Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote RN Clinical Quality Auditor for Health Plans

$72.8k - $130k

NACBA

Minnetonka, MN
  • Remote job

NACBA is seeking a Senior Clinical Quality Auditor to support health care management. This role involves auditing processes and ensuring compliance with established guidelines. The ideal candidate holds an unrestricted RN license and has over three years of experience in quality improvement within managed care settings. We offer a competitive salary between $72,800 to $130,000 annually, based on experience and qualifications. You can work remotely from anywhere in the U.S., fostering a collaborative team environment. #J-18808-Ljbffr NACBA

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote RN Clinical Quality Auditor for Health Plans in Minnetonka, MN vacancy
  • $72.8k - $130k

    Texas Health Institute is looking for a Senior Clinical Quality Auditor to support care management and quality auditing processes....  ...Applicants must hold a current RN license and have at least 3 years...  ...improvement. The position offers remote work from anywhere in the U.S.,... 
    Remote job
    Health Insurance

    Texas Health Institute

    Minnetonka, MN
    4 days ago
  • $72.8k - $130k

    At UnitedHealthcare, the Senior Clinical Quality Auditor role focuses on ensuring compliance...  ...the flexibility to work remotely across the U.S. Key qualifications include an active RN license and substantial experience in health plan quality improvement. The position... 
    Remote job
    Health Insurance

    Crains Cleveland

    Minnetonka, MN
    4 days ago
  • $72.8k - $130k

    UnitedHealthcare is seeking a Senior Clinical Quality Auditor to support care management operations and...  ...initiatives. Candidates must have a current RN license and experience in health plan quality improvement. The position offers remote work flexibility across the U.S. and a... 
    Remote job
    Health Insurance

    Council of State and Territorial Epidemiologists

    Minnetonka, MN
    4 days ago
  • $72.8k - $130k

    UnitedHealthcare is hiring a Senior Clinical Quality Auditor responsible for supporting...  ...and operations. This remote position requires strong...  ...communication, and experience in health plan quality improvement. The...  ...must hold a valid RN license and have at least 3... 
    Remote job
    Health Insurance

    Wisconsin Psychiatric Association Inc

    Minnetonka, MN
    4 days ago
  • $72.8k - $130k

    UnitedHealthcare is hiring a Senior Clinical Quality Auditor to enhance care management...  ...must possess an active RN license and have extensive...  ...clinical programs. You can work remotely from anywhere in the U.S....  .... Join us to help transform health care into a more affordable... 
    Remote job

    Registered Nurse

    Minnetonka, MN
    4 days ago
  • $93.4k - $116.8k

    Overview Are you an experienced RN with a strong background in Quality including quality of care reviews, incident investigation, and regulatory compliance? VNS Health Plans is seeking a seasoned clinical professional to play a critical role in reviewing and resolving... 
    Health Insurance
    Work experience placement
    Flexible hours

    VNS Health

    New York, NY
    4 days ago
  • $99k - $124k

    Clinical Quality Auditor, Nurse Practitioner United States (Job Title) Benefits Hybrid-Remote Flexibility - Work from home while fulfilling in-person...  ...and disability insurance, health and flexible spending...  ...review patient files, care plans, and interactions against... 
    Remote work
    Health Insurance
    Work at office
    Work from home
    Flexible hours

    Strive Health

    Denver, CO
    16 hours ago
  •  ...Description Job Description Fully remote- Must have state of MI unrestricted RN license. You will perform...  ...~ May establish care plans and coordinate care through the health care continuum including...  ...skills (Microsoft office) Clinical experience in ICU, ER, or medical... 
    Remote work
    Health Insurance
    Work at office
    Flexible hours

    G-TECH Services

    Detroit, MI
    24 days ago
  • $67.3k - $93.05k

    Acentra Health, LLC is seeking a Clinical Assessor for a hybrid role, operating primarily in North Carolina....  ...candidate will hold a valid NC or Compact RN license and have a minimum of two...  ...benefits package including health plans and paid time off. #J-18808-Ljbffr Acentra... 
    Remote job
    Health Insurance

    Acentra Health, LLC

    Salisbury, NC
    1 day ago
  •  ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina...  ...component of near real-time clinical decision-making....  ..., vendors and HEDIS auditors. Assists the...  ...years experience in health plan quality improvement,... 
    Remote work
    Health Insurance

    Saviance

    United States
    3 days ago
  •  ...available Overview: Sentara Health Plansis hiring a Clinical Compliance Consultant/LPN/RN/LCSW/LPC - Remote in Virginia! Status: Full-...  ...Experience 1 year of quality, regulatory, compliance, accreditation...  ...highly preferred Health plan experience preferred... 
    Remote work
    Health Insurance
    Permanent employment
    Full time
    Temporary work
    Shift work

    Sentara Health

    Norfolk, VA
    1 hour ago
  • $67.3k - $70k

    Acentra Health is seeking a Registered Nurse Clinical Assessor in West Virginia to perform medical assessments for Medicaid...  ...local travel and requires a valid RN license and ASN degree. The RN will...  ...offers benefits including health plans, paid time off, and educational... 
    Remote job
    Health Insurance
    Local area

    Acentra Health

    New Martinsville, WV
    1 day ago
  • Ethos is looking for an RN Home Care Supervisor in the City of White Plains, NY...  ...York, a BSN, and at least 3 years of clinical experience. The position offers an excellent benefits package, including health care, retirement plans, and flexible work schedules. #J-18808... 
    Remote job
    Health Insurance
    Flexible hours

    Ethos

    White Plains, NY
    16 hours ago
  •  ...: Position Description: RN-Specialty Location: Hybrid...  ...to come on-site for monthly clinic meetings ** Mercy Heart &...  ..., and matched retirement plans for team members working 32+ hours...  ...Mercy, Days, clinics, outpatient, no weekends, nurse, hybrid, remote
    Remote work
    Health Insurance
    Full time
    Work from home

    Mercy

    Saint Louis, MO
    3 days ago
  •  ...Practitioner with Esperta Health, you'll elevate the...  ..., mentorship, and clinical excellence come...  ...position combines remote clinical...  ...and partner to the RN field team. Key...  ...assessments, and care plans for accuracy and clinical...  ...treatment plans Support quality assurance,... 
    Remote work
    Health Insurance
    Full time
    Temporary work

    Esperta Health

    Nashville, TN
    5 days ago
  • $67.3k - $70k

     ...Company Overview Acentra Health exists to empower...  ...technology, services, and clinical expertise. Our mission...  ...is looking for a RN Clinical Assessor to join...  ...West Virginia, combining remote work from home with field...  ...comprehensive health plans, paid time off, retirement... 
    Remote work
    Health Insurance
    Work at office
    Local area
    Flexible hours

    Acentra Health, LLC

    Morgantown, WV
    4 days ago
  • $60 - $70 per hour

     ...Flexible schedule Position: RN Clinical Supervisor (Part-time, Remote/Flexible) Compensation: ~ $60-$70...  ...be creating and managing a plan of care for individual patients. You...  ...Title 22 HHA regulations and CDPH Home Health Agency standards • Accreditation Commission... 
    Remote work
    Health Insurance
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours
    Shift work

    Atlas Home Health Inc

    Napa, CA
    2 days ago
  • $85k - $92k

     ...41-$44/hr Location: Remote Schedule: Must work AZ...  ...license: RN Minimum 3+ years clinical experience (med/surg and/or behavioral health) Strong clinical documentation...  ...HIGHLY DESIRED) Clinical Quality / Utilization Review...  ...with health plans or large healthcare systems... 
    Remote job
    Health Insurance
    Hourly pay
    Day shift

    TEEMA Solutions Group

    Phoenix, AZ
    3 days ago
  • $31 - $35 per hour

     ...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays...  ...you will help support high-quality care, regulatory compliance...  ...correspondence within a health plan environment Minimum of...  ...This is a 100% remote role, and requires robust... 
    Remote work
    Health Insurance
    Full time
    Flexible hours
    Shift work

    Cohere Health

    United States
    1 day ago
  •  ...Clinical Supervisor, UM Denial Compliance Location:...  ...Position Type: Hybrid (85% remote, 15% onsite in Burbank,...  ...in ensuring a high-quality, efficient, and compliant...  ..., accreditation, and health plan standards for associated...  ...Registered Nursing Program; RN preferred. Minimum... 
    Remote work
    Health Insurance

    Vivo HealthStaff

    Burbank, CA
    1 day ago
  • $95k - $100k

     ...Job Description: Home Health Clinical Team Specialist (RN) Full-time or PRN schedules available Remote (MA Licensed) At Elara Caring...  ...directly impacts compliance, quality, and reimbursement. This...  ...work: OASIS reviews + 485 plan of care review/approval ~... 
    Remote work
    Health Insurance
    Full time
    Relief
    Work at office
    Flexible hours

    Elara Caring

    Boston, MA
    1 day ago
  • $36.66 - $48.48 per hour

     ...At National Jewish Health, Registered Nurses are...  ...care teams to assess, plan, and implement high-quality nursing care while supporting...  ...This role emphasizes clinical excellence,...  ...Colorado Registered Nurse (RN) License and current...  ...regional office and remote employees. Health... 
    Remote work
    Health Insurance
    Full time
    Part time
    Work experience placement
    Currently hiring
    Work at office
    Local area
    Worldwide
    Monday to Friday
    Weekend work

    National Jewish Health

    Denver, CO
    a month ago
  •  ...Quality Improvement Stars Clinical RN Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department...  ...for Medicaid STAR Health Insurance Marketplace Plans that offer individual health coverage that includes... 
    Remote work
    Health Insurance
    Work experience placement
    Work at office

    Harris Health System

    United States
    6 days ago
  • $77k - $80k

    Overview Acentra Health exists to empower better health outcomes through...  ...technology, services, and clinical expertise. Our mission is to...  ...Statewide in North Carolina (remote/home office; travel to assessment...  ...providers; conduct service plan reviews as needed. Submit completed... 
    Remote work
    Health Insurance
    Home office

    Acentra Health

    Kittrell, NC
    4 days ago
  • $34 - $48.62 per hour

     ...Adult Immediate Care Clinic (ICC) at National Jewish Health is seeking a...  ...Summary Accurately plans and provides professional...  ...or Procedural RN is responsible and accountable...  ...[SPP 13]. # Quality of Practice: Contributes...  ...regional office and remote employees. Health... 
    Remote work
    Health Insurance
    Full time
    Part time
    Work experience placement
    Work at office
    Local area
    Immediate start

    National Jewish Health

    Denver, CO
    2 days ago
  •  ...Medical Review Clinical Appeals Auditor (RN) In October 2025, Machinify acquired...  ..., and efficiency to health plans. Deployed by over 75 health...  ...deliver industry-leading speed, quality, and accuracy. We're...  ...to work independently in remote setting with minimum supervision... 
    Remote work
    Health Insurance
    Flexible hours

    Performant Healthcare, Inc.

    United States
    3 days ago
  • $52.5 per hour

     ...RN Clinical Manager / Clinical Consultant (RN or MSW) – California...  ..., project continuation, and health plan needs) Schedule: 9:00 AM – 5...  ...PM PST, Monday–Friday Model: Remote-First (with limited field visits...  ...when requested Quality, Compliance & DHCS Requirements... 
    Remote work
    Health Insurance
    Contract work
    Local area
    Monday to Friday

    Star Nursing

    United States
    7 days ago
  • $85k - $106.3k

     ...assesses needs, gives appropriate clinical recommendations, and guides...  ...every Saturday 9AM - 5PM (REMOTE). What We Provide...  ...off and 9 company holidays Health insurance plan for you and your loved ones,...  ...nurses to the Contact Center RN role and responsibilities... 
    Remote work
    Health Insurance
    Work experience placement
    Flexible hours
    Shift work

    VNS Health

    New York, NY
    16 hours ago
  •  ...Company: Comagine Health is a national, mission...  ...in health care quality consulting and quality...  .... Our talented remote workforce spans the...  ...Retirement savings plan with employer contribution...  ...is an active RN and based in Alabama...  .... The Supervisor, Clinical Review plays a critical... 
    Remote work
    Health Insurance
    Contract work

    Council of State and Territorial Epidemiologists

    Sacramento, CA
    2 days ago
  • $50k

    Department Overview The Clinical Documentation Specialist will...  ...conditions, treatments and care plans within the health record to accurately...  ...physicians to ensure high quality documentation that supports...  ...review of patient records in a remote setting. The Registered Nurse... 
    Remote work
    Health Insurance
    Full time
    Part time

    Oregon Health & Science University

    New York, NY
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN Clinical Quality Auditor for Health Plans. Be the first to apply!