Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education:
... and discussions. * Assist with special projects and additional responsibilities as assigned ... Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education:
... and discussions. * Assist with special projects and additional responsibilities as assigned ... Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education:
Quick apply
... and discussions. * Assist with special projects and additional responsibilities as assigned ... Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education:
Remote RN - Medical Claims Reviewer
OR · Remote
... and discussions. * Assist with special projects and additional responsibilities as assigned ... Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education:
Remote RN - Medical Claims Reviewer
OR · Remote
... and discussions. * Assist with special projects and additional responsibilities as assigned ... Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education:
Remote RN Case Manager - Metro Chicago
Downers Grove, IL · On-site +1
Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced ...
Remote RN Case Manager - Metro Chicago
Downers Grove, IL · On-site +1
Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced ...
Be Seen First
Remote Registered Dietitian
New York, NY · Remote
$60/hr
Support breastfeeding promotion and education initiatives. * Assist with the development and ... Choose 1st Choice -- we care about our people, offer great benefits, and create real opportunities ...
Quick apply
Be Seen First
Remote Registered Dietitian
New York, NY · Remote
$60/hr
Support breastfeeding promotion and education initiatives. * Assist with the development and ... Choose 1st Choice -- we care about our people, offer great benefits, and create real opportunities ...
Remote RN Case Manager - Metro Chicago
Downers Grove, IL · On-site +1
Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced ...
Remote RN Case Manager - Metro Chicago
Downers Grove, IL · On-site +1
Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced ...
Remote RN Case Manager - Metro Chicago
Downers Grove, IL · On-site +1
Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced ...
Remote RN Case Manager - Metro Chicago
Downers Grove, IL · On-site +1
Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced ...
Case Manager Registered Nurse
Homer, AK · Remote
$60K - $129K/yr
Remote RN Case Manager (Nationwide | Monday-Friday, No Weekends) Join a mission-driven team helping members achieve better health outcomes-100% remote. We're seeking an experienced Registered Nurse ...
Case Manager Registered Nurse
Homer, AK · Remote
$60K - $129K/yr
Remote RN Case Manager (Nationwide | Monday-Friday, No Weekends) Join a mission-driven team helping members achieve better health outcomes-100% remote. We're seeking an experienced Registered Nurse ...
Seeking a challenging yet remote registered nurse position that keeps your abilities sharp? Imagine ... Training is 2-4 weeks, with the first two weeks during daytime hours. 100% Attendance is required.
Seeking a challenging yet remote registered nurse position that keeps your abilities sharp? Imagine ... Training is 2-4 weeks, with the first two weeks during daytime hours. 100% Attendance is required.
As a Remote RN Triage Nurse, you will provide clinical assessment, symptom management, patient ... . * Assist with administrative clinical functions including FMLA, ADA, STD/LTD documentation and ...
Quick apply
As a Remote RN Triage Nurse, you will provide clinical assessment, symptom management, patient ... . * Assist with administrative clinical functions including FMLA, ADA, STD/LTD documentation and ...
Remote Registered Nurse (RN) Case Manager
Orlando, FL · On-site +1
$50K/yr
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Orlando, FL · On-site +1
$50K/yr
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Ambulatory Care Triage RN [Full-Time]
Birmingham, AL · Remote
$30/hr
As a Remote RN Triage Nurse, you will provide clinical assessment, symptom management, patient ... . * Assist with administrative clinical functions including FMLA, ADA, STD/LTD documentation and ...
Ambulatory Care Triage RN [Full-Time]
Birmingham, AL · Remote
$30/hr
As a Remote RN Triage Nurse, you will provide clinical assessment, symptom management, patient ... . * Assist with administrative clinical functions including FMLA, ADA, STD/LTD documentation and ...
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Scottsdale, AZ · Remote
$50K/yr
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Scottsdale, AZ · Remote
$50K/yr
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Topeka, KS · Remote
$50K/yr
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Topeka, KS · Remote
$50K/yr
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Phoenix, AZ · Remote
$50K/yr
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Phoenix, AZ · Remote
$50K/yr
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
The Nurse Advocate will play an active role with each patient from the first point of patient ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Rn First Assist information
What remote jobs can a nurse get?
What is the difference between Remote Rn First Assist vs Remote Surgical Tech?
| Aspect | Remote Rn First Assist | Remote Surgical Tech |
|---|---|---|
| Credentials | Registered Nurse (RN) license, First Assist certification | Surgical Technologist certification (CST), sometimes with additional perioperative training |
| Work Environment | Hospitals, surgical centers, telehealth platforms | Surgical settings, hospitals, outpatient clinics, often with remote support roles |
| Industry Usage | Healthcare, surgical procedures, perioperative care | Surgical procedures, operating rooms, perioperative support |
The Remote Rn First Assist and Remote Surgical Tech roles both support surgical teams but differ mainly in credentials and responsibilities. The Remote Rn First Assist is a licensed RN with specialized training to assist during surgeries, often working remotely to support surgical teams. The Remote Surgical Tech typically holds a surgical technologist certification and provides technical support in the operating room. Both roles are vital in healthcare but serve different functions within surgical procedures.
How to make an extra 2000 a month as a nurse?
What are some of the unique challenges faced by Remote RN First Assist professionals, and how can they be addressed?
What are the key skills and qualifications needed to thrive as a Remote RN First Assist, and why are they important?
How much does an RN first assist make?
What is a Remote RN First Assist?
How to make $300,000 as a nurse online?
Job description
Job Type: Full-time (40 hours/week)
Schedule: Monday-Friday, 8:00 AM - 5:00 PM
Max Salary: W-2 ($65,000/$31.25)
Location: Remote (U.S. - Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.
About the Role
We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.
Key Responsibilities
- Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
- Assess payment determinations using clinical information and established guidelines.
- Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
- Provide clear, well-documented rationales for service approvals or denials.
- Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
- Support quality control activities to meet corporate and team objectives.
- Provide guidance to LPN team members and support non-clinical staff through training and discussions.
- Assist with special projects and additional responsibilities as assigned.
Licensure:
- Active, unrestricted RN license in the U.S. and in the state of hire
OR - Active compact multistate RN license (as defined by the Nurse Licensure Compact).
- Associate Degree in Nursing
OR - Graduate of an accredited School of Nursing.
- Two years of clinical experience plus at least two years in one of the following:
- Home Health
- Utilization/Medical Review
- Quality Assurance
- Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings.
- Ability to interpret and apply medical review criteria and clinical guidelines.
- Proficiency in Microsoft Office and word processing software.
- Strong analytical, organizational, and decision-making skills.
- Ability to work independently while managing priorities effectively.
- Excellent customer service, communication, and critical thinking skills.
- Ability to handle confidential information with discretion.
- Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred).
- Proficiency in using multiple screens and software programs simultaneously.
If you are a detail-oriented RN with a passion for medical review, we encourage you to apply!
What to Expect Next:
After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting.
Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.
Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).
About BROADWAY VENTURES
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
11 - 50 Employees
Headquarters location
Canton, MS, US
Year founded
2013