Remote Rn Medical Record Review Jobs (NOW HIRING)

Review medical records and clinical documentation. * Assist with admissions, care coordination, and discharge planning. * Communicate with physicians, nurses, and insurance providers. * Ensure ...

Seeking Registered Nurse for fully remote role to perform complex medical record and claim reviews (Standard or Program Integrity) to make coverage determinations based on applicable Medicare ...

Remote Review Nurse SUMMARY DESCRIPTION: The review nurse is responsible for medical record ... Registered Nurse (RN)/ Licensed Practical Nurse (LPN) with unrestricted license 2 years' HEDIS ...

The review nurse is responsible for medical record abstractions and overreads during the annual ... Registered Nurse (RN)/ Licensed Practical Nurse ( LPN ) with unrestricted license * 2 years' HEDIS ...

... REMOTE The Medicaid Medical Review RN (Medical Reviewer III) will primarily be responsible for conducting clinical reviews of medical records during the course of fraud investigations or other ...

Utilization/Medical record review and chart abstraction * Current standards of medical practice ... BSN with active RN licensure in good standing Physical Demands: Remote Work, Prolonged Sitting ...

Review medical records to identify potential quality, safety, and utilization concerns * Conduct ... Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) * ...

Utilization/Medical record review and chart abstraction * Current standards of medical practice ... BSN with active RN licensure in good standing Physical Demands: Remote Work, Prolonged Sitting ...

Utilization/Medical record review and chart abstraction * Current standards of medical practice ... BSN with active RN licensure in good standing Physical Demands: Remote Work, Prolonged Sitting ...

Utilization/Medical record review and chart abstraction * Current standards of medical practice ... BSN with active RN licensure in good standing Physical Demands: Remote Work, Prolonged Sitting ...

Utilization/Medical record review and chart abstraction * Current standards of medical practice ... BSN with active RN licensure in good standing Physical Demands: Remote Work, Prolonged Sitting ...

Registered Nurse - Medical Review Specialist LOCATION: Remote work from home. HOURS: Monday thru ... Review medical record documentation within CMS timeliness parameters (i.e., 20 days from receipt of ...

Utilization/Medical record review and chart abstraction * Current standards of medical practice ... BSN with active RN licensure in good standing Physical Demands: Remote Work, Prolonged Sitting ...

Performs medical record review for severity of illness and intensity of service; liaison function ... Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ...

Performs medical record review for severity of illness and intensity of service; liaison function ... Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ...

Perform automated and complex medical record and claim reviews to make coverage determinations ... Registered Nurse, with a current unobstructed license to practice nursing in the United States.

Perform automated and complex medical record and claim reviews to make coverage determinations ... Registered Nurse, with a current unobstructed license to practice nursing in the United States.

The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews ... At least three- five years performing medical record review and/or abstraction (Utilization Review ...

Remote Triage & Home Health RN experience highly preferred *Potential Start Date: 9/14/26 New ... Ensure compliance with state/local/payer requirements through review of documentation * Provide ...

... RN or LPN with clinical experience and will work under the supervision of the HEDIS Coordinator ... They are a member of the medical record review team. The team is responsible for obtaining and ...