Remote RN - Quality Review & Improvement
$91.25k - $120.91kIEHP
IEHP in Rancho Cucamonga is seeking a qualified healthcare professional for a short-term assignment focused on quality assurance and management. The role includes reviewing cases, providing recommendations, and working closely with Medical Directors. The ideal candidate will have at least three years of relevant experience in healthcare settings and a bachelor's degree in nursing. The pay range for this position is between $91,249.60 and $120,910.40 USD annually. #J-18808-Ljbffr
- ...MVP Health Care is seeking a remote Sub-Acute RN UM Reviewer to join its Utilization Management team. In... ...Medicare guidelines and support high-quality patient outcomes. The role requires... ...and benefits. If you're committed to improving health care, we want to hear from...Remote workQuality
- ...meetings with our team. What you’ll do Chart Review: review patient records to ensure that... ...teams about potential opportunities to improve medication experience Liaise with... ...feedback to Nuna product teams Participate in quality improvement efforts What we’re looking for...Remote workQualityContract workPart time
- ...Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must... ...(LPN) or Registered Nurse (RN) with strong critical thinking skills... ...clinical reviews, assisting in quality improvement, and resolving patient care issues...Remote workQuality
- ...JOB SUMMARY The CDI Quality Review Nurse (QRN) will work under the... ...and capture opportunities to improve the integrity of the medical... ...Licenses and Certifications (RN) REGISTERED NURSE Upon Hire and... ...Experience working in a remote environment JOB DUTIES...Remote workQualityFull time
- ...Senior Specialist, Quality Improvement 100% remote- candidates can work from anywhere. Will be M-F 8-5pm EST NO OT. Must have requirements: RN, knowledge of Case Management What are the day... ...Compliance surveys; preparation and review of potential quality of care and...Remote workQuality
- ...Job Summary Position: CDI Quality Review RN - (948267). The CDI Quality Review Nurse (QRN) will... ...identify and capture opportunities to improve the integrity of the medical record. Focus... ..., and experience working in a remote environment. Benefits PPO medical plan,...Remote workQualityFull time
$69.38k - $92.28k
...championing equity, and continuously improving how we serve our communities.... ...over 40 years, offering high-quality health plans across New York... ...As a Professional Concurrent Review RN, you'll have the opportunity... ...you'll be: Location: Remote Pay Transparency MVP...Remote workQualityContract work$50 per hour
...Medical Review RN IV – Commercial Appeals & Grievance Nurse Location: Remote – Candidate Must Reside in California Duration... ...Utilization Management teams, Quality, Pharmacy, Claims, and Customer... ...met. Support quality improvement initiatives related to appeals...Remote workQualityContract workWork at officeLocal areaMonday to Friday- ...SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to... ...and contribute to process improvement initiatives. o Communicate... ...levels of care. • Quality Assurance and Compliance... ...required for facility based staff; optional for remote staff.Remote workQualityWork at office
$47.69 - $94.06 per hour
...Job Summary The Utilization Review (UR) Nurse supports the Utilization... ...participates in process improvement initiatives and works with multiple... ...review, care management, quality management, or discharge... ...St. Peter Hospital Location: Remote, Olympia, WA (work site Providence...Remote workQualityHourly payFull timeLocal areaShift workDay shift$91.25k - $120.91k
...we believe the highest quality of care should be delivered... ...of case assignments Reviewing escalated issues... ...quality management, quality improvement, utilization management... ...unencumbered Registered Nurse (RN) license issued by the... ...for telecommuting/remote work location upon...Remote workQualityTemporary workWork experience placement$28.76 - $62.3 per hour
...medical claim and internal appeals review activities - ensuring... ...overarching strategy to provide quality and cost-effective member... ...Develops tools and process improvements based on identified trends to... ...experience. Registered Nurse (RN). License must be active and...Remote workQualityHourly payWork experience placementWork at office$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL... ...DEPARTMENT: CASE MANAGEMENT (QUALITY) HOURS & SHIFT... ...combination of in person and remote considered) GENERAL SUMMARY... ...Hospital's continuous quality improvement efforts designed to enhance...Remote workQualityHourly payFull timeWork at officeRelocation packageShift work- ...program to identify a Clinical Quality Reviewer. This role focuses on... ...concerns, and supporting quality improvement initiatives across a complex... ...as a Registered Nurse (RN) or Licensed Clinical Social... ...environment Other Information Remote or onsite depending on business...Remote workQualityWork at officeHome office
- ...25 applicants Job Title:Clinical Review Nurse (RN) – Utilization Management Location... ...Collaborate with supervisors on quality assurance and continuous improvement Maintain up-to-date knowledge of... ...Clinical Program Coordinator RN *Remote* Clinical Program Coordinator RN...Remote workQualityContract work
$31 - $35 per hour
...Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical... ..., you will help support high-quality care, regulatory compliance, and improved member outcomes. Consult... ...applications This is a 100% remote role, and requires robust internet...Remote workQualityFull timeFlexible hoursShift work- ...the range. Salary range will vary for remote positions outside of California and future... ...visas. POSITION SUMMARY The RN, Quality Improvement (QI) will support the Quality... ...Services arena, including Facility Site Review (FSR) Medical Record Review (MRR), Potential...Remote workQualityOngoing contractWork from homeVisa sponsorshipWork visaFlexible hours
- ...Performs focused clinical reviews of inpatient and outpatient claims... ...the required accuracy and quality standards for review, diagnosis... ...education, or process improvement. Supports continuous improvement... ...: Registered Nurse (RN). License must be active and...Remote workQualityWork at office
$51.43 - $79.84 per hour
...Description – This is a remote role. You MUST live in... .... Care Manager RN, Per diem / On call, Day... ...shift. The Utilization Review (UR) Nurse has a strong... ...participates in process improvement initiatives, working with... ...by expanding access to quality health care for all....Remote workQualityDaily paidLive inShift workDay shift$80k - $90k
...industry-leading speed, quality, and accuracy. We’re... ...Responsibilities*** Performs clinical reviews on medical records to... ...to the continuous improvement feedback process and... ...work independently in remote setting with minimum... ...** Active unrestricted RN license #J-18808-Ljbffr...Remote workQualityFlexible hours$30 - $38 per hour
...reduce costs while actually improving health outcomes. Together, our... ...We are seeking Utilization Review Nurse RN to join our team on a part‑... ...Ability to meet productivity, quality, and turnaround times daily.... ...successfully perform in a remote healthcare environment. Ability...Remote workQualityHourly payFull timePart timeWork at officeMonday to FridayWeekend work- ...Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national... ...that has engaged in health care quality consulting and quality improvement services for more than 50 years.... ...patient outcomes. Our talented remote workforce spans the country and...Remote workQualityFull timeContract work
- ...Quality Improvement / Quality Assurance / Compliance Registered Nurse (QI/QA/Compliance RN) The Quality Improvement / Quality Assurance / Compliance... ...'s rural, frontier, and remote healthcare environments.... ...orders Participate in peer review and clinical case review...Remote workQualityWork at office
$2,250 per week
...is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in... ...~ Skilled experience with remote work LENGTH OF... ...healthcare organizations provide quality patient care that... ...streamline processes, and improve efficiencies. The company...Remote workQualityTemporary workShift workNight shiftWeekend work$91.25k - $120.91k
...to Director of Hospital Relations, the Quality Improvement, RN will facilitate quality improvement... ..., provider training/education, policy review/development, and regulatory/accreditation... ...a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga...Remote workQualityTemporary workWork at officeLocal areaFlexible hours- ...internship for a Registered Nurse (RN) in Kentucky, aimed at transitioning... ...internship will involve conducting clinical reviews, communicating with healthcare... ...health experience. The role is remote, focusing on healthcare quality assurance and compliance within the...Remote workQualityInternship
- ...company is seeking a Registered Nurse (RN) Intern to conduct clinical reviews and support healthcare initiatives.... ..., providing key training in a remote work setting. Key responsibilities include... ...reviews, documentation, and quality assurance. Applicants must have a valid...Remote workQualityInternship
- ...Utilization Review Specialist The Utilization Review Specialist is responsible for... ...concentration on tasks that promote cost-effective quality care and cost containment in accordance... ...discharge plans Supports performance improvement programs Performs continuing review...Remote jobQualityWeekly payContract workWork at officeLocal area
- ...hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant... ...providers. This position offers the flexibility of remote work while supporting professional growth...Remote workQuality
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote workQuality
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