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Remote Rn Medical Record Review Jobs in Miami, FL

Perform annual medical record reviews for selected states. * Consult with internal stakeholders to ... Licensed Registered Nurse with active, unrestricted license in state of residence and willingness ...

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

You will perform frequent case reviews, check medical records and speak with care providers ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;

Minimum 1 year experience in long term care is required for remote positions * Registered Dietitian ... Medical, Dental, and Vision Insurance options, * Company Managed 401(k) Program * Paid Time Off

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Remote Rn Medical Record Review information

What is the difference between Remote Rn Medical Record Review vs Remote Rn Chart Review?

AspectRemote Rn Medical Record ReviewRemote Rn Chart Review
CertificationsRN license, possibly certifications in medical record reviewRN license, similar certifications
Work EnvironmentReviewing medical records remotely for legal, insurance, or compliance purposesAnalyzing and summarizing patient charts for healthcare providers or research
Industry UsageLegal, insurance, healthcare complianceHealthcare providers, research institutions, quality assurance

Remote Rn Medical Record Review involves evaluating medical records for legal, insurance, or compliance purposes, focusing on accuracy and completeness. Remote Rn Chart Review typically involves analyzing patient charts for clinical or research insights. While both roles require RN licensure and similar skills, their primary focus and industry applications differ slightly.

What are the most commonly searched types of Rn Medical Record Review jobs in Miami, FL? The most popular types of Rn Medical Record Review jobs in Miami, FL are:
What are popular job titles related to Remote Rn Medical Record Review jobs in Miami, FL? For Remote Rn Medical Record Review jobs in Miami, FL, the most frequently searched job titles are:
What job categories do people searching Remote Rn Medical Record Review jobs in Miami, FL look for? The top searched job categories for Remote Rn Medical Record Review jobs in Miami, FL are:
What cities near Miami, FL are hiring for Remote Rn Medical Record Review jobs? Cities near Miami, FL with the most Remote Rn Medical Record Review job openings:

Utilization Review RN (Remote)

HealthPlus Staffing

Fort Lauderdale, FL • Remote

$80K - $100K/yr

Full-time

Posted 27 days ago


Job description

Quick Job Details:

Setting: Fully Remote – Utilization Review
Schedule: Full-Time, Monday–Friday
Hours: Standard business hours
Patient Volume: N/A
Job Requirements:

  • Active RN license with Multi-State/Compact license required
  • Minimum 2 years of Utilization Review experience
  • Minimum 3 years of clinical nursing experience (acute care/hospital preferred)
  • Strong understanding of medical necessity, utilization management, healthcare reimbursement, and clinical documentation improvement
  • Excellent communication, analytical, and critical thinking skills
  • Ability to work independently in a remote environment

Responsibilities:

  • Conduct admission, continued stay, and observation reviews
  • Apply medical necessity criteria to determine appropriate level of care
  • Review cases for Physician Advisor escalation when appropriate
  • Collaborate with physicians, case managers, and insurance payers
  • Support denial prevention, documentation improvement, and revenue cycle initiatives
  • Ensure compliance with payer guidelines and regulatory requirements
  • Analyze clinical and financial data to identify quality improvement opportunities

Compensation: Competitive; based on experience

Benefits: Comprehensive benefits package

About Us:

HealthPlus Staffing is a national leader in the healthcare staffing industry. We partner with top healthcare organizations nationwide to connect highly qualified professionals with outstanding career opportunities.

Our Promise:

  • We will put you in front of the decision makers.
  • We will provide feedback on your application.
  • We will work on your behalf to obtain as much information as possible to help you make a well-informed decision.

If you're interested in this opportunity, please submit an application or call 561-291-7787 to speak with one of our experienced consultants. We look forward to helping you find your next opportunity!

The HealthPlus Team