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Remote Rn Legal Nurse Chart Review Jobs in Virginia

QTC

Registered Nurse

Mclean, VA · On-site +1

Provide support with chart reviews/documentation, scheduling and confirming appointments, answering ... Passing the NCLEX-RN (National Council Licensure Examination for Registered Nurses) * State nursing ...

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All JobsRn Legal Nurse Chart Review JobsRemote Rn Legal Nurse Chart Review JobsRemote Rn Legal Nurse Chart Review Jobs in Virginia

Remote Rn Legal Nurse Chart Review information

What is the difference between Remote Rn Legal Nurse Chart Review vs Remote Rn Medical Records Reviewer?

AspectRemote Rn Legal Nurse Chart ReviewRemote Rn Medical Records Reviewer
CredentialsRegistered Nurse (RN), Legal Nurse Consultant certification often preferredRegistered Nurse (RN), sometimes with medical records certification
Work EnvironmentRemote, legal or healthcare settings, law firms, insurance companiesRemote, healthcare facilities, insurance companies, legal firms
Job FocusAnalyzing medical records for legal cases, expert reportsReviewing medical records for accuracy, completeness, compliance
Industry UsageLegal, healthcare, insuranceHealthcare, insurance, legal

Both roles involve reviewing medical records remotely, but Remote Rn Legal Nurse Chart Review focuses on legal case analysis, while Remote Rn Medical Records Reviewer emphasizes record accuracy and compliance. Understanding these differences helps professionals choose the right career path or job opportunity.

What is a remote RN legal nurse chart review?

A Remote RN Legal Nurse Chart Review is a role where a registered nurse (RN) works remotely to analyze and interpret medical records for legal cases. These nurses use their clinical expertise to evaluate medical documentation, identify standards of care, and provide objective opinions that assist attorneys in understanding complex medical issues relevant to legal claims. Their work is essential in cases involving medical malpractice, personal injury, or insurance disputes. By working remotely, these nurses can collaborate with law firms or insurance companies from any location, often on a flexible or contract basis.

What are the key skills and qualifications needed to thrive as a remote RN legal nurse chart review specialist?

To thrive as a Remote RN Legal Nurse Chart Review specialist, you need a current RN license, strong clinical experience, and in-depth knowledge of medical terminology and healthcare standards. Familiarity with electronic medical records (EMRs), case management software, and legal documentation systems is crucial, as is certification in legal nurse consulting (LNCC) for added credibility. Attention to detail, analytical thinking, and strong written communication are essential soft skills for interpreting medical records and preparing clear legal reports. These skills enable accurate, objective reviews that support legal teams and ensure high-quality case outcomes.

What are some common challenges faced by remote RN legal nurse chart reviewers and how can they be managed?

Remote RN Legal Nurse Chart Reviewers often encounter challenges such as interpreting complex medical records, managing large volumes of documentation, and maintaining clear communication with legal teams. Staying organized with efficient digital tools and setting up a dedicated, distraction-free workspace can help manage workload effectively. Additionally, ongoing education in legal procedures and regular collaboration with attorneys and other medical experts are essential for delivering accurate, timely reviews and building strong professional relationships.

What are popular job titles related to Remote Rn Legal Nurse Chart Review jobs in Virginia?

For Remote Rn Legal Nurse Chart Review jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Remote Rn Legal Nurse Chart Review jobs in Virginia look for?

The top searched job categories for Remote Rn Legal Nurse Chart Review jobs in Virginia are:

What cities in Virginia are hiring for Remote Rn Legal Nurse Chart Review jobs?

Cities in Virginia with the most Remote Rn Legal Nurse Chart Review job openings:

Remote Rn Legal Nurse Chart Review jobs near you
Infographic showing various Remote Rn Legal Nurse Chart Review job openings in Virginia as of August 2026, with employment types broken down into 58% Full Time, 22% Part Time, and 20% Contract. Highlights an 100% Remote job distribution.

Utilization Review Nurse / RN for Medicaid - Remote

Sentara Health

Norfolk, VA • Remote

$66K - $111K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

531st of 887 rated healthcare providers

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara Health Plansis hiring an Utilization Review Nurse/ RN for Medicaid - Remote!
Status: Full-time,permanent position (40 hours)

Standard working hours: 8am to 5pm EST, M-F. Weekend and holiday coverage required. Nurses participate in a self-scheduling process and are expected to work 13 weekend day shifts per year, as well as assigned holiday coverage.
Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming
Job responsibilities:
  • Utilization Review Nurse is responsible for utilizing management services within the scope of licensure. Conducts primary functions of prior authorization, inpatient review, concurrent review, retrospective review, medical director referrals and execution of member/provider approval and/or denial letter. Reviews provider requests for services requiring authorization. Conduct pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. May manage appeals for services denied. Responsible for written and/or verbal notification to members and providers. Demonstrates proactive anticipatory discharge planning; serves as joint transition of care coordinator with case management and facilitates member care transition. Ensures medical director's written decision is consistent with criteria (CMS, state, medical policy, clinical criteria). Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.

Education:
  • Bachelors Degree in Nursing preferred

Certification/Licensure
  • Registered Nurse (RN) License (Compact or Virginia) REQUIRED

Preferred qualifications:
  • 3 years of acute care clinical experience REQUIRED
  • Previous Utilization Review highly preferred
  • Previous LTSS Waiver OR Medicaid experience highly preferred
  • InterQual or Milliman experience preferred.
  • Knowledge of NCQA preferred.
  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
  • Strong Microsoft skills (Word, Excel, Outlook and Teams).

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $66,830.4 - $111,384. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-104382
Talroo - Nursing
Utilization, Review, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, Virginia, RN, VA, Medicaid, Inpatient, irginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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