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Remote Tricare Rn Jobs in Columbia, MD (NOW HIRING)

CINQCARE

Registered Nurse (0767)

Baltimore, MD · Remote

$84K - $106K/yr

Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions ... The RN will establish the business strategy and roadmap: (1) improve outcomes for Grace at Home ...

CareFirst

Care Manager (Remote)

Baltimore, MD · Remote

We are looking for an experienced Registered Nurse to work remotely within the greater Baltimore/Washington metropolitan area. While this position is remote, the incumbent will be expected to come ...

SalvoHealth

Bi-Lingual, RN Care Coordinator

Annapolis, MD · On-site +1

$25 - $26/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... specialty physicians, registered dietitians, nurses, psychologists, and therapists who have ...

York Risk Services

RN Field Case Manager

Washington, DC · Remote

$88K - $112K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

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Remote Tricare Rn information

What is a Remote Tricare RN?

A Remote Tricare RN is a registered nurse who provides healthcare services and support to patients covered by Tricare, the health insurance program for military members and their families, while working remotely. These nurses may conduct patient assessments, coordinate care, offer health education, and assist with case management through phone or online platforms. Working remotely allows them to support military families regardless of location, ensuring continuity of care. They must be licensed RNs and often have experience in case management, utilization review, or similar fields.

What skills and qualifications are needed to thrive as a Remote Tricare RN?

To thrive as a Remote Tricare RN, you need a current RN license, experience in case management or telehealth, and knowledge of Tricare policies and procedures. Familiarity with electronic medical record (EMR) systems, telehealth platforms, and case management software is typically required. Excellent communication, critical thinking, and self-motivation are essential soft skills for remote coordination with patients and healthcare teams. These competencies ensure effective patient care, compliance with Tricare standards, and high-quality outcomes in a virtual environment.

What are common challenges faced by Remote Tricare RNs, and how can they be managed?

Remote Tricare RNs often face challenges such as maintaining clear communication with patients and care teams across different time zones, navigating complex Tricare policies, and ensuring patient privacy in a virtual setting. To manage these, it's important to stay updated on Tricare guidelines, utilize secure digital communication tools, and participate in regular virtual meetings with the healthcare team. Developing strong organizational skills and proactively seeking support from colleagues can also help remote RNs deliver high-quality care.

What is the difference between Remote Tricare Rn vs Remote VA Rn?

AspectRemote Tricare RnRemote VA Rn
CredentialsRegistered Nurse (RN) license, Tricare-specific trainingRegistered Nurse (RN) license, VA healthcare system familiarity
Work EnvironmentRemote healthcare support for Tricare beneficiariesRemote patient care for VA patients
Employer & IndustryMilitary healthcare, Tricare programsVeterans Affairs healthcare system
Common Search IntentRemote Tricare RN vs Remote VA RNRemote VA RN vs Remote Tricare RN

The main difference between Remote Tricare Rn and Remote VA Rn lies in their employer and patient focus. Remote Tricare Rns support military beneficiaries through Tricare programs, while Remote VA Rns serve veterans within the VA healthcare system. Both roles require RN licensure and specialized training, but their work environments and patient populations differ, aligning with their respective organizations.

What are popular job titles related to Remote Tricare Rn jobs in Columbia, MD?

For Remote Tricare Rn jobs in Columbia, MD, the most frequently searched job titles are:

What job categories do people searching Remote Tricare Rn jobs in Columbia, MD look for?

The top searched job categories for Remote Tricare Rn jobs in Columbia, MD are:

What cities near Columbia, MD are hiring for Remote Tricare Rn jobs?

Cities near Columbia, MD with the most Remote Tricare Rn job openings:

Remote Tricare Rn jobs near you

Medical Reviewer, Registered Nurse

J29 Inc.

Millersville, MD • On-site, Remote

Full-time

Posted 14 days ago

Job description

Medical Reviewer, RN - Temporary Position
Location: Remote
*This role is a temporary position and that employment is expected to be for a limited duration.
About J29
J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee-centered healthcare management consulting company. Our team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinical expertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.
J29 was founded to be an employee-centric company that prioritizes the well-being and value of its employees. Our mission is to empower our employees to do great things for the benefit of those that need it most. The J29 mission supports not only our health and human service programs, but also the philanthropy efforts of our team. We are proud to continue our support to non-profit groups with critical missions as J29 continues to grow.
Key Responsibilities
RVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims-including Part A/B, DMEPOS, and Home Health/Hospice-to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules, and document clear, accurate findings for each claim.
Reviewers participate in dispute resolution by re-examining claims and providing supporting documentation, support quality assurance through audits and ongoing training, and maintain compliance with CMS security and privacy standards. They also collaborate closely with key personnel to ensure consistency, accuracy, and continuous process improvement in all review activities.
Qualifications
  • 5+ years of direct medical coding or medical billing experience, specifically in a healthcare environment.
  • 3+ years working in a productivity-based claims or case working environment, out of a queued case management system.
  • 3+ years working remotely with various technology systems. Ideally, candidate will have 3+ years of Medicare Fee For Service (FFS) experience in a medical coding role or program.
  • Active Medical Coding Certification (CPC, CCS or equivalent) required
  • Experience with low-code, no-code case management systems as an end-user is preferred but not required.

Education/Certification
  • Active license as a Registered Nurse, in good standing, in the United States (as verified by Nurses). Verified regularly.

J29, Inc. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. J29, Inc. is a proud Veteran friendly employer.
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About J29

Sourced by ZipRecruiter

Industry

Business management consulting

Company size

1 - 10 Employees

Headquarters location

Millersville, MD, US

Year founded

2017

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