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Weekend Remote Rn Chart Review Jobs in Monroe, NC

Conducts timely clinical decision review for services requiring prior authorization in a variety of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Conducts timely clinical decision review for services requiring prior authorization in a variety of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Conducts timely clinical decision review for services requiring prior authorization in a variety of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Conducts timely clinical decision review for services requiring prior authorization in a variety of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Be Seen First

This position is 100% remote***** Nurse Telephone Triage Service, LLC, a dynamic, fast growing ... And for those that prefer to work weekends and have their weekdays free, we offer a competitive ...

Clinical Quality Assurance Nurse (RN or LPN) Schedule: 3 different openings * M-F 11:30am - 8pm EST ... Service Verification -- Review completed patient visits to confirm the correct surgeons ...

NCLEX-RN Tutor

Matthews, NC · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

NCLEX-RN Tutor

Charlotte, NC · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Referral Allocation Coordinator

Charlotte, NC · Remote

$17.50 - $23/hr

... RN, or LPN. This is a night shift position that requires three to four 12-hour shifts and on-call ... Utilizes medical information from remote EMR access to obtain and review available medical records.

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Weekend Remote Rn Chart Review information

See Monroe, NC salary details

$22

$41

$65

How much do weekend remote rn chart review jobs pay per hour?

As of Jul 7, 2026, the average hourly pay for weekend remote rn chart review in Monroe, NC is $41.64, according to ZipRecruiter salary data. Most workers in this role earn between $31.88 and $49.47 per hour, depending on experience, location, and employer.

What is the difference between Weekend Remote Rn Chart Review vs Weekend Remote LPN Chart Review?

AspectWeekend Remote Rn Chart ReviewWeekend Remote Lpn Chart Review
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote, healthcare facilities, insurance companiesRemote, healthcare facilities, insurance companies
Job ResponsibilitiesComprehensive chart review, clinical decision support, detailed documentationBasic chart review, data entry, preliminary assessments

Both roles involve remote chart review in healthcare, but RNs perform more detailed clinical assessments and have advanced licensure, while LPNs handle more basic review tasks. The RN role typically requires more clinical experience and offers broader responsibilities, making it suitable for those with RN licensure seeking remote work on weekends.

What are popular job titles related to Weekend Remote Rn Chart Review jobs in Monroe, NC? For Weekend Remote Rn Chart Review jobs in Monroe, NC, the most frequently searched job titles are:
What job categories do people searching Weekend Remote Rn Chart Review jobs in Monroe, NC look for? The top searched job categories for Weekend Remote Rn Chart Review jobs in Monroe, NC are:
What cities near Monroe, NC are hiring for Weekend Remote Rn Chart Review jobs? Cities near Monroe, NC with the most Weekend Remote Rn Chart Review job openings:
RN Utilization Management Reviewer

RN Utilization Management Reviewer

Sagility LLC

Concord, NC • Remote

$35 - $40/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 hours ago


Sagility rating

4.6

Company rating: 4.6 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

64th of 72 rated call and contact centers


Job description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

RN Utilization Management Reviewer

Job Description:

We are currently hiring a talented RN, Utilization Management Reviewer. This role will be responsible in day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS compliance standards in the area of service decisions and organizational determinations. Successful candidates must hold a valid, current license issued by the Massachusetts Board of Registration in Nursing.

Key responsibilities:

  • Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but not limited to surgical procedures, Medicare Part B medications, Long Term Services and Supports (LTSS), and Home Health (HH)
  • Applies established criteria (e.g., InterQual and other available guidelines) and employs clinical expertise to interpret clinical criteria to determine medical necessity of services
  • Communicates results of reviews verbally, in the medical record, and through official written notification to the primary care team, specialty providers, vendors and members in adherence with regulatory and contractual requirements
  • Provides decision-making guidance to clinical teams on service planning as needed
  • Works closely with Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in accordance with Standard Operating Procedures
  • Ensures accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy
  • Works with UM Manager and other clinical leadership to ensure that departmental and organizational policies and procedures as well as regulatory and contractual requirements are met
  • Additional duties as requested by supervisor
  • Maintains knowledge of CMS, State and NCQA regulatory requirements

Education Requirements:

  • RN - Associate's Degree required, Bachelor's Degree preferred
  • RN, current license issued by the Massachusetts Board of Registration in Nursing
  • CCM (Certified Case Manager) a plus

Required Experience (must have):

  • 1 to 2 years Utilization Management experience.
  • 2 or more years working in a clinical setting

Desired Experience (nice to have):

  • 2 or more years of Home Health Care experience
  • 2 or more years working in a Medicare Advantage health Plan

Required Knowledge, Skills & Abilities (must have):

  • Ability to complete assigned work in a timely and accurate manner
  • Knowledge of the Utilization management process
  • Ability to work independently

Desired Knowledge, Skills, Abilities & Language (nice to have):

  • Ability to apply predetermined criteria (e.g., Medical Necessity Guidelines, InterQual) to service decision requests to assess medical necessity
  • Flexibility and understanding of individualized care plans
  • Ability to influence decision making
  • Strong collaboration and negotiation skills
  • Strong interpersonal, verbal, and written communication skills
  • Comfort working in a team-based environment
  • Knowledge of Medicare and Mass health services and benefits

Salary: $35.00 - $40.00 Hourly pending experience.

Hours: Monday through Friday 9AM to 5:30PM Eastern Time. May require weekends

This is a fully remote work at home role. You must have a secure, private wok at home area with a hardwired internet connection with speeds greater than 5MB upload and 10MB download.

Sagility Offers Competitive Benefits Including:

  • Medical
  • Dental
  • Vision
  • Life Insurance
  • Short-Term and Long-Term Disability
  • Flexible Spending Account
  • Life Assistance Program
  • 401K with employer contribution
  • PTO and Sick Time
  • Tuition Reimbursement

Join our team, we look forward to talking with you!

An Equal Opportunity Employer/Vet/Disability

Location:

Work@Home USAUnited States of America

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