Remote RN Clinical Quality Reviewer
$85k - $92kTEEMA Solutions Group
TEEMA Solutions Group is seeking a Clinical Quality Reviewer to support a federal healthcare program. This role involves reviewing medical records, conducting case analyses, and ensuring compliance with healthcare standards. Candidates must have a valid RN or LCSW license with at least three years of clinical experience. The position may be remote or onsite based on business requirements. A secure home office is required if working remotely. Salary ranges from $85,000 to $92,000 annually. #J-18808-Ljbffr
- ...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... ...and patient outcomes. Our talented remote workforce spans the country and plays...Remote workQualityFull timeContract work
$62.7k - $100.4k
...Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews... ...accreditation standards Identify and refer quality issues to Quality Improvement... ...Completion of an accredited registered nursing (RN) degree program required Three (3)...Remote workQualityHourly payWork at office- ...registered nurse to perform Clinical Review work and QIDP reviews. The team... ...role requires active Alabama RN licensure and at least 3... ...care experience. This primarily remote opportunity offers a flexible... ...the chance to contribute to quality improvement across care settings...Remote jobQualityFlexible hours
- Comagine Health is seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess medical necessity and quality of care through prospective, concurrent, and retrospective... ...management reviews. This full-time, remote position supports compliant, cost-effective...Remote jobQualityFull time
$45 - $50 per hour
...looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical... ...programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby...Remote jobQualityHourly pay- ...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 workQualityContract work
- A leading organization in healthcare quality is seeking a Clinical Quality Reviewer to review clinical cases and identify potential quality or safety concerns. This remote position is ideal for licensed clinical professionals with a strong analytical mindset and a minimum...Remote jobQuality
- ...Unknown CDI team is seeking a Clinical Documentation Integrity (CDI) Specialist – RN for a 100% remote position based in the United States. You will drive accurate inpatient... ..., engage physicians, and ensure alignment with quality and reimbursement goals. The ideal candidate...Remote workQuality
- ...Corporation in the United States is seeking a Clinical Documentation Integrity (CDI) Specialist – RN for a fully remote role. You will review inpatient records, issue physician... ...accurate reflection of severity of illness and quality metrics. Ideal candidates hold an...Remote workQuality
- ...DC is seeking a DME Medical Reviewer to ensure compliance with... ...candidate must hold an active RN license and have at least two years of clinical experience.... ...quarterly meetings, and performing quality audits. The role emphasizes remote work capabilities and adherence...Remote workQuality
- ...Supporting the WISeR Prior Authorization Program, the full-time RN Clinical Quality Reviewer will perform comprehensive clinical reviews, validate... ...in physician determination activities, all while working remotely within the US. Key responsibilities Conduct clinical reviews...Remote workQualityFull time
- ...RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse... ...behavioral eligibility regarding benefits and clinical criteria and assess and monitor... ...Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.)....Remote workQualityFull timeContract workLocal areaShift work
$38.46 - $43.27 per hour
...Clinical Reviewer As the Clinical Reviewer, you will be responsible for... ...knowledge for medical necessity and quality of care issues; formulate a... ..., NY office. Ability to work remotely one day per week after... ...Nurse, required (open to any RN state license). Graduate of...Remote workQualityHourly payFull timeFor contractorsWork at office1 day per week- ...Clinical Documentation Specialist Rn - Providence Home Services Oregon The Clinical Documentation Specialist, Registered Nurse (RN) is responsible for quality review of all OASIS admission documents and Plan of Care to ensure CMS program compliance is met. The Clinical...Remote workQuality
$50k
...Department Overview The Clinical Documentation Specialist will... ...concurrent and retrospective review of provider documentation, query... ...physicians to ensure high quality documentation that supports accurate... ...of patient records in a remote setting. The Registered Nurse...Remote workQualityFull timePart time$102k - $158.39k
...**This position is remote. Candidates must be local... ...consideration** The Clinical Documentation... ...accuracy, integrity, and quality of patient data, and drive... ...: Concurrently reviews inpatient records to ensure... ...& Registration: RN License Clinical Documentation...Remote workQualityWork at officeLocal area$50.14 - $77.83 per hour
...Description CLINICAL DOCUMENTATION SPECIALIST RN - Providence Home Services Oregon Schedule: Full time, Day shift / This is a remote position working on day shift. Note: Candidate... ...Nurse (RN) is responsible for quality review of all OASIS admission documents...Remote workQualityMinimum wageFull timeShift workDay shift- .... Luke's Cornwall is seeking a Clinical Documentation Integrity Specialist (CDIS) to improve the quality and completeness of clinical documentation... ...’s Degree in Nursing, valid RN license, 3+ years acute care... ...Teams; ability to troubleshoot remote #J-18808-Ljbffr Montefiore St....Remote jobQuality
$38.67 - $59.94 per hour
...among other factors. Clinical Documentation Specialist... ...improving the overall quality and completeness of clinical... ...- Skokie, IL and remote Full Time/Part Time... ...What you will do: Review medical records... ...ADN or RHIT; IL Licensed RN Preferred Experience...Remote workQualityHourly payFull timePart timeFor contractorsWork at officeMonday to Friday- Endeavor Health (Clinical Documentation Specialist) seeks a qualified RN with expertise in clinical documentation to improve the quality and completeness of medical records. This role involves... ...position is hybrid (Skokie, IL and remote), full-time, with hours Monday-...Remote jobQualityFull timeMonday to Friday
- Providence Home Services Oregon is seeking a Clinical Documentation Specialist RN to perform quality reviews of OASIS admission documents and Plan of Care to ensure CMS compliance. The role partners with Home Health leadership to promote regulatory compliance and best patient...Remote jobQuality
- Providence Health and Services is seeking a Clinical Documentation Specialist RN for our Home Services Oregon team. This role ensures quality review of OASIS admission documents and Plans... ...electronic medical records, with a remote schedule on weekdays. #J-18808-Ljbffr...Remote jobQualityWeekday work
- ...Clinical Documentation Integrity Specialist Remote Ensuring clinical documentation meets quality and regulatory standards. Working with medical professionals to clarify documentation. Skills: clinical knowledge, attention to detail, knowledge of healthcare compliance...Remote workQuality
- Providence Health and Services is seeking a Clinical Documentation Specialist, RN for the Oregon Home Services team. This role focuses on quality review of OASIS admission documents and Plans of Care to ensure CMS compliance and optimal patient outcomes. The incumbent...Remote jobQuality
$70k - $85k
Description: Medical Reviewer, RN Location: Remote Salary: $70,000-85,000 annually, based on years of experience... ...areas of compliance, policy, and clinical expertise. Our team is experienced in... ...supporting documentation, support quality assurance through audits and ongoing...Remote workQualityFor contractorsLocal area- Clinical Documentation Improvement Specialist-RN- Remote The Clinical Documentation Improvement (CDI) Specialist Registered... ...the accuracy, integrity, and quality of patient data and to drive improvement... ...Completes initial reviews of patient records within 24-48...Remote jobQualityWork at office
$36.67 - $53.17 per hour
Job Description The Clinical Documentation Integrity Specialist II(... ...facilitating the integrity, overall quality, accuracy, and completeness... ...through extensive reviews of the medical record, interaction... ...time Salary Range $36.67-$53.17/hourly #J-18808-Ljbffr Remote JobsRemote workQualityHourly payFull timeWork at officeImmediate startMonday to Friday$67.86k - $135.72k
...the health system. As a Clinical Documentation... ...clinical story. This fully remote opportunity is ideal for... ...improve documentation quality, support interdisciplinary... ...care to analytical review , applying clinical judgment... ...Education: RN, graduate of accredited...Remote workQualityTemporary workPart timeWork experience placementFlexible hours$67.86k - $135.72k
...Registered Nurse (RN) - Clinical Documentation Specialist (Remote) Clinical expertise meets analytical precision... ...knowledge to improve documentation quality, support interdisciplinary teams,... ...transition from bedside care to analytical review, applying clinical judgment in a...Remote jobQualityPart timeWork experience placementFlexible hours- ...Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P,... ..., FL 33122, and 3 days remote. Job Profile Summary... ...Then Risk Adjustment Clinical Coder/Nurse performs compliance... ...medical record reviews (MMR) & CMS/HHS Risk Adjustment... .... Performs vendor quality oversight audits; reviews...Remote workQualityPermanent employmentFull timeTemporary workWork at officeShift work
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