Fresh Remote Medical Review Specialist Register Nursing Jobs

Job Description

Are you a healthcare professional or a nursing graduate seeking a remote job that allows you to leverage your expertise? Look no further. Our Fresh Remote Medical Review Specialist Register Nursing Jobs at Alignment Healthcare offers a fantastic opportunity to utilize your skills while working from the comfort of your home.

Fresh Remote Medical Review Specialist Register Nursing Jobs – Important Details
• Position Title: Remote Medical Review Specialist Register Nursing
• Name of Hiring Company: Alignment Healthcare
• Position Type: Work from home
• Estimated Hourly Salary: $15 to 20
• Working Hours: Flexible working hours
• Deadline to Apply: September 24, 2025

Overview of Alignment Healthcare and This Job

Alignment Healthcare is a leading healthcare company dedicated to transforming the way care is delivered. The online medical review specialist registered nursing role at Alignment Healthcare is designed for professionals who want to make a difference while working remotely.

This position involves reviewing and evaluating medical records, ensuring compliance with healthcare regulations, and providing clinical expertise to support our healthcare team. It’s an excellent opportunity for nursing graduates and healthcare professionals to advance their careers in a flexible work environment.

Vital Requirements
• Registered Nursing License

To qualify for the Remote Medical Review Specialist position, you must hold a valid registered nursing license. This ensures that you have the necessary clinical knowledge and skills to perform the job effectively. Your license must be in good standing and meet all state and federal requirements.
• Clinical Experience

In addition to a nursing license, applicants should also have at least 2 years of clinical experience. This can include direct patient care or experience in a healthcare setting. We are looking for individuals who can apply their clinical knowledge to accurately review medical records and identify potential issues.
• Strong Analytical Skills

As a Remote Medical Review Specialist, you will be responsible for reviewing large amounts of medical data and identifying any discrepancies or red flags. Strong analytical skills are crucial in this role as you will need to interpret complex medical information and make informed decisions based on your findings.
• Proficiency in Medical Software

Familiarity with electronic medical records (EMR) systems and other medical software is required. This proficiency ensures that you can efficiently manage patient information and documentation. It also allows for seamless collaboration with other healthcare professionals and improves the overall quality of patient care.
• Ability to Work Independently

Our remote team relies on each individual member to manage their workload independently. This means having strong time management skills and being able to prioritize tasks effectively. You should be comfortable working independently without constant supervision but also know when to seek guidance or clarification from team members.

Key Responsibilities Of Medical Review Specialist Register Nurse
• Conduct Medical Record Reviews

Your primary responsibility will be to review and evaluate medical records to ensure they meet compliance standards and accurately reflect patient care. You may also be responsible for communicating with healthcare providers to obtain additional information or clarification on records.
• Provide Clinical Expertise

You will provide clinical expertise to support our healthcare team, offering guidance on patient care practices and compliance issues. This may include conducting case reviews, developing care plans, and providing education to team members.
• Maintain Accurate Documentation

Accurate documentation is vital in healthcare. You will be responsible for maintaining precise and up-to-date records of your reviews and recommendations. This not only ensures compliance with regulations but also allows for a comprehensive understanding of patient health and treatment plans.
• Participate in Training and Development

We encourage continuous learning and development. You will participate in training sessions to stay updated on the latest healthcare regulations and practices. This will also allow you to further improve your skills and knowledge, ultimately benefiting the patients under your care.
• Collaborate with Other Healthcare Professionals

As a healthcare reviewer, you will work closely with other healthcare professionals such as doctors, nurses, therapists, and administrators. Effective collaboration is essential for providing high-quality patient care. By working together and sharing knowledge and expertise, we can create a more holistic approach to healthcare delivery.

Application Process

To apply for the work-from-home medical review specialist register nursing careers at Alignment Healthcare, please submit your resume and a cover letter detailing your relevant experience and qualifications to email us. Our hiring team will review your application and contact qualified candidates for further steps.