RN – Clinical Field Reviewer

🔥 0 minutes ago

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Mountain-Pacific Quality Health

Mountain-Pacific Quality Health

51 - 200 employees

Founded 1973

🏥 Healthcare

⚕️ Healthcare Insurance

💼 Consulting

Healthcare • Healthcare Insurance • Consulting

Mountain-Pacific Quality Health is an affiliation of four related corporations dedicated to improving the quality of health care and ensuring the appropriate utilization of health care services. Based in Montana, Wyoming, Hawaii, and Alaska, it is a physician-sponsored organization that supports patients and health care communities. As a quality improvement organization under the direction of the Centers for Medicare & Medicaid Services (CMS), Mountain-Pacific aids providers, practitioners, and stakeholders in enhancing care and population health while reducing costs. It also offers medical utilization review services for Medicaid clients and operates Health Technology Services to assist health care providers in effectively using electronic health records (EHRs).

📋 Description

• Complete in-home nursing assessments of eligible members • Conduct person-centered assessments focused on members' functional abilities and needs • Work with provider agencies to ensure services are delivered as authorized

🎯 Requirements

• Valid driver’s license • Reliable home internet service • Current Montana Registered Nursing license • Experience with home health, hospice, or long-term care preferred

🏖️ Benefits

• Flexible schedule • Mileage reimbursement at the current federal rate • Full hourly wage for travel time

Apply Now

Similar Jobs

🕒 July 7

Phelps Health

1001 - 5000

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Clinical Reviewer managing data collection and communications for patient reviews at Phelps Health. Responsible for authorizations and reviews for Medicare and other third party payers.

🕒 June 24

Simsy Ventures

11 - 50

💼 Consulting

📣 Marketing

🏥 Healthcare

Board-certified physician conducting independent case reviews for the Department of Veterans Affairs. Flexible part-time role to apply clinical expertise in a remote setting.

🕒 June 24

Simsy Ventures

11 - 50

💼 Consulting

📣 Marketing

🏥 Healthcare

Physician conducting independent medical case reviews for the Department of Veterans Affairs. Flexible, remote opportunity evaluating quality of care and adherence to standards.

🕒 June 24

Simsy Ventures

11 - 50

💼 Consulting

📣 Marketing

🏥 Healthcare

Physician conducting remote independent case reviews for the Department of Veterans Affairs. Offering part-time flexible work to apply clinical expertise and improve healthcare standards.

🕒 June 24

Simsy Ventures

11 - 50

💼 Consulting

📣 Marketing

🏥 Healthcare

Radiology Physician evaluating medical cases for the Department of Veterans Affairs. Offering flexible, remote, part-time opportunities with a focus on quality improvement in patient care.