Remote RN Clinical Reviewer - Healthcare Quality
Comagine-Health
- Remote job
Comagine Health in Washington State is seeking an experienced Registered Nurse to join our remote Clinical Reviewer team. The role focuses on assessing medical necessity, appropriateness, and quality of care through prospective, concurrent, and retrospective reviews for inpatient and outpatient services. You will work with physician consultants, adhere to contract and regulatory standards, and support continuous quality improvement while enjoying the flexibility of a remote, work-from-home #J-18808-Ljbffr Comagine-Health
- ...Comagine Health is seeking a Clinical Reviewer (RN) remotely to support Washington state contracts. The role evaluates medical necessity and quality of care, collaborating with physician consultants and internal teams to ensure compliant, evidence-based decisions. The...Remote workQuality
$93.35k - $132.43k
...: Sentara Health Plans is hiring a Clinical Claims Reviewer/ RN - Remote! Status: Full-time, permanent position... ...(BOI), National Committee for Quality Assurance (NCQA), Centers for Medicare... .... Be a part of an excellent healthcare organization that cares about our People...Remote workQualityPermanent employmentFull timeTemporary workWork at officeShift work$85k - $92k
...41–$44/hr Location: Remote Schedule: Must work... ...unrestricted license: RN Minimum 3+ years clinical experience (med/surg... ...Desired) Clinical Quality / Utilization Review / Case Review experience... ...federal or government healthcare programs InterQual or...Remote workQualityHourly payDay shift- ...TEEMA Group is seeking a Clinical Quality Reviewer (RN or LCSW) for remote work in approved states. This role focuses on reviewing clinical cases, identifying... ...supporting quality improvement initiatives across a healthcare network. The candidate must hold an active RN or...Remote workQuality
- ...Job Title: Preoperative Clinical Review RN About the Client: A specialized... ...dedicated to providing high-quality ophthalmic surgical care. The... ...supported by an experienced team of healthcare professionals. Overview:... ...: Night Shift Setup: Remote Why Join STAFFVIRTUAL? Competitive...Remote workQualityNight shift
- ...experienced Registered Nurse to serve as Clinical Reviewer in a remote, Washington-based role. You will assess medical necessity and the quality of healthcare services via prospective, concurrent,... ...decisions. The ideal candidate has RN licensure in Washington and at least...Remote jobQuality
- Lynn Rodens is seeking a skilled Clinical Reviewer/Nurse for a remote role aligned with AZ hours. The position requires active RN license, U.S. citizenship, 3+... ...experience with health plans or large healthcare systems. This role focuses on quality review, PQIs, and collaborating...Remote jobQuality
$45 - $50 per hour
Greenlife Healthcare Staffing is 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... ...an active New York RN license. #J-18808-Ljbffr...Remote jobQualityHourly pay$32 - $38 per hour
...technology, services, and clinical expertise. Our mission... ...increase efficiency, quality, and impact in their roles... ...expertise for the review of medical records against... ...a Registered Nurse (RN) in any state and/or a... ...redefine expectations for the healthcare industry. State and...Remote workQualityContract workWork at officeLocal areaMonday to Friday- ...Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home Department: Care Management Contract: Washington Labor &... ...building a career in clinical review and healthcare quality. Why Comagine Health? At Comagine...Remote workQualityFull timeContract workLocal areaWork from homeHome office
- ...has engaged in health care quality consulting and quality... ...patient outcomes. Our talented remote workforce spans the... ...Overview We are seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess... ...necessity and quality of healthcare services through prospective...Remote workQualityFull timeContract work
- ...first 25 applicants Job Title:Clinical Review Nurse (RN) - Utilization Management... ...with supervisors on quality assurance and continuous improvement... ...Bachelor’s degree in a healthcare-related field At least 2 years... ...Program Coordinator RN *Remote* Clinical Program Coordinator...Remote workQualityContract work
$62.7k - $100.4k
Clinical Care Reviewer II-RN with Compact License Apply ( remote type Remote locations Remote time type Full time posted... ...as monitoring the delivery of healthcare services. Essential Functions... ...standards Identify and refer quality issues to Quality Improvement...Remote workQualityHourly payFull timeWork at office- ...PRN Remote RNSubject Matter Expert (SME) Clinical Content Writer/Reviewer Are you an experienced Cardiac Cath Lab RN or Critical Care RN looking to apply your expertise... ...to help develop high-quality clinical competency assessments for healthcare professionals nationwide...Remote workQualityFor contractorsInterim roleReliefFlexible hours
- ...To enhance the quality of clinical documentation, the full-time Washington State RN Clinical Documentation Specialist... ...will interact with healthcare providers to... ...services rendered, working remotely during daytime hours.... ...in utilization review and/or as a clinical...Remote workQualityFull time
- ...To enhance the quality and completeness of clinical documentation, the full-... ...salaried Washington RN Clinical Documentation... ...collaboration with healthcare providers and coding... ...rendered, all in a remote setting. Key responsibilities... ...in utilization review and/or as a clinical...Remote workQualityFull time
$65.31k - $100.53k
...everything. Grow your career as an RN, Ambulatory Clinical Documentation Specialist and help guide the quality, consistency, and... ...days No holidays or weekends Remote position (must live in WI, IA... ...for-profit, patient-centered healthcare network based in Green Bay and...Remote workQualityLive inLocal areaWork from homeMonday to FridayWeekend work- ...RN, Ambulatory Clinical Documentation Specialist - 15625Posted 2 days agoUS:WI... ...Specialist RN and help guide the quality, consistency, and... ...days. No holidays or weekends.Remote position (must live in WI,... ...Bellin?With so many amazing healthcare organizations in this area,...Remote workQualityFull timeLive inLocal areaMonday to FridayWeekend work
$53 - $59 per hour
## Clinical Documentation SpecialistApplylocations: 1... ...Documentation Specialists will review the documentation and... ...safety indicators/quality, hospital acquired... ...Quality, HIM and other healthcare professionals D.... ...Environmental Demands: Remote with occasional onsite...Remote workQualityHome officeShift work- RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse... ...regarding benefits and clinical criteria and assess and... ...Preventive Services, Subrogation, Quality of care Referrals, etc.).... ...America's most trusted Healthcare Services Firms, which...Remote jobQualityFull timeContract workLocal areaShift work
$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 and clinical experience in healthcare. Responsibilities include reviewing...Remote workQualityFull time$26.8 per hour
...Join Maximus as a Clinical Reviewer (LPN) and play a vital role in supporting... ...) program. In this fully remote position, you will help ensure... ...team, you will partner with healthcare providers, monitor screening... ...trends, and contribute to quality outcomes for individuals requiring...Remote workQualityContract workTemporary workHome office- ...eight hospitals and over 180 clinics, we are the region’s largest... ...provided. Performs concurrent review of patient records for documentation... ...): The transformation of healthcare diagnosis, procedures,... ...effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages...Remote jobQualityTemporary workWork experience placementReliefLive out
$78k - $85k
Overview Medicaid Medical Review RN (Medical Reviewer III) - REMOTE The Medicaid Medical... ...responsible for conducting clinical reviews of medical records... ...and contribute to improved healthcare delivery by identifying... ...that meets or exceeds the quality assurance goal of 98%...Remote workQualityFor contractorsH1bH2bWork at officeLocal areaHome office- ...Description The Clinical Nurse Reviewer plays a crucial role in the healthcare industry by evaluating medical... ...regulations and uphold quality of care. This position... ...Qualifications Active RN license (state-specific... ...essential functions. This is a remote position. While...Remote workQualityWork at office
- ...Clinical Documentation Specialist Registered Nurse (RN)Days | Full Time | 7:00-3:30 or 7:3... ...Office HoursHybrid and Remote RotationOne Week... ..., a diversified healthcare delivery network with... ...in the overall quality, completeness, and... ...FunctionsConducts daily reviews of inpatient...Remote workQualityFull timeTemporary workPart timeReliefWork at officeLocal areaRelocation
- ...Clinical Documentation SpecialistRegistered Nurse (RN) Shifts: Days | Full Time | 7:00-3:... ...Hours. Hybrid and Remote Rotation – One Week... ...Health, a diversified healthcare delivery network... ...in the overall quality, completeness, and... ...Functions Conducts daily reviews of inpatient...Remote workQualityFull timeTemporary workPart timeReliefWork at officeLocal areaRelocationShift work
- ...AlliedTech1 is seeking a RN Clinical Documentation Integrity Specialist to work remotely in the United States. The role focuses... ...clinical documentation meets quality and regulatory standards and supports... ...to clarify documentation, review CDI indicators, and contribute...Remote workQuality
- ...Hospital, part of Lifepoint Health, seeks a Clinical Documentation Specialist RN to enhance inpatient documentation quality through collaboration with physicians and care... ...coding and DRG assignment in a hybrid, partly remote schedule. The RN must have strong critical...Remote workQuality
- ...is seeking a Kubernetes-certified? Just kidding. Sorry. actual: RN Clinical Documentation Integrity Specialist Remote at TalentBurst. This role focuses on ensuring medical documentation meets quality and regulatory standards and requires collaboration with clinicians...Remote workQuality
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