Remote RN: Clinical Data & Audit Consultant
Health Net
- Remote job
Centene is seeking a Clinical Data and Audit Consultant to manage clinical data content for data collection, audits, and compliance programs. The role focuses on supporting Clinical Operations with high-quality tracking, reporting, and performance improvement. The successful candidate will have clinical licensure and experience in HEDIS/URAC/NCQA reporting, data interpretation, and cross-functional collaboration to drive process enhancements. #J-18808-Ljbffr Health Net
- Centene is seeking a Clinical Data and Audit Consultant responsible for the clinical content component of data collection, audits, and implementations... ...performance for Clinical Operations. The role requires an active RN license and experience in data analysis, reporting, and...Remote job
$33.71 - $60.67 per hour
About This Role The Clinical Data Audit Consultant is responsible for the clinical content component of data... ...: $33.71 - $60.67 per hour Location: Remote, CA Schedule: Full Time, Day shift What... ...Licensed Clinician and/or RN required Must maintain a current, valid...Remote workHourly payFull timeFlexible hoursDay shift$33.71 - $60.67 per hour
Position Purpose The Clinical Data and Audit Consultant is responsible for the clinical content component of... ...Certification Licensed Clinician and/or RN required. Must have and maintain... ...and a flexible approach to work with remote, hybrid, field or office work schedules...Remote workHourly payFull timePart timeWork at officeFlexible hours- ICU Medical Inc is seeking a Customer Success Nurse Consultant to drive post-implementation success for infusion technologies through clinical expertise and data-driven consulting. You will partner with healthcare organizations to maximize patient safety, optimize workflow...Remote job
- UnitedHealth Group seeks a Clinical Review Clinician to act as a subject matter expert in itemized bill reviews and hospital facility bill... ...as part of a team preparing Forensic Reviews for clients. Remote work is available nationwide, with responsibilities spanning claim...Remote job
- Optum in the United States is seeking a Clinical DRG RN auditor to apply MS-DRG/APR-DRG coding expertise to inpatient claims. You will validate... ...discharge statuses, producing clear rationales and supporting audit findings. You can telecommute from anywhere within the U.S....Remote job
$62.7k
.... Perform special studies per audits, conducting office site visits... ...providers to include detailed data analysis, process analysis, report... ...Required ~ Current state RN or LPN license or Bachelor’s... ...ability to understand and interpret clinical data Language (Other than...Remote workFor contractorsWork at officeLocal area$82k - $87k
...GUIDEHEALTH? Guidehealth is a data-powered, performance-... ...Guidehealth leverages remotely-embedded Healthguides™... ...Job Description The Clinical Compliance Auditor II... ...and performs advanced auditing, monitoring, and compliance... ...Registered Nurse (RN) license required. * Strong...Remote workBi-weekly payFull timeTemporary workFor contractorsWork at officeLocal areaWork from homeFlexible hours- TalentLNX LLC seeks a remote Clinical Claims Review RN to audit hospital claims line by line against medical records, ensuring charges are ordered, documented, and supported. The role blends acute care nursing judgment with chart auditing, coding, and revenue integrity...Remote job
- Guidehealth, a data-powered healthcare company, seeks a Clinical Compliance Auditor II to ensure adherence... .... You will conduct audits, mentor staff, and help refine... ...audit tools within a remote-friendly, collaborative team. The role requires RN licensure, 3-5 years in...Remote job
- Optum is seeking a Clinical DRG RN auditor who will validate ICD-10-CM/PCS codes and DRG assignments for inpatient claims. You will write... ..., contributing to accurate reimbursements. The role supports remote work from anywhere in the U.S. and requires strong coding knowledge...Remote job
$120.2k - $140k
...collaborative environment? As an experienced Clinical Data AMS Senior Consultant you will have the ability to share... ...specifically for long-term, remote client service delivery. Recruiting... ...Part 11, data integrity (ALCOA+), and audit-readiness across all systems; support...Remote workPermanent employmentLocal areaVisa sponsorship- 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...Remote job
$35 - $63 per hour
...the care, pharmacy benefits, data and resources they need to feel... .... In this position as a Clinical DRG RN auditor , you will apply your... ...Coding Clinic Guidelines in the auditing of inpatient claims.... ...Ability to work independently in a remote environment and deliver exceptional...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal area- ...best of both worlds... ClinChoice is searching for a Clinical R Data Scientist Consultant to join one of our clients. We are seeking a Clinical... ..., and ethnicities. We recognize this is our strength and celebrate it. #LI-TT1 #LI-Remote #LI-Senior #Contract...Remote workContract work
- ...U.S.-based Pain Medicine Physicians at every career stage for high-level clinical consulting. You will validate, refine, and audit the clinical reasoning of frontier AI models in a fully remote, flexible role. This engagement runs July 30 to August 31, 2026, with California...Remote jobFlexible hours
$69.3k - $78k
...seeking a Medical Review Nurse II - Clinical Validation to perform medical claims audits for Government and Commercial... .... The position requires an active RN license and a minimum of five years... ...and documenting findings, all in a remote work environment. This role offers...Remote job- MES Solutions is seeking a self-driven RN or LPN to join our team as a Clinical Quality Assurance Nurse Auditor. The role involves evaluating clinical... ...contracts and regulatory standards. The position is 100% remote with a Monday through Friday schedule (7:00am-3:30pm...Remote jobMonday to Friday
- MES Solutions is seeking a self-driven RN or LPN to join our Clinical Quality Assurance team as an Auditor. The role evaluates clinical information... ...standards, and state and federal mandates. The position is 100% remote with a Monday-Friday schedule (EST). You will provide...Remote jobMonday to Friday
- MES Solutions is seeking a self-driven Clinical Quality Assurance Nurse Auditor (RN or LPN) to join our remote team. You will evaluate clinical information from providers and write high-quality reports in compliance with client contracts and regulatory standards. The position...Remote jobMonday to Friday
- Labela is seeking U.S.-based Urologists at every career stage for high-level clinical consulting to validate AI models. This flexible, remote role lets clinicians influence the safety and accuracy of medical AI at scale. You will review AI-generated diagnostic and treatment...Remote jobFlexible hours
$65k - $75k
...impact. Job Description The Clinical Review Nurse makes prospective... ...This is a full-time, fully remote, production-based role.... ...cases per hour) and quality (QA audit) standards. New reviewers complete... ...Graduate of an accredited RN or LPN/LVN nursing program....Remote workHourly payFull timeWork at officeLocal areaMonday to Friday- ...the United States seeks U.S.-based Pediatric Cardiologists at every career stage for high-level clinical consulting. This 100% remote role helps validate, refine, and audit AI-driven clinical reasoning across frontier models, with project-based hours and a scheduled window...Remote job
- ...recommended actions/course of treatment as directed by the Physician. Position Details: Position Description: Clinic Specialty RN Location: HYBRID - REMOTE Type: Full -time (Days) - 40 hours per week Schedule: Monday - Friday - 5x8s - (7:30a-4:00p) **MUST COMPLETE 90...Remote workFull timeMonday to Friday
- ...Quality Manager to lead planning, coordination, and execution of Clinical Validation Audit quality review activities. You will oversee quality teams,... ...aging, risk assessment, and day-to-day performance, with remote, U.S.-based responsibilities and limited travel for...Remote job
$69.3k - $78k
...Medical Review Nurse II - Clinical Validation At... ...performs medical claims audit reviews. As a MR Nurse,... ...Payers. You will work remotely in a fast paced and dynamic... ...Qualifications Active unrestricted RN license in good... ...and/or Public data. As such, all employees...Remote workFor contractorsWork at officeWork from homeHome officeShift work$135k - $160k
...program. Founded alongside clinical and scientific leaders from... ...manage the program day to day: auditing telehealth visits and chart notes... ...leadership the scorecard data and context they need to run service... ...and effective in a fully remote environment. Preferred...Remote workFull timeFor contractorsShift work$90k - $100k
...Obran Health is seeking an experienced RN Clinical Coordinator to join our team in a fully remote, full-time W2 capacity. In this role, you will provide critical... .... Clinical Documentation & Orders: Review, audit, and sign clinical documentation, including Starts...Remote workFull timeWork from homeMonday to Friday$137.8k - $206.8k
...DescriptionGeneral Summary:The Senior Manager, Clinical Study Quality Lead provides... ...trials, including risk-based audit strategy, quality risk... ...is not eligible for a fully remote work arrangement.Key Duties... ...and monitor clinical quality data, compliance signals, and study...Remote workFull timeSummer workFlexible hours2 days per week$181k - $235k
...Medicines: Beeline Medicines is a clinical‑stage biotechnology company... ...Associate Director, Clinical Data Management Leads clinical data... ...delivery of high-quality, audit-ready clinical trial data in support... ...Arrangement & Location: Remote - This position is designated...Remote workFull timeInterim roleLocal areaFlexible hoursNight shift
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