Remote Nurse QA Coordinator - Clinical Peer Review
MCMC
MCMC is seeking a self‑driven Clinical Quality Assurance Coordinator to perform quality assurance reviews of peer reports. The role is fully remote with fixed hours. Candidates must have an active nursing license (RN, LPN, or LVN) and a bachelor’s degree is preferred. Responsibilities include ensuring compliance with legal standards and assisting in client quality issues. MCMC offers competitive benefits like medical, vision, and dental insurance, along with a 401(k) plan. #J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Nurse QA Coordinator - Clinical Peer Review in Atlanta, GA vacancy
- A healthcare solutions company in McLean seeks experienced peer reviewers with at least 5 years in clinical settings. Responsibilities include reviewing medical records, assessing clinical guidelines, and providing improvement recommendations. Candidates must have an active...Remote jobWork from homeFlexible hours
- ...ExamWorks, Inc. is seeking a Clinical Quality Assurance Coordinator to perform reviews of peer case reports ensuring high standards... .... This role offers 100% remote flexibility and is crucial for... ...medical knowledge with an active nursing license, excellent communication...Remote work
ExamWorks
Rockford, IL1 day ago - ...Network Medical Review is seeking a Clinical Quality Assurance Coordinator. This role, designed for licensed nursing professionals, allows you to work 100% remote while ensuring the quality of peer review case reports. Responsibilities include reviewing reports for compliance...Remote work
Network Medical Review Co. Ltd.
Southfield, MI4 days ago $121.2k - $225.2k
...Service Corporation is seeking an experienced individual to oversee clinical reviews for ABA services. The role requires serving as a subject matter expert on autism spectrum disorder cases and facilitating peer-to-peer reviews with ABA providers. The ideal candidate will...Remote workWork from homeHealth Care Service Corporation
Albuquerque, NM2 days ago- ...Clinic Registered Nurse Coordinator – USFTGP Digestive Diseases, Gastroenterology & Gastrointestinal Surgery... ...undergoing complex care and surveillance. Reviews patient records, interviews patients... ...33601 Position Details Eligible for Remote Work: On Site Job: Nursing (LPNs,...Remote workFull timeMonday to Friday
Tampa General Hospital
Tampa, FL3 days ago - ...Health Care Service Corporation is seeking a qualified candidate to oversee clinical reviews for applied behavior analysis (ABA) services. The ideal candidate will serve as a subject matter expert and consultant within the behavioral health clinical team, particularly...Remote workWork from home
Health Care Service Corporation
Tulsa, OK2 days ago - ...The University of Minnesota School of Nursing is seeking a Clinical Claim Review Nurse who will perform claim reviews to verify coding and charges. You will work independently and maintain standards for productivity in a fast-paced environment. This role offers the flexibility...Remote work
University of Minnesota School of Nursing
Minneapolis, MN4 days ago - ...Texas Health Institute is hiring a Clinical Claim Review Nurse to perform claim reviews, ensuring correct coding and charges. Telecommute from anywhere within the U.S. while making a direct impact on patient care. The ideal candidate possesses an Associate's degree, an...Remote work
Texas Health Institute
Minneapolis, MN3 days ago - ...Job Description Clinic RN Coordinator collaborates with the health care team... ...complex care and surveillance. Reviews patient records, interviews... ...patient, significant other, and nursing staff education regarding... ...USF Laurel Dr. Tampa 33612 Remote Work Eligibility On Site Job...Remote workFull timeMonday to Friday
Tampa General Hospital
Tampa, FL3 days ago - ...Optum is seeking a Clinical Claim Review Nurse to perform claim reviews and ensure compliance in a telecommute role. You will verify coding accuracy and support health outcomes by connecting people with necessary resources. This role requires an Associate's degree, active...Remote workFlexible hours
Registered Nurse
Minneapolis, MN3 days ago - ...for conducting utilization review/medical management for all... ...meet screening criteria to peer reviewer. Coordinates and participates in peer-to... ...- or three-year degree in nursing . ~3 - 5 years recent experience working in a clinical or behavioral health environment...Remote workContract workLocal area
Telligen
Billings, MT23 hours ago - ...Stryker Corporation is seeking a Clinical Claim Review Nurse to perform detailed reviews of claims against medical records. The position offers the flexibility to telecommute within the U.S. and demands strong clinical skills along with a comprehensive understanding of...Remote work
Stryker
Minneapolis, MN4 days ago - ...Optum is looking for a Clinical Claim Review Nurse to perform claim reviews and ensure compliance with state and federal policies. This fully remote position allows you to contribute to health optimization while enjoying comprehensive benefits including paid time off,...Remote work
Crains Cleveland
Minneapolis, MN3 days ago - ...The RN Lung Cancer Screening Clinic Coordinator must be a dynamic clinical... ...of a school of professional nursing approved by the appropriate... ...enrollment by performing chart reviews to verify eligibility and... ...based on best evidence Provides peers with informal constructive...Remote workPermanent employmentTemporary workImmediate startRelocation package
Direct Jobs
Nashville, TN4 days ago - ...Patient Chart Reviewer In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be... ...related coding certification required. Minimum 3-5 years of clinical experience preferred. Previous utilization management or case...Remote jobFull timeMonday to Friday
- ...health system is seeking an experienced RN Peer Review Coordinator with a strong Emergency Dept.... ...Review Coordinator partners closely with Nursing Leadership, Quality, Risk Management,... ...week onsite/One to Two days/per week remote What's In It For You At...Remote work2 days per week1 day per week
St. Luke's Health System
Boise, ID23 hours ago - ...Join our teamas a day shift, full-time, Peer Review Coordinator RN in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive:We empower our team with career growth opportunities, tuitionassistance, and resources...Full timeDay shift
Hillcrest Healthcare System
Tulsa, OK23 hours ago $64.5k - $92.2k
...Gainwell Technologies LLC is seeking a Clinical Quality Nurse Reviewer, Sr. Specialist to perform ongoing... ...audits on clinical staff. This full-time remote position requires an active RN license... ...include reviewing documentation, performing QA checks, and assisting with mentoring...Remote workFull timekozmetickesluzby.vecnakraska.sk - Jobboard
Brooklyn, NY1 day ago- Optum in El Segundo is seeking a Clinical Manager to oversee the QI Nurses in the Grievance/Peer Review Lane. This role involves managing health plan grievance processes... ...with clinical staff. Flexibility to work remotely is provided. Ideal candidates will have a nursing...Remote job
- ...program office after review of the EDRP application... ...school of professional nursing approved by the... ...Mental Health experience (Clinic preferred - any MH encourage... ...Experience in patient coordination (case management -... ...best evidence Provides peers with informal...Remote workPermanent employmentTemporary workWork at officeImmediate startMonday to Friday
- ...provider in Naples, Florida is seeking an RN Coordinator for Practitioner Excellence. This role... ...coordinating the Medical Staff Peer Review process and analyzing practitioner performance... ...RN license in Florida, and a strong clinical background with preferred experience in...
Nchmd
Naples, FL4 days ago - A healthcare consulting firm is seeking Peer Reviewers (MDs/DOs/DDS) for a full-time remote position. The role involves providing clinical expertise for peer reviews of patient care, making informed clinical judgments, and documenting all reviews per instructions. Applicants...Remote workFull time
Visual Connections LLC
Annapolis, MD23 hours ago - ...delivery and patient outcomes. Our talented remote workforce spans the country and plays a... ...and based in Alabama. The Supervisor, Clinical Review plays a critical role in providing... ...clinical criteria. Minimum Qualifications All nurse reviewers will be located and licensed...Remote workContract work
- A healthcare consulting firm is seeking a full-time remote Peer Reviewer (Non-physician) to provide clinical expertise for comprehensive peer reviews. Candidates must be licensed, actively practicing within their specialty, and have a minimum of 5 years of clinical experience...Remote workFull time
Visual Connections LLC
Annapolis, MD23 hours ago - ...including doctors, nurses, business people,... ..., Implementation, Coordinate, Monitor and Reassess... ...including the peer to peer process. -... ...Perform utilization review to evaluate for... ...daily basis. Fax clinical in payor communication... ...call it home. Remote Type Onsite Work Location...Remote workHourly payFull timeShift work
- ...healthcare solutions company seeks a Clinical QA Supervisor in Washington, DC,... ...for overseeing the review of Physician reports. The role... ...alongside expertise in medical peer review or healthcare... ...generous 401k plan, and support for remote work setup. #J-18808-Ljbffr Dane...Remote work
$20 - $30 per hour
...Management Department/Location: Remote FLSA Status: Exempt... ...Utilization Review on Behalf of the Clinics: Prescreen referrals to project... ...primary treating clinicians. Coordinate Peer-to-Peer (P2P) Review preparation... ...s degree in Social Work, Nursing, or any related field....Remote workGuidelight Health
New York, NY1 day ago$50 - $53 per hour
...Job Title: Clinical Review RN (IDR/Appeals) Experience: Open to... ...license*** Location: Remote (can sit anywhere in the US as... ...work collaboratively with peers, medical, analytical, and administrative... ...1. Licensed, Registered Nurse in NYS, required. 2....Remote workLocal areaImmediate startFlexible hoursMedix
Jericho, NY2 days ago- ...Direct Jobs is seeking a Day Shift, Full-Time Peer Review Coordinator RN in Tulsa, OK. This role will manage the peer review process for cases, including documentation and report production, ensuring a supportive work environment focused on career growth and well-being...Full timeDay shift
Direct Jobs
Tulsa, OK4 days ago $49.15 - $75.94 per hour
...Quality Review RN Join Hoag as a Quality... ...improve a comprehensive peer-review program that supports clinical excellence in... ...communication, and coordination skills, and a passion... ...Bachelor's degree in nursing or another... ....15-$75.94/hour Remote or Onsite Onsite...Remote workFull timeWork at officeLocal areaHoag Health System
Costa Mesa, CA1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Nurse QA Coordinator - Clinical Peer Review. Be the first to apply!
Related searches
- registered nurse coordinator Atlanta, GA
- continuous improvement coordinator Atlanta, GA
- database coordinator Atlanta, GA
- order coordinator Atlanta, GA
- fulfillment coordinator Atlanta, GA
- workforce coordinator Atlanta, GA
- workplace coordinator Atlanta, GA
- transition coordinator Atlanta, GA
- authorization coordinator Atlanta, GA
- dental treatment coordinator Atlanta, GA