Remote Rn Medical Record Review Jobs (NOW HIRING)

Assists the Manager in the coordination and preparation of the HEDIS medical record review which ... RN/LVN/LPN HEDIS knowledge Ability to read and understand medical records Independent and able to ...

... record review, or related field. • Strong level of proficiency with medical terminology • ... Remote (United States)

iMPROve Health is seeking an RN Reviewer (Workers' Compensation Utilization Review) to serve as an ... Review treatment requests and medical records for medical necessity and guideline compliance.

Comfort with technology and electronic medical records Experience in utilization review, case ... Remote work - enjoy the convenience and balance of working from home * Autonomy and flexibility in ...

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 Appeals Analyst to research complex appeal requests, evaluate medical necessity, and document ... The role supports both pre- and post-payment review while ensuring privacy and compliance. The ...

... RN Appeals Analyst to research complex appeal requests, evaluate medical necessity, and document ... The role supports both pre- and post-payment review while ensuring privacy and compliance. The ...

The department provides for the assessment of the medical necessity of admission and continued stay ... record review. Core staffing and methods for determining and modifying staffing to meet patient or ...

While we offer remote flexibility, these states are key to our growth strategy. (Including but not ... Requesting records from Defense Counsel and reviewing them for accuracy * Compile the combined ...

The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support ... Develop and deliver training on basic medical topics for peer mental health workers and social ...

We are seeking dedicated and qualified RNs to join our team as Remote Contingent Hurricane Response Inbound Phone Agents. In the event of a hurricane or natural disaster, our company, Cortex, is ...

We are seeking a compassionate and experienced Registered Nurse (RN) Medical Case Manager to ... Utilization Management, Utilization Review, Managed Care, or Cost Containment experience * CCM ...

Document patient care in the electronic health record (EHR) Qualifications: * Must hold an active R ... Experience in home health, palliative, med-surg, geriatrics, ICU, ER, and/or hospice care is ...

Most of the training will be remote however you will be required to start onsite A Utilization ... They evaluate patient medical records to ensure treatments, procedures, and hospital stays are ...

Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting multiple Remote ... Review provider information including specialty and NPI. * Validate Veteran demographic information ...

The ideal candidates will review medical records, interpret clinical data, and ensure accurate ... Preferred: * RN/LVN with Associate or Bachelor's degree (HEDIS experience may substitute for ...

Document patient care in the electronic health record (EHR) Qualifications: * Must hold an active R ... Experience in home health, palliative, med-surg, geriatrics, ICU, ER, and/or hospice care is ...

Reviews reports accompanying medical records to ensure that the report is complete and that all ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...

The position is remote/work from home; applicants must hold an IL RN licensure. The position is ... medical records in health management systems according to utilization management policies and ...

Remote - Must reside in Michigan (MI) Schedule: Monday - Friday, 8:00 AM - 5:00 PM Job Summary: HEDIS Reviewer III (Medical Record Review Abstractor) to support HEDIS quality reporting. This role ...