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
- ...Nurse with active licensure and minimum 3 years of clinical experience for a remote position. Candidates must have strong clinical... ...background clearance. This role involves reviewing medical records, identifying quality issues, and supporting quality improvement initiatives...Remote workQuality
$85k - $92k
...Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (... ...Active, unrestricted license: RN Minimum 3+ years clinical experience (med/surg and/or... ...QUALIFICATIONS (HIGHLY DESIRED) Clinical Quality / Utilization Review / Case Review experience...Remote workQualityHourly payDay shift- ...federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing... ...unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW... ...-driven environment Other Information Remote or onsite depending on business needs Must...Remote workQualityWork at officeHome office
- TEEMA Solutions Group is looking for a Clinical Quality Reviewer to support a large-scale federal healthcare... ...ideal candidate will have an active RN or LCSW license, at least 3 years of... ...skills. This role offers flexibility with remote or onsite work options, depending on...Remote jobQuality
- TALENT Software Services is seeking a Clinical Quality Reviewer to investigate PQI allegations and review cases... ...the Manager, Clinical Quality Review in a remote environment. The role requires an organized, detail-oriented RN with extensive clinical knowledge, including...Remote jobQuality
$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- Q-Centrix is seeking a Senior Clinical Data Specialist to join our team in Chicago, focusing on delivering quality solutions to healthcare partners. This position involves analyzing... ...and hold active SCR certification along with RN credentials. We value critical thinkers who...Remote jobQuality
$28.37 - $35 per hour
Acentra Health is hiring a Clinical Reviewer (LPN, LVN, RN) to review medical records against criteria. This remote position demands strong clinical assessment skills. Responsibilities... ...cases, adjusting workload as needed, and quality monitoring. Required qualifications include...Remote jobQualityHourly pay- ...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
$70.72k - $126.88k
...Clinical Documentation Specialist (RN) As a clinical professional, you’ll be part of a team... ...management, utilization review, and clinical documentation... ...office‑based with limited remote work options. Occasional weekend... .... Experience with quality improvement, utilization management...Remote workQualityWork at office$40 per hour
A healthcare quality organization is seeking a Nurse Reviewer to support Medical Review Services. The role involves conducting... ...necessity reviews for Medicaid claims in a remote work setting. Candidates should have a BSN with active RN licensure and at least three to five...Remote workQualityHourly payPart time$50k
...Department Overview The Clinical Documentation Specialist will provide... ...concurrent and retrospective review of provider documentation,... ...the physicians to ensure high quality documentation that supports... ...review of patient records in a remote setting. The Registered Nurse...Remote workQualityFull timePart time$38.2 - $57.3 per hour
...Clinical Documentation Specialist (RN) – Aurora St. Luke’s Medical Center, 2900 W. Oklahoma... ...days on site, two days remote Pay Range: $38.20 – $57.30... ...to improve documentation quality, support accurate coding and... ...captured. Responsibilities Review inpatient medical records...Remote workQualityFull timeTemporary workFlexible hoursShift work2 days per week- ...Remote Rn – Medical Claims Reviewer At Broadway Ventures, we transform challenges into opportunities with... ...ensure compliance with established clinical criteria and guidelines. The ideal candidate... ...and coding requirements. Support quality control activities to meet corporate...Remote workQualityFull timeFor contractorsWork at officeHome officeMonday to Friday
- 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 jobQuality
- ...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 active...Remote jobQuality
$60 per hour
...groundbreaking medical research. CD RN (Clinical Documentation Specialist)-Level 2 The... ...facilitates the improvement in the overall quality and completeness of concurrent medical... ...this time frame - EST** Location: 100% Remote (EST hours) Payrate- $60 hourly...Remote workQualityHourly payTemporary workWork at officeLocal areaShift work- Broadway Ventures is seeking a Remote Home Health RN to join their Medical Review team. The role focuses on conducting... ...to ensure compliance with clinical guidelines. Ideal candidates must... ...coverage decisions, and supporting quality control activities. This full-time...Remote jobQualityFull time
- 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
- Responsibilities Providing clinically based concurrent and retrospective review of inpatient medical records to evaluate... ...for improving the overall quality and completeness of clinical documentation... ..., and risk of mortality. Fully remote position; provides cross-coverage...Remote jobQuality
- ...discretion and completely remote. We require at least 5... ...will be responsible for reviewing pertinent patient data, developing... ...received for accuracy of clinical and demographic... ...care plans Support Data Quality Reviewers, LPN Reviewers and RN Reviewers in building their...Remote workQualityFor contractors
- ...Clinical Nurse Reviewer Quality Management Saint Peter's is among the few hospitals in the world to have earned its 7th consecutive Magnet® designation... ...software programs. Position located on‑site with limited remote work hours as allowed based on Director’s assessment of...Remote workQualityFull timeWork experience placementShift work
$64.5k - $92.2k
Gainwell Technologies LLC is seeking a Clinical Quality Nurse Reviewer, Sr. Specialist to perform ongoing quality assurance audits on clinical staff. This full-time remote position requires an active RN license and clinical experience in healthcare. Responsibilities include...Remote jobQualityFull time$67.86k - $135.72k
...the health system. As a Clinical Documentation... ...story. This fully remote opportunity is ideal for... ...improve documentation quality, support interdisciplinary... ...bedside care to analytical review , applying clinical judgment... ...Education: RN, graduate of accredited...Remote workQualityTemporary workPart timeWork experience placementFlexible hours- ...Clinical Reviewer, Precertification RN Duration: 8 months contract (with possible extension) The Clinical... ...potential access availability or other quality assurance issues to ensure that... ...schedule. *Note: Candidates can be remote but must have an active unrestricted...Remote workQualityContract workWork at officeWork from home
$60 per hour
...Job Description Job Description RN Clinical Reviewer - Jericho or Albany, NY (#25332) Location: Jericho orAlbany, NY Employment Type... ...a strong OB/maternal health background and a passion for quality improvement and patient safety. Why Join Us? ~ Competitive...QualityHourly payFull timeTemporary workPrivate practiceWork at office- ...services. The role requires a NYS RN license and 3+ years of clinical experience. Responsibilities include clinical reviews and collaboration with providers to ensure quality care delivery. Preferred... ...based on experience, and potential for remote work. #J-18808-Ljbffr...Remote workQuality
$125k - $201k
...Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for... ...accreditation standards Identify and refer quality issues to Quality Improvement... ...Completion of an accredited registered nursing (RN) degree program required Three (3)...Remote jobQualityHourly payWork at office- ...classified as hybrid, onsite or remote. While the majority of our... ...Experience 2 years of experience in clinical field of practice, health... ...Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted... ...per department policy. Meet quality, quantity and timeliness...Remote jobQualityFull timeContract workWork experience placementWork at office1 day per week
$50 - $60 per hour
A leading AI training company is seeking a Clinical Reviewer. This remote role involves evaluating the outputs of AI chatbots dealing with complex... ...at $50-$60 an hour, with additional bonuses for high-quality work. Only applicants from the United States will be considered...Remote workQualityContract workFlexible hours
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