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
$40 - $45 per hour
...Description Job Description RN QA Reviewer – OASIS & Chart Review (Per Diem, Remote) Do you love the moment a chart... ...Registered Nurse to join our quality team as a per diem QA Reviewer.... ...will review OASIS assessments and clinical documentation before submission,...Remote jobDaily paidReliefWork from homeFlexible hours- ...broad Midwest and nationwide network. The Clinical Quality Review Nurse III role supports quality... ...documentation accuracy and regulatory compliance. RN and coding credentials are required,... ...to improvement initiatives. The remote position supports Medica’s mission to deliver...Remote job
- ...experienced Registered Nurse to join our remote Clinical Reviewer team. The role focuses on assessing... ...necessity, appropriateness, and quality of care through prospective, concurrent... ...services. You will work with physician consultants, adhere to contract and regulatory...Remote jobContract workWork from home
$43 - $47 per hour
...Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year... ...an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office setting. This is a contractual role...Remote work- ...NTT DATA, Inc. is seeking a Clinical Reviewer Specialist for a fully remote position based in Florida. You will perform clinical and medical necessity reviews... ...regulatory and NCQA compliance. The role requires RN licensure (Florida or compact), 3+ years in appeals or...Remote work
- ...WPS Health Solutions is seeking an Appeals Nurse (RN) to review medical records and claims for first-level Medicare appeal cases, assessing... ...ASN or BSN and an active RN license, with at least 1 year of clinical experience, strong communication, and solid understanding of...Remote work
- ...Maximus is seeking a Clinical Reviewer in Tysons, VA to evaluate requests for services, ensure compliance with clinical and governmental requirements... ...providers and state personnel. Preferred candidates have remote-work experience, strong written and verbal communication...Remote workContract workWork experience placement
- ...MES Solutions seeks a self-driven RN or LPN to join as Clinical Quality Assurance Coordinator. This 100% remote role offers a Monday–Friday schedule with EST work hours and occasional weekends/holidays. You will review peer reports, ensure evidence-based rationales,...Remote workMonday to Friday
$80k - $100k
...Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home Department: Care Management Contract... ...review and healthcare quality. Why Comagine Health?... ...national nonprofit healthcare consulting organization, we partner...Remote workFull timeContract workLocal areaWork from homeHome office- ...Working remotely in a full-time capacity, the Registered Nurse Clinical Reviewer will conduct comprehensive clinical chart reviews to ensure accurate documentation of patient care and diagnoses... ...standards Collaborate with Coders, Quality Department, and Providers to ensure...Remote workFull time
- ...experienced Registered Nurse to serve as Clinical Reviewer in a remote, Washington-based role. You will assess medical necessity and the quality of healthcare services via prospective,... ...care decisions. The ideal candidate has RN licensure in Washington and at least five...Remote job
$64.48k - $72.8k
...Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in... ...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- UnitedHealth Group is seeking a Clinical Grievances Nurse to review retrospective cases for appropriate care and... ...’ immediate needs. The role embraces remote PST hours with an on-site base in... ...requiring CA residency and an active CA RN license. You will assess care against...Remote jobImmediate start
- Lynn Rodens is seeking a skilled Clinical Reviewer/Nurse for a remote role aligned with AZ hours. The position requires active RN license, U.S. citizenship, 3+ years in med/surg and... ...healthcare systems. This role focuses on quality review, PQIs, and collaborating with...Remote job
- ...invites applications for a Clinical Readmission Manager to... ...inpatient readmission reviews and related post-... ...assessments. The role requires RN licensure, 5+ years in... ...Payment Integrity, quality, utilization management... ...compliant recordkeeping in a remote-capable #J-18808-...Remote work
- Hippocratic AI is seeking Registered Nurses with 5+ years of clinical experience for a remote data annotation contract role. You will review AI agent conversations across primary care and related areas and provide safety-focused feedback. The position is 1099 contract with...Remote jobContract workFlexible hours
$71.93k - $107.89k
...Remote If you are a current Adventist HealthCare employee, please click this link... ...Adventist HealthCare seeks to hire a Clinical Reviewer (RN/PT/OT) who will embrace our mission to... ...initiatives to improve documentation for quality reporting based on trends identified...Remote workDaily paidPart timeWork at officeShift workWeekend workDay shift- ...seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role... ...holidays, leveraging your clinical expertise to ensure... ...care. You will review clinical data for... ...providers, and drive care quality while supporting...Remote workFull timeMonday to FridayAfternoon shift
- ...must Have)Active, unrestricted license:RNMinimum 3+ years clinical experience (med/surg and/or behavioral health)Strong clinical... ...Qualifications (highly Desired)Clinical Quality / Utilization Review / Case Review experienceExperience with federal or government...Remote jobDay shift
- Medica is seeking a Clinical Quality Review Nurse III to conduct medical record reviews and audits across its network in a remote capacity. The role requires an active RN license and a certified coding credential, along with experience in data collection and quality measurement...Remote job
$85k - $92k
...Equivalent: ~$41-$44/hr Location: Remote Schedule: Must work AZ hours (typically... ...) Active, unrestricted license: RN Minimum 3+ years clinical experience (med/surg and/or... ...QUALIFICATIONS (HIGHLY DESIRED) Clinical Quality / Utilization Review / Case Review experience...Remote jobHourly payDay shift- ...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
$29 - $52 per hour
...Optum Clinical Claim Review Nurse 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 in the state of residence ~2+ years of clinical experience...Remote jobHourly payMinimum wageFull timeContract workTemporary workWork experience placementWork at officeLocal area$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$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- Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit... ...that has engaged in health care quality consulting and quality improvement services... ...patient outcomes. Our talented remote workforce spans the country and plays...Remote workFull timeContract work
$26.01 - $62.32 per hour
...prioritize safety and quality in everything we do.... ...at a time. RN Utilization Management Nurse Consultant (Medicare - Joint Procedures) Remote | Full-Time | Monday... ...Management team where your clinical expertise helps... ...What You’ll Do Review and assess clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$26.01 - $62.32 per hour
...prioritise safety and quality in everything we do.... ...at a time. RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) Remote | Full-Time | Monday... ...Management team where your clinical expertise helps... ...What You’ll Do Review and assess clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$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- ...HEDIS Clinical Medical Review Nurse We are seeking a HEDIS Clinical Medical... ...record abstraction, chart review, and quality reporting within a health... ...ideal candidate will be an RN or LPN with 5+ years of HEDIS... ...comfortable working in a primarily remote environment with...Remote workWork at officeLocal area
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