Description REMOTE MDS NURSE (RN) - WISCONSIN Full-Time | Work From Home Engage Consulting is ... WHAT YOU'LL DO Complete, review, and audit MDS assessments for accuracy and compliance with CMS and ...
Description REMOTE MDS NURSE (RN) - WISCONSIN Full-Time | Work From Home Engage Consulting is ... WHAT YOU'LL DO Complete, review, and audit MDS assessments for accuracy and compliance with CMS and ...
Physician / Gastroenterology / Ohio / Permanent / Associate Medical Director - Gastro - 100% Remote
Columbus, OH ยท Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time ...
Physician / Gastroenterology / Ohio / Permanent / Associate Medical Director - Gastro - 100% Remote
Columbus, OH ยท Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time ...
Physician / Neurology / Ohio / Permanent / Associate Medical Director - Neurology - 100% Remote Job
Columbus, OH ยท Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time ...
Physician / Neurology / Ohio / Permanent / Associate Medical Director - Neurology - 100% Remote Job
Columbus, OH ยท Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time ...
Physician / Oncology - Radiation / Ohio / Permanent / Associate Medical Director - Radiation Oncolog
Columbus, OH ยท Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Flexible scheduling and work/life balance with remote and work from home opportunities4 weeks of ...
Physician / Oncology - Radiation / Ohio / Permanent / Associate Medical Director - Radiation Oncolog
Columbus, OH ยท Remote
... utilization review criteria while located in a state or territory of the United States.Reviews ... Flexible scheduling and work/life balance with remote and work from home opportunities4 weeks of ...
RN Hospice Workflow Specialist/ Weekend Manager REMOTE
Cincinnati, OH ยท Remote
$71K - $89K/yr
Review and prioritize incoming referrals, physician orders, and clinical documentation. * Monitor ... Remote position. * Primarily weekend coverage (Saturday and Sunday), with flexibility for holidays ...
Quick apply
RN Hospice Workflow Specialist/ Weekend Manager REMOTE
Cincinnati, OH ยท Remote
$71K - $89K/yr
Review and prioritize incoming referrals, physician orders, and clinical documentation. * Monitor ... Remote position. * Primarily weekend coverage (Saturday and Sunday), with flexibility for holidays ...
Hands-On Execution & Delivery ยท Prepare and deliver renewal strategies, proposals, and coverage comparisons. ยท Conduct benchmarking, demographic analysis, claims utilization review, underwriting ...
Hands-On Execution & Delivery ยท Prepare and deliver renewal strategies, proposals, and coverage comparisons. ยท Conduct benchmarking, demographic analysis, claims utilization review, underwriting ...
Client Manager - Employee Benefits (Remote)
Cleveland, OH ยท On-site +1
Hands-On Execution & Delivery โข Prepare and deliver renewal strategies, proposals, and coverage comparisons. โข Conduct benchmarking, demographic analysis, claims utilization review, underwriting ...
Client Manager - Employee Benefits (Remote)
Cleveland, OH ยท On-site +1
Hands-On Execution & Delivery โข Prepare and deliver renewal strategies, proposals, and coverage comparisons. โข Conduct benchmarking, demographic analysis, claims utilization review, underwriting ...
Clinical Data Coder
Cincinnati, OH ยท On-site +1
$18 - $22.75/hr
Produce coding reports for team review and utilization *Stable schedule with no weekends, no work on Medpace holidays, and flexible work schedule* Qualifications * BSN and RN with applicable ...
Clinical Data Coder
Cincinnati, OH ยท On-site +1
$18 - $22.75/hr
Produce coding reports for team review and utilization *Stable schedule with no weekends, no work on Medpace holidays, and flexible work schedule* Qualifications * BSN and RN with applicable ...
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
RN Care Manager PRN
Cleveland, OH ยท Remote
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
New
RN Care Manager PRN
Cleveland, OH ยท Remote
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
New
Optometrist - Remote
Cleveland, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
Cleveland, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
Columbus, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
Columbus, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
New Carlisle, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
New Carlisle, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
New Carlisle, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
New Carlisle, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
Columbus, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
Columbus, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
Toledo, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
Toledo, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
Toledo, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
Toledo, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
Elyria, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Optometrist - Remote
Elyria, OH ยท On-site +1
Staying abreast of changing healthcare landscape and opportunities for utilization of technologies ... Provides leadership in developing the vision care plan and review of the program requirements; and ...
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Remote Weekend Utilization Review information
What is the difference between Remote Weekend Utilization Review vs Remote Weekday Utilization Review?
| Aspect | Remote Weekend Utilization Review | Remote Weekday Utilization Review |
|---|---|---|
| Credentials | Typically requires a healthcare professional license and utilization review certification | Same as weekend role, healthcare license and utilization review certification |
| Work Environment | Remote, weekend hours, often part-time or flexible | Remote, weekday hours, standard business hours |
| Employer & Industry | Health insurance companies, third-party administrators | Same as weekend role, health insurance industry |
| Work Schedule | Primarily weekends, possibly evenings | Weekdays, regular business hours |
Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.

Other
Posted 11 days ago
Job description
Description
ย REMOTE MDS NURSE (RN) - WISCONSIN
Full-Time | Work From Home
Engage Consulting is seeking an experienced Registered Nurse (RN) with strong MDS, Case Mix, PDPM, Medicare, Medicaid, and Quality Measure experience to join our growing team.
This is a full-time remote opportunity for an RN who enjoys working independently while partnering with skilled nursing facilities to improve reimbursement, maintain regulatory compliance, and support quality resident care.
WHAT YOU'LL DO
Complete, review, and audit MDS assessments for accuracy and compliance with CMS and state regulations
Ensure timely completion of MDS assessments and supporting documentation
Analyze Case Mix and PDPM opportunities to maximize reimbursement
Review and improve Quality Measures through accurate assessments and clinical documentation
Partner with interdisciplinary teams to strengthen documentation and reimbursement outcomes
Provide education and support related to MDS processes, reimbursement, and regulatory requirements
Maintain accurate records while meeting deadlines in a remote work environment
Assist with compliance initiatives and reimbursement optimization
WHAT WE'RE LOOKING FOR
Active Wisconsin Registered Nurse (RN) license or active Nurse Licensure Compact (NLC) license
Recent MDS experience in a Skilled Nursing Facility (SNF)
Strong knowledge of PDPM, Medicare, Medicaid, and Case Mix reimbursement
Experience managing Quality Measures
Excellent communication, organization, and critical thinking skills
Ability to work independently in a remote setting
Experience with electronic medical records and MDS software
PREFERRED
RAC-CT Certification
Multi-facility MDS experience
WHY JOIN ENGAGE CONSULTING?
100% Remote Position
Full-Time Opportunity
Competitive Compensation
Flexible Work Environment
Supportive and Collaborative Team
Opportunity to work with skilled nursing facilities throughout Wisconsin
Make a meaningful impact on reimbursement, compliance, and resident outcomes
If you're an experienced MDS RN looking for a rewarding remote opportunity where your expertise makes a difference every day, we'd love to hear from you.
Apply today and join the Engage Consulting team!