Top 2130 Remote nurse coders Jobs in Remote

Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Florida
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Remote Outpatient Coder - Altera EHR (Sunrise) Experience Required
DT-Trak Consulting, Inc —Remote
- $23.35 - $26.38 an hour
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Outpatient experience
- Continuing education credits
- Health savings account
Quick Apply
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Florida
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Telephonic Worker's Comp Nurse Case Manager-California
Confidential —Fremont, CA
- $54 - $58 an hour
- Full-time
- Remote
- Background check
- Spanish
- Nursing
- Continuing education credits
- Mileage reimbursement
Quick Apply
12d
Telephonic Worker's Comp Nurse Case Manager-California
Confidential —Los Angeles, CA
- $54 - $58 an hour
- Full-time
- Remote
- Background check
- Spanish
- Nursing
- Continuing education credits
- Mileage reimbursement
Quick Apply
12d
Healthcare CDI Specialist
The CSI Companies —Jacksonville, FL
- Contract
- Remote
- Mid-level
- Discharge planning
- Medical terminology
Quick Apply
5d
Inpatient CDI Specialist
The CSI Companies —East Meadow, NY
- From $45 an hour
- Contract
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Paid training
- AD&D insurance
Quick Apply
5d
Outpatient CDI Specialist
Norwood —Remote
- $47 - $50 an hour
- Full-time
- Remote
- Nursing
- RN License
- Bachelor of Science
- Paid holidays
- Health insurance
Quick Apply
Utilization Review RN - Full Time Contract $40/hr
General Healthcare Resources, Inc. —Pennsylvania
- From $40 an hour
- Temporary
- Remote
- RN License
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Home Health - Medical Reviewer (Remote)
Frontpoint Health, LLC —Remote
- Remote
- Nursing
- Driver's License
- Home Health
Quick Apply
14d
Telephonic Worker's Comp Nurse Case Manager-California
Confidential —Inland Empire, CA
- $54 - $58 an hour
- Full-time
- Remote
- Background check
- Spanish
- Nursing
- Continuing education credits
- Mileage reimbursement
Quick Apply
12d
Case Management Nurse - Oncology or Transplant Experience
Innovative Care Management, Inc. —Idaho
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Health insurance
1d
Part-Time Psychiatric Nurse (Must live in or near Macon or Augusta, GA)
Still Waters Professional Counseling, Inc. —Georgia
- Part-time
- Remote
- Background check
- Nursing
- Vital signs
- Flexible schedule
Quick Apply
Telephonic Worker's Comp Nurse Case Manager-California
Confidential —California
- $54 - $58 an hour
- Full-time
- Remote
- Background check
- Spanish
- Nursing
- Continuing education credits
- Mileage reimbursement
Quick Apply
12d
Remote RN Care Manager -NY Licensed Only
Xtreme Care —New York State
- $70,000 - $75,000 a year
- Full-time
- Remote
- Nursing
- Vital signs
- RN License
- Health insurance
- Dental insurance
Quick Apply
Remote Care Management Nurse
Cambia Health Solutions —Idaho
- $38.00 - $41.50 an hour
- Overtime
- Remote
- Background check
- Nursing
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Remote Care Management Nurse
Cambia Health Solutions —Utah
- $38.00 - $41.50 an hour
- Overtime
- Remote
- Background check
- Nursing
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Outpatient Surgery Coding Consultant/Auditor - Orthopedic
EdiPhy Midwest —Remote
- Part-time
- Remote
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
7d
Clinical Liaison
Nutrishare —San Francisco, CA
- $125,000 - $130,000 a year
- Full-time
- Remote
- RN License
- Sales
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
IP Facility Physician Educator
Norwood —Remote
- $76 - $79 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Outpatient experience
- Paid holidays
- Health insurance
Quick Apply

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remote nurse coders jobs near remote

Care Review Clinician (RN) - Remote in FL

Molina Healthcare, Inc. -
Florida

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Job Details

Full-time
$26.41 - $51.49 an hour

Benefits

Health insurance

Qualifications

Inpatient experience
RN License
Managed care organization experience
Acute care facility experience
Pre-authorization review for utilization management
Productivity software

Full Job Description

JOB DESCRIPTION

Must reside in Florida

Job Summary

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to utilization management (UM) policies and procedures.

Required Qualifications

At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

Certified Professional in Healthcare Management (CPHM).
Recent hospital experience in an intensive care unit (ICU) or emergency room.

Utilization Management (UM) experience highly preferred.

#PJHS3

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Apply Now

Refine Your Search

remote nurse coders jobs in remote

Care Review Clinician (RN) - Remote in FL

Remote Outpatient Coder - Altera EHR (Sunrise) Experience Required

Care Review Clinician (BH Licensed) - Remote in FL

Telephonic Worker's Comp Nurse Case Manager-California

Telephonic Worker's Comp Nurse Case Manager-California

Healthcare CDI Specialist

Inpatient CDI Specialist

Outpatient CDI Specialist

Utilization Review RN - Full Time Contract $40/hr

Home Health - Medical Reviewer (Remote)

Telephonic Worker's Comp Nurse Case Manager-California

Case Management Nurse - Oncology or Transplant Experience

Part-Time Psychiatric Nurse (Must live in or near Macon or Augusta, GA)

Telephonic Worker's Comp Nurse Case Manager-California

Remote RN Care Manager -NY Licensed Only

Remote Care Management Nurse

Remote Care Management Nurse

Outpatient Surgery Coding Consultant/Auditor - Orthopedic

Clinical Liaison

IP Facility Physician Educator

I want to receive the latest job alert for remote nurse coders in remote

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