Remote After Training Great care starts with great people. (Like you.) At HonorHealth, you'll find ... Performs medical record reviews, as required by payer. Interfaces with Care Management team to ...
Remote After Training Great care starts with great people. (Like you.) At HonorHealth, you'll find ... Performs medical record reviews, as required by payer. Interfaces with Care Management team to ...
Tele-Triage Registered Nurse - RN
San Antonio, TX · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
San Antonio, TX · On-site +1
$33 - $35/hr
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 ...
Clinical Operations Manager
AL · Remote
Medical
Dental
Vision
Life
Retirement
This role involves managing a team of remote registered nurses who provide triage services to ... Access to the electronic medical record (EMR) system may require the use of your personal mobile ...
Clinical Operations Manager
AL · Remote
Medical
Dental
Vision
Life
Retirement
This role involves managing a team of remote registered nurses who provide triage services to ... Access to the electronic medical record (EMR) system may require the use of your personal mobile ...
Reviews all medical records and addresses each question posed by the client, utilizing client ... Provides copies of any criteria utilized in a review with the report promptly * Returns cases on or ...
Quick apply
Reviews all medical records and addresses each question posed by the client, utilizing client ... Provides copies of any criteria utilized in a review with the report promptly * Returns cases on or ...
We have collaborative team scheduling and there is an occasional opportunity for remote work based ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
New
We have collaborative team scheduling and there is an occasional opportunity for remote work based ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
New
We have collaborative team scheduling and there is an occasional opportunity for remote work based ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
New
We have collaborative team scheduling and there is an occasional opportunity for remote work based ... Review the entire medical record for accuracy, and appropriate clinical treatment * Communicate ...
New
Responsibilities * Review and evaluate electronic medical records of emergency department ... Current and unrestricted RN license * At least 3 years clinical experience in acute care setting in ...
Responsibilities * Review and evaluate electronic medical records of emergency department ... Current and unrestricted RN license * At least 3 years clinical experience in acute care setting in ...
Responsibilities * Review and evaluate electronic medical records of emergency department ... Current and unrestricted RN license * At least 3 years clinical experience in acute care setting in ...
Responsibilities * Review and evaluate electronic medical records of emergency department ... Current and unrestricted RN license * At least 3 years clinical experience in acute care setting in ...
Responsibilities * Review and evaluate electronic medical records of emergency department ... Current and unrestricted RN license * At least 3 years clinical experience in acute care setting in ...
Responsibilities * Review and evaluate electronic medical records of emergency department ... Current and unrestricted RN license * At least 3 years clinical experience in acute care setting in ...
Tele-Triage Registered Nurse - RN
Louisville, KY · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Louisville, KY · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Charlotte, NC · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Charlotte, NC · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Chicago, IL · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Chicago, IL · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Atlanta, GA · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Atlanta, GA · On-site +1
$33 - $35/hr
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 ...
Review Medical Records: Thoroughly review and analyze patient medical documents related to the case. * Address Clinical Questions: Respond to clinical queries from the insurance carrier regarding the ...
Review Medical Records: Thoroughly review and analyze patient medical documents related to the case. * Address Clinical Questions: Respond to clinical queries from the insurance carrier regarding the ...
Remote Registered Nurse (RN) - Principal Care Management (PCM) Elaya Health is a leading provider ... Responsibilities • Review patient charts, medications, labs, and care plans • Coordinate care ...
Remote Registered Nurse (RN) - Principal Care Management (PCM) Elaya Health is a leading provider ... Responsibilities • Review patient charts, medications, labs, and care plans • Coordinate care ...
Tele-Triage Registered Nurse - RN
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Louisville, KY · On-site +1
$33/hr
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 ...
Tele-Triage Registered Nurse - RN
Louisville, KY · On-site +1
$33/hr
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 ...
Tele-Triage Registered Nurse - RN
Chicago, IL · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Chicago, IL · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Louisville, KY · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Louisville, KY · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Charlotte, NC · On-site +1
$33 - $35/hr
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 ...
Tele-Triage Registered Nurse - RN
Charlotte, NC · On-site +1
$33 - $35/hr
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 ...
Remote Rn Medical Record Review information
What is the difference between Remote Rn Medical Record Review vs Remote Rn Chart Review?
| Aspect | Remote Rn Medical Record Review | Remote Rn Chart Review |
|---|---|---|
| Certifications | RN license, possibly certifications in medical record review | RN license, similar certifications |
| Work Environment | Reviewing medical records remotely for legal, insurance, or compliance purposes | Analyzing and summarizing patient charts for healthcare providers or research |
| Industry Usage | Legal, insurance, healthcare compliance | Healthcare 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.
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HonorHealth rating
7.7
Based on 209 frontline employees who took The Breakroom Quiz
158th of 887 rated healthcare providers
Job description
Primary City/State:
Virtual - ArizonaCategory:
Case ManagementShift:
DayDepartment:
Case Management- 7:30 -4:00
- Team Operates Monday through Sunday
- Remote After Training
Great care starts with great people. (Like you.)
At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization of health care services with the goal of maintaining high quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and inpatient stays and the utilization of ancillary services. Responsible for coordinating and conducting medical necessity reviews for all Medicare, AHCCCS, Self-pay, and all other payers, upon admission and concurrently throughout the admission.
Essential Functions
- Reviews clinical documentation and facilitates modifications (as needed) to ensure that documentation accurately reflects the level of service rendered and severity of illness (in compliance with government and other regulations) for all patients. Performs initial and concurrent reviews on all patients entering the health care continuum.
- Facilitates the delivery of services to patients and families through effective utilization of available resources. Performs medical record reviews, as required by payer. Interfaces with Care Management team to provide information regarding quality outcome measurements (such as timeliness and appropriateness of services). Collaborates with physicians, case managers, payers and others to appeal individual denials and trended issues related to contract guidelines. Works with medical records, finance and physician groups to develop systems to facilitate complete documentation for data reporting purposes.
- Initiates chart reviews, conducts follow-up reviews, and rounds on patients to ensure continuity of UR reviews.
- Maintains a system to identify admissions with specific diagnosis / DRG classifications or other categories of admissions. Notifies attending physicians and house staff or other appropriate staff of documentation issues requiring clarification.
- Determines qualifications for hospital level of care based on set criteria.
- Performs other duties as assigned.
- Bachelor's Degree in Nursing from an accredited NLN/CCNE institution - Preferred
- Associate's Degree in Nursing from an accredited NLN/CCNE institution - Required
- 1 year experience in UR/UM or Case Management - Required
- 3 years Registered Nurse in an acute care setting. - Required
- Registered Nurse (RN) State And/Or Compact State Licensure - Required
- Certified Case Management (ACM) Case Management Certification - Preferred
We're all in for your career.
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About HonorHealth
Sourced by ZipRecruiter
HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation, and community services with approximately 13,100 team members, 3,500 affiliated providers and nearly 700 volunteers. HonorHealth was formed by a merger between Scottsdale Healthcare and John C. Lincoln Health Network. HonorHealth's mission is to improve the health and well-being of those we serve.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Scottsdale, AZ, US
Year founded
2014