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
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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
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...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
...costs while improving risk management, quality and revenue growth. Ready to help us... ...Caring. Connecting. Growing together. The Clinical Claim Review RN will be responsible for performing... ...with your schedule. This position is Remote in Massachusetts. You will have the flexibility...Remote workHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaMonday to FridayShift work$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- ...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- ...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
- 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
- ...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
$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... ...material required. ~ RN license preferred. ~... ...and Work Model: Remote / Work from Home. Full...Remote workFull timeWork from homeMonday to FridayShift 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- ...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
$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- ...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
$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$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- ...Patient Chart ReviewerIn this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded as inpatient instead... ...coding certification required.Minimum 3-5 years of clinical experience preferred.Previous utilization management...Remote workFull timeMonday to Friday
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