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
$95 - $105 per hour
...RN | Quality Assurance Nurse Consultant **Location:** Puget Sound, Washington (... ...| Hybrid/Partially Remote **Travel:** Bi-monthly... ...California Help Shape Clinical Excellence Across... ...conducting quality reviews, and helping communities... ...and comprehensive chart reviews to evaluate...Remote workHourly payTemporary workPart timeWork at officeFlexible hours- ...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
$35 - $43 per hour
...Clinical Quality Improvement Advisor, Part-Time At CPCQC,... ...outcomes Facilitate the review, benchmarking, and... ...data outcomes, control charts, run charts, and more... ...healthcare setting (e.g., RN, CNM, NP, MD, case... ...collaboratively in a remote, team-based environment...Remote workHourly payPart timeLive inRelocation$29 - $52 per hour
...UnitedHealth Group is seeking a qualified Registered Nurse in Massachusetts to perform clinical coverage review services. As part of this role, you will communicate benefit determinations and work closely with healthcare providers to explain coverage. We offer telecommuting...Remote workHourly pay$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 workWork at officeHome office- Optum is hiring a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis... ...interpretation, and supporting negotiations and appeals. Remote work is available nationwide with full benefits and professional...Remote job
- UnitedHealth Group is seeking a Clinical Review Clinician in Plymouth, Minnesota. This role involves conducting forensic reviews of hospital... ...guidelines. Candidates should have an Associate's degree, an active RN or LPN license, and at least 2 years of clinical experience....Remote job
- Comagine Health is seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time remote role supports compliant, cost-effective care under Alabama...Remote jobFull timeContract work
- Optum, a part of UnitedHealth Group, is seeking a Clinical Review Clinician to analyze hospital facility bills and document adjustments as part... ...offers telecommute flexibility within the U.S. and requires RN or LPN licensure and clinical experience. You will perform...Remote job
- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and to document all determinations. The role emphasizes adherence to Federal, State and client requirements in a telecommuting setting...Remote jobHome office
- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and document determinations. This role offers telecommuting from anywhere in the U.S. while maintaining rigorous screening criteria and...Remote job
- UnitedHealth Group is seeking a Clinical Appeals RN to analyze appeals and grievances, acting as... ...facilities, providers, and carriers. Remote work is offered across the U.S. with a... ...alternating Saturdays. Responsibilities include reviewing records for eligibility, interpreting...Remote job
$112.7k - $193.2k
...200/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...together.The Clinical Quality Consultant for the Oncogenetic Program... ...enjoy the flexibility to work remotely * from anywhere within the U... ...management, clinical coverage review, member appeals clinical review...Remote workMinimum wageFull timeWork experience placementLocal area- Optum, a UnitedHealth Group company, seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital facility bill analysis. You will document, research, and identify adjustments for payment as part of Forensic Reviews for clients...Remote job
- 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
- Santa Barbara Cottage Hospital is seeking a PRN Clinical Review Specialist to provide remote clinical review support. You will evaluate medical necessity,... ...inpatient and outpatient services. The role requires an active RN license (compact preferred), 3-5 years of clinical...Remote jobRelief
- ...patients. Ensures completion of appropriate clinical review of all applicable patients as stated in... ...first week. This role will be remote BUT regular meetings/trainings require... ...admission orders, and reporting quality issues. Reviews concurrently all inpatients...Remote workReliefShift workWeekend work3 days per week
- UnitedHealth Group seeks an experienced SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims. The role requires documenting determinations and maintaining screening criteria, contributing to efficient, compliant health...Remote job
- ...Health is seeking a motivated Oasis / Coding Review Specialist in Arizona. This full-time position involves reviewing clinical charts and ensuring compliance with various... ...health or hospice care. Work includes coaching, quality improvement initiatives, and supporting clinicians...Full time
- Comagine Health is seeking a Clinical Utilization Review Nurse (RN) licensed in Alabama to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position supports compliant, cost-effective care aligned...Remote jobFull timeContract work
- UnitedHealth Group seeks a Clinical Review Clinician to serve as the subject matter expert for itemized bill reviews and analysis of hospital facility bills. You will document, research, and identify adjustments as part of a team preparing Forensic Reviews for clients....Remote job
$31 - $35 per hour
...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a... ...you will help support high-quality care, regulatory compliance... ...improved member outcomes. Consult with Medical Directors on... ...This is a 100% remote role, and requires robust...Remote workFull timeFlexible hoursShift work$45 - $50 per hour
...looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical... ...programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby...Remote jobHourly pay$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 workHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work- UnitedHealth Group seeks a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims, ensuring documentation and screening criteria are met, from a remote work setup across the U.S. This role emphasizes autonomy with responsibility...Remote job
- UnitedHealth Group's Optum is seeking a Clinical Review Clinician to act as a subject matter expert in itemized bill reviews and hospital facility bills. You will document and research adjustments for Forensic Reviews for specific clients. This role offers telecommuting...Remote job
$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 workHourly payMinimum wageFull timeTemporary workWork experience placementLocal area- ...Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven,... ...organization that has engaged in health care quality consulting and quality improvement services... ...patient outcomes. Our talented remote workforce spans the country and...Remote workFull timeContract work
$50 per hour
...healthcare recruitment agency is seeking a Registered Nurse Clinical Reviewer for a remote to office-based position in Jericho, NY. This role involves... ...has a baccalaureate degree in Nursing and a current NY RN license with at least 3 years of related experience. Competitive...Remote jobWork at office- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims, documenting determinations and maintaining screening criteria. The role supports telecommuting from anywhere in the U.S. and requires...Remote jobWork at office
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