Top 193 Medicare remote Jobs in Chicago, Il

Home Health Quality Assurance RN - Contract
Luxe Home Health —Des Plaines, IL
- Contract
- Hybrid work
- Background check
- RN License
- Mid-level
- Flexible schedule
Quick Apply
Bilingual Patient Care Coordinator
Alpha Solutions Health Services —Chicago, IL
- $22 - $25 an hour
- Full-time
- Hybrid work
- Spanish
- Nursing
- Up to 50% travel
- Health insurance
- Dental insurance
Quick Apply
Licensed Clinical Professional Counselor (LCPC) - Remote
Brave Health —Illinois
- $69,000 - $76,000 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- Outpatient experience
- Health insurance
- Dental insurance
Quick Apply
7d
Independent Sales Associate
THWS Holdings LLC/DBA Anchor Benefit Advisors —Illinois
- $78,000 - $105,000 a year
- Full-time
- Remote
- Sales
- Customer service
- Entry level
- Work from home
- Flexible schedule
Quick Apply
9h
Utilization Management Physician Reviewer
Oak Street Health —Illinois
- $174,070 - $374,920 a year
- Full-time
- Remote
- Medicine
- Mid-level
- US work authorization
- Health insurance
- Dental insurance
Medicare Insurance Sales Agent (Remote Role)
Gallagher —Chicago, IL
- $21 - $25 an hour
- Overtime
- Remote
- High school diploma or GED
- Bachelor's degree
- Communication skills
- Paid parental leave
- Health savings account
Field Care Manager, Behavioral Health
Humana —Chicago, IL
- $65,000 - $88,600 a year
- Full-time
- Bilingual
- Microsoft Word
- LMFT
- Paid parental leave
- Paid holidays
5h
Clinical Case Manager Behavioral Health (Field- Chicago)
CVS Health —Chicago, IL
- $66,575 - $142,576 a year
- Full-time
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
12d
Care Coordinator
Humana —Chicago, IL
- $53,700 - $72,600 a year
- Full-time
- LPC
- Mid-level
- Driver's License
- Mileage reimbursement
- Paid parental leave
6d
Nurse Auditor - Medical Bill Review (Remote)
Rising Medical Solutions —Chicago, IL
- Full-time
- Hybrid work
- RN License
- Customer service
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Manager, Care Management Support
Humana —Chicago, IL
- $78,400 - $107,800 a year
- Weekends as needed
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Paid holidays
Teleheath Physician- No On Call, No Weekends
Belle, LLC —Chicago, IL
- Full-time
- Remote
- Medicine
- Primary Care
- Geriatrics
- Paid holidays
- Health insurance
Quick Apply
Manager, Care Management
Humana —Chicago, IL
- $86,300 - $118,700 a year
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Mileage reimbursement
- Paid parental leave
IMH PFS Denial Specialist, Full Time - Days
UChicago Medicine —Burr Ridge, IL
- Full-time
- Remote
- Hospital
- Computer literacy
- Writing skills
Independent Medicare Sales Agent – Remote/WFH
Connie Health Inc —Chicago, IL
- Remote
- Mid-level
- 1 year
Quick Apply
Medicaid Researcher, Healthcare Innovations
American Institutes for Research —Chicago, IL
- $96,100 - $128,100 a year
- Email
- Remote
- Master's degree
- SQL
- Doctor of Philosophy
Manager, Patient Eligibility
Savista, LLC —Chicago, IL
- $85,000 a year
- Full-time
- Hospital
- Inventory management
- 5 years
- Health savings account
- Paid holidays
Quick Apply
Medicare Sales Representative
Connie Health Inc —Chicago, IL
- Remote
- Bilingual
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Prior Authorization Specialist
CareMed Specialty Pharmacy —Woodridge, IL
- $23 - $25 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Remote Independent Medicare Sales Agent
Connie Health Inc —Chicago, IL
- Remote
- Mid-level
- 1 year
Quick Apply

I want to receive the latest job alert for medicare remote in chicago, il

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medicare remote jobs near chicago, il

Home Health Quality Assurance RN - Contract

Luxe Home Health -
Des Plaines, IL

Quick Apply

Job Details

Contract

Benefits

Flexible schedule

Qualifications

Medicare
RN License
Patient management software
In-home healthcare experience
CMS regulatory compliance
Quality assurance audits
Medicare regulations
Attention to detail
Centers for Medicare and Medicaid Services (CMS)
Home health
Home healthcare regulations
Home health agency experience
Healthcare software applications
Time management

Full Job Description

Required Qualifications

Candidates must possess ALL of the following qualifications to be considered:

Active Illinois Registered Nurse (RN) license in good standing
Minimum three (3) years of recent Medicare-certified home health experience
Extensive OASIS-E knowledge and experience
Advanced proficiency with Axxess Home Health software
Strong understanding of Medicare Conditions of Participation and home health regulatory requirements

Position Summary

Luxe Home Health is seeking an experienced Home Health Quality Assurance RN to support our Illinois operations. This is a contract, primarily remote position responsible for reviewing clinical documentation, auditing OASIS assessments, ensuring regulatory compliance, and supporting quality improvement initiatives.

The ideal candidate is a highly skilled home health clinician who can work independently, identify documentation deficiencies, recognize compliance risks, and provide meaningful recommendations to improve clinical quality and patient outcomes.

While this position is primarily remote, the selected candidate must be available to attend in-person meetings at our Des Plaines office one to two times per week to review workload, discuss findings, and collaborate with leadership on quality initiatives.

Essential Duties and Responsibilities

Quality Assurance & Compliance

Conduct comprehensive clinical chart audits to ensure accuracy, completeness, and regulatory compliance
Review OASIS assessments and supporting documentation for quality and consistency
Monitor compliance with Medicare Conditions of Participation, Illinois regulations, and agency policies
Identify documentation deficiencies and compliance concerns and provide recommendations for correction
Assist with quality improvement and performance improvement initiatives
Support agency readiness for audits, surveys, and accreditation reviews
Track, trend, and report quality findings and documentation outcomes

Clinical Documentation Review

Review Plans of Care, physician orders, visit notes, recertifications, transfers, resumptions of care, and discharge documentation
Ensure documentation supports medical necessity, homebound status, and skilled need requirements
Verify timely completion and submission of clinical documentation
Monitor documentation trends and identify opportunities for clinician education and process improvement
Promote consistency and accuracy throughout the clinical record

Collaboration & Operational Support

Collaborate with agency leadership to improve documentation quality and regulatory compliance
Participate in regular meetings to review workload, findings, and quality metrics
Assist in developing and maintaining quality assurance processes and best practices
Support ongoing efforts to improve clinical outcomes and operational efficiency

Preferred Qualifications

Previous Quality Assurance, Clinical Review, Clinical Manager, Clinical Team Manager, or Director of Nursing experience in home health
Experience preparing for CHAP, ACHC, or state regulatory surveys
Experience with quality improvement and performance improvement programs

Knowledge, Skills, and Abilities

Exceptional attention to detail
Strong critical thinking and clinical judgment
Excellent written and verbal communication skills
Strong organizational and time-management abilities
Ability to work independently with minimal supervision
Ability to manage multiple priorities and meet deadlines

Working Conditions

Primarily remote work environment
Required attendance at the Des Plaines office one to two times per week
Flexible schedule based on workload and agency needs
Contract engagement anticipated to continue based on ongoing agency needs; no predetermined end date has been established

Why Join Luxe Home Health?

Competitive compensation
Flexible contract schedule
Primarily remote work environment
Collaborative and supportive leadership team
Opportunity to make a direct impact on clinical quality, compliance, and patient outcomes

Luxe Home Health is an Equal Opportunity Employer.

Experience:

Home health: 3 years (Required)
Axxess: 1 year (Required)
OASIS: 1 year (Required)

License/Certification:

RN License (Required)

Work Location: Hybrid remote in Des Plaines, IL 60018

Quick Apply

Refine Your Search

medicare remote jobs in chicago, il

Home Health Quality Assurance RN - Contract

Bilingual Patient Care Coordinator

Licensed Clinical Professional Counselor (LCPC) - Remote

Independent Sales Associate

Utilization Management Physician Reviewer

Medicare Insurance Sales Agent (Remote Role)

Field Care Manager, Behavioral Health

Clinical Case Manager Behavioral Health (Field- Chicago)

Care Coordinator

Nurse Auditor - Medical Bill Review (Remote)

Manager, Care Management Support

Teleheath Physician- No On Call, No Weekends

Manager, Care Management

IMH PFS Denial Specialist, Full Time - Days

Independent Medicare Sales Agent – Remote/WFH

Medicaid Researcher, Healthcare Innovations

Manager, Patient Eligibility

Medicare Sales Representative

Prior Authorization Specialist

Remote Independent Medicare Sales Agent

I want to receive the latest job alert for medicare remote in chicago, il

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected