Remote RN: Clinical Chart Review & Quality Consultant
$35 - $50 per hourVatica Health
A healthcare technology company seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for independent contractors, focusing on chart reviews and clinical data analysis. Candidates should have an active RN license, at least 3 years of adult health experience, and strong clinical judgment. The hourly rate ranges from $35 to $50, with the potential for contract renewal, but independent contractors manage their own taxes and benefits. #J-18808-Ljbffr
- ...looking for a licensed Nurse Practitioner to serve as a Clinical Chart Reviewer. This remote role requires conducting patient evaluations and reviewing... ...will develop individualized care plans and engage in quality assurance efforts to improve patient outcomes. A minimum...Remote job
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- ...organization that has engaged in health care quality consulting and quality improvement services... ...and patient outcomes. Our talented remote workforce spans the country and... ...Overview We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team member...Remote workContract work
- A leading organization in healthcare quality is seeking a Clinical Quality Reviewer to review clinical cases and identify potential quality or safety concerns. This remote position is ideal for licensed clinical professionals with a strong analytical mindset and a minimum...Remote job
$85k - $92k
TEEMA Solutions Group is seeking a Clinical Quality Reviewer to support a federal healthcare program. This... .... Candidates must have a valid RN or LCSW license with at least three years... ...clinical experience. The position may be remote or onsite based on business requirements...Remote jobWork at officeHome office- Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position requires Alabama licensure and focuses on compliant, cost-effective...Remote jobFull timeContract work
$31 - $35 per hour
...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a... ...you will help support high-quality care, regulatory compliance... ...What you'll do: Consult with Medical Directors on... ...role: This is a 100% remote role, and requires robust...Remote workFull timeFlexible hoursShift work$35 - $40 per hour
...Description Job Description Job Title: Clinical Chart Reviewer Job Description This role... ...Leave) Workplace Type This is a fully remote position. Application Deadline... ...market. With a network of almost 20,000 consultants and 5,000 clients across the U.S.,...Remote jobContract workTemporary workWork at officeMonday to Friday$35 - $42 per hour
...Description Job Description A-Line Staffing is hiring a Remote Clinical Review Nurse (LPN/RN) with a Major Healthcare Company! Pay Rate: $35–$42/hr... ...requests. Key Responsibilities: Review clinical charts for medical necessity for inpatient admissions...Remote workFull timeMonday to Friday$112.7k - $193.2k
...Connecting. Growing together. The Clinical Quality Consultant for the Oncogenetic Program provides... ...You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you... ...inpatient care management, clinical coverage review, member appeals clinical review,...Remote workMinimum wageFull timeWork experience placementLocal area- ...among the first 25 applicants Job Title:Clinical Review Nurse (RN) - Utilization Management Location:... ...demands Collaborate with supervisors on quality assurance and continuous improvement... ...Opportunities) Clinical Program Coordinator RN *Remote* Clinical Program Coordinator RN *...Remote workContract work
$28.94 - $51.83 per hour
...Ssbv Clinical Claims Review Rn Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaHome office$29 - $52 per hour
...Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier... ...: ~ Associate's degree ~ Active and unrestricted RN license OR LPN in the state of residence ~2+ years of clinical...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementLocal area$29 - $52 per hour
...Program Integrity Clinical Compliance Auditor Optum... ...improving risk management, quality and revenue growth.... ...performing compliance reviews of medical and administrative... .... This position is Remote in Massachusetts. You... ...~ Nurse licensure (RN or LPN) with a current,...Remote jobHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work- ...guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment. Primary Responsibilities: Clinical Case Reviews - 75% Perform clinical review of professional (or facility) claims vs. medical...Remote jobContract workWork at officeLocal areaMonday to Friday
$85.56k - $97.13k
...Clinical Quality Consultant In Brief We're a rapidly growing startup on a mission... .... Read more about our peer-reviewed research in Nature... ...experience, either: ~ An active RN license and 3+ years of... ...conditions earlier. We work remotely but stay closely connected...Remote workFull timeTemporary workLive inLocal areaHome office- SUMMARY As a Clinical Quality Improvement Consultant, you'll play a key role... ...process mapping, Pareto charts, cause-and-effect... ...Required (upon hire): • RN - Registered Nurse -... ...may require routine reviews and screening. The... ...: Hybrid Onsite/Remote Pivotal Position...Remote workFull timeContract workWork experience placementLocal areaRelocation package
- ...A healthcare organization is seeking a Clinical Review Nurse – Concurrent Review to perform utilization management functions remotely. The role requires conducting concurrent reviews... ...with medical teams, and ensuring quality healthcare outcomes. Candidates should have...Remote workWork at office
- ...Job Title: Clinical Review Nurse - Concurrent Review - J00933 Address: Various, IL 99999 Job Description... ...Monday, 10:00 AM – 6:30 PM CST Remote or on-site flexible working environment... ...Licenses Needed Active nursing license (e.g., RN, LPN, or equivalent) Clinical review...Remote workFull timeFlexible hours
$40 - $43 per hour
...Description Job Description Title: Clinical Review Nurse - Prior Authorization Location: Remote - PST and CST Pay: $40-$43... ...established productivity and quality expectations. Adapt to... ...What you’ll need ~ Active RN or LPN state license. ~ Graduate...Remote workHourly payMonday to FridayShift work- ...Position Title: Clinical Review Nurse - Prior Authorization Assignment Duration... ...shifts Work Arrangement: Remote-Central Time Zone preferred... ...Education/Certification Required: RN degree Preferred: Prior... ...experience. Disqualifiers: Additional qualities to look for: Transplant...Remote workShift work
- ...Summary: Work Mode: 100% Remote - MS (candidates can be outside... ...: Perform medical necessity reviews of inpatient admissions and continued stays. Apply clinical criteria and guidelines such as... ...experience Disqualifiers: Not a RN, No compact License if outside...Remote workHourly payFlexible hoursShift workWeekend work
- ...Position Title: Clinical Review Nurse - Concurrent Review Work Location: Remote-MS CST Assignment Duration: 3 Months Contract... ...level of care Reviews quality and continuity of care by reviewing... ...(MS or Compact) Preferred: RN License Years of experience...Remote workContract workFlexible hoursWeekend work
$27.02 - $48.55 per hour
...Prior Authorization Reviewer Position Purpose: Analyzes... ...team to promote quality and cost effectiveness... ...the flexibility to work remotely from their home anywhere... ...Missouri. This team performs clinical reviews for medical and... ...care members. An RN with previous prior authorization...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hours$63.65k - $92.57k
...Remote - Somerville, Massachusetts, United States... ...Job Summary The Clinical Review Specialist will assess... ...Participates in department quality improvement initiatives... ...years experience with chart reviews in electronic medical... ...material required. RN license preferred. Coding...Remote workFull timeWork from homeMonday to FridayShift work- ...Title Location: 100% Remote – Any US State Shift:... ...correspondence letters based on review outcomes in accordance... ...National Committee for Quality Assurance (NCQA)... ...improvement. Performs clinical review of outcomes... ...Licensure - Required: LPN or RN, active in any state -...Remote workLocal areaShift work
$63.65k - $92.57k
...Job Summary The Clinical Review Specialist will assess... ...Participates in department quality improvement initiatives... ...years experience with chart reviews in electronic medical... ...required. ~ RN license preferred.... ...and Work Model: Remote / Work from Home....Remote workFull timeWork from homeMonday to FridayShift work$125k - $160k
...**This position is remote. Candidates must be... ...consideration** The Clinical Documentation... ...accuracy, integrity, and quality of patient data,... ...Description: Concurrently reviews inpatient records... ...& Registration: RN License Clinical... ...complete chart audits Organizational...Remote workWork at officeLocal area$44 per hour
...Clinical Review Nurse - Prior Authorization Various, NV Clinical Review... ...All On-site Location: Fully Remote – Prefer Candidates reside in... ...elsewhere if they have an NV RN License. SHIFT: Training... ...appropriate medical team to promote quality and cost effectiveness of...Remote workPermanent employmentContract workLive inShift work$69.3k - $78k
...integrity company is seeking a Medical Review Nurse II - Clinical Validation to perform medical claims... ...Payers. The position requires an active RN license and a minimum of five years... ...claims and documenting findings, all in a remote work environment. This role offers a...Remote job
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