Remote RN Quality Review Manager (COS-C/HCS-O/COQS)
$77k - $80kBAYADA Home Health Care
- Remote job
BAYADA Home Health Care is seeking a Full Time Quality Reviewer with OASIS certification to work remotely. This role involves auditing patient care plans and ensuring regulatory compliance to promote optimal home health services. The ideal candidate will possess an Active Compact RN Nursing License and at least 2 years of clinical experience, along with specific OASIS certifications. BAYADA offers a competitive salary between $77,000 and $80,000 annually, along with comprehensive benefits. #J-18808-Ljbffr BAYADA Home Health Care
$77k - $80k
...Quality Reviewer BAYADA Home Health Care has an immediate opening... ...OASIS certification to work remotely. RN's with certifications will... ...required or requested by Manager/Director. Qualifications... ...clinical experience. COS-C or HCS-O or COQS OASIS Certification and experience...Remote workFull timeWork at officeLocal areaImmediate start- ...in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York. Job Responsibility... ...DRG code assignment. 2.Full review of CDI suggested code changes 3....Remote workHourly payFull time
- ...El Segundo is seeking a Clinical Manager to oversee the QI Nurses in the Grievance/Peer Review Lane. This role involves managing... ...grievance processes and ensuring quality by collaborating with clinical staff. Flexibility to work remotely is provided. Ideal candidates will...Remote job
- ...Supervisor in Washington, DC, responsible for overseeing the review of Physician reports. The role requires an RN licensure and excellent communication skills,... ..., including medical coverage, a generous 401k plan, and support for remote work setup. #J-18808-Ljbffr...Remote work
- ...located in Noblesville, IN. The Utilization Review Nurse is responsible for reviewing patient assessments to assist the Quality Improvement department in identifying... ...of OASIS. OASIS Certification preferred (HCS-O, COS-C or COQS). Excellent written and oral...SuggestedWork at officeWork from home
- ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates...Remote workContract workWork from home
$91.7k - $163.7k
...is seeking a Health Care Management professional to lead the clinical... ...in managing grievance and quality issues. The role allows remote work from anywhere within... ...assurance and peer review processes. Ideal candidates... ..., and must hold an active RN or LVN license in California...Remote job- ...Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...Remote workWork from homeFlexible hours
- ...A healthcare organization is seeking a Clinical Services Specialist RN to perform reviews of patient records for medical necessity compliance. This full-time role involves analyzing records according to policies and facilitating communication with various stakeholders....Remote workFull timeWork from home
- Role, Inc. is seeking a Clinical Quality Assurance Coordinator in Norwood, MA, for a fully remote position. The role involves ensuring peer review case reports meet quality standards and regulatory... ..., detail-oriented Registered Nurse (RN) is desired to handle quality...Remote jobFlexible hours
- MES Solutions is hiring a Clinical Quality Assurance Coordinator in Norwood, MA. This remote position requires an active RN nursing license and entails ensuring the quality of Peer Review case reports. Responsibilities include performing quality assurance reviews, verifying...Remote job
- ...Supervisor, Quality Assurance (Clinical) In October 2025, Machinify... ...background, clinical review, and experience leading others to manage staff and operational results for a remote team of nurses and other audit... ...good standing, is required (RN license is required for government...Remote workHourly payContract workFor subcontractorWork from homeHome officeShift work
- ...CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote work
- ...Humana is looking for a Registered Nurse (RN) Intern as part of the DOW SkillBridge Internship... ...an opportunity to engage in clinical reviews and coordination within the National... ...providers, and documenting findings. This remote role promotes flexibility and is essential...Remote workInternship
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
- ...NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services across multiple hospitals. The role supports... ...and collaborating with teams for better outcomes. Located remotely with a preference for candidates in Indiana, Michigan, or...Remote work
- ...Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship and is... ...military spouses. Interns will conduct clinical reviews, communicate with providers, and document...Remote workInternship
- ...Overview Step into a leadership role as a Quality and Risk Manager RN with a hospital delivering community-... ..., AI-assisted decision support, remote monitoring, and telehealth innovation... ...projects Facilitate committees and event reviews, including root cause analysis...Remote workImmediate startRelocation
$60.2k - $107.4k
...Stryker Corporation is looking for a Utilization Review Nurse, RN, based in California. As part of this role, you'll manage inpatient utilization efficiently while... ...guidelines. The position offers the flexibility of remote work within the U.S., alongside responsibilities...Remote work- ...seeking a Registered Nurse (RN) Intern to conduct clinical reviews and support healthcare... ...providing key training in a remote work setting. Key responsibilities... ..., documentation, and quality assurance. Applicants must... ..., and a keen interest in managed care. #J-18808-Ljbffr...Remote workInternship
$69.38k - $92.28k
...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare... ...candidates are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent...Remote work- COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...Remote workFull time
- ...spouses. The role focuses on conducting clinical reviews and supporting care management. Candidates must have an active RN license in Kentucky or a compact license and at... ...years of behavioral health experience. This remote role operates weekdays from 8:00 AM to 4:30 PM...Remote workInternshipWeekday work
- ...seeks a clinical professional for their Medical Management/Health Services team. This role includes performing concurrent reviews to assess patient care, health, and discharge... ...experience. The position offers a flexible remote working arrangement for candidates in the...Remote workHourly payFlexible hours
$2,210 per week
...leader in personalized managed health care, focused on... ...dollars while ensuring quality care through effective... ...Holidays Work-life balance. Remote/hybrid setting (once... ...to a second level reviewer. This individual interfaces... ...but is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...Inland Empire Health Plan is seeking a Provider Quality Review Nurse, RN to manage quality assurance responsibilities. This role involves investigating care incidents and coordinating with healthcare facilities to ensure quality care delivery. The position requires a...Remote work
- ...in HTML/CSS for a contract role. The position involves reviewing front-end code for quality, providing feedback, and ensuring adherence to project guidelines... ...communication are essential. Flexible commitment and remote work options available. #J-18808-Ljbffr Crossing HurdlesRemote jobContract workFlexible hours
- ...healthcare services. Interns will conduct clinical reviews, communicate with healthcare providers,... .... Candidates must hold an active RN license and have at least two years of behavioral... ...health experience. The position is remote with a weekday schedule. #J-18808-Ljbffr...Remote workInternshipWeekday work
- ...involves conducting clinical reviews for prior authorization requests... ...must hold an active RN license and have at least two... ...software is preferred. The role is remote and offers a structured weekday... ...opportunity to gain experience in the managed care industry. #J-18808-Ljbffr...Remote workInternshipWeekday work
- ...Humana in Maryland seeks a Registered Nurse (RN) Intern to join their National Medicaid team. This remote role involves conducting clinical reviews for behavioral health services, communicating with healthcare providers, and documenting findings. Candidates must be transitioning...Remote workInternshipFlexible hours
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