Alabama RN: Remote Clinical Reviewer & QIDP
Council of State and Territorial Epidemiologists
- Remote job
The Council of State and Territorial Epidemiologists is seeking a Registered Nurse (RN) for a dual role performing Clinical Review work and Quality Improvement Designation Program (QIDP) reviews. The position is primarily remote, requiring reliable internet access, and involves applying Medicaid criteria, reviewing care necessity, and responding to client needs. Candidates must possess a BA/BS in Nursing and an active RN license in Alabama, along with a minimum of three years of clinical experience. This role also covers crucial responsibilities such as customer interaction and participation in meetings for effective care evaluation. #J-18808-Ljbffr Council of State and Territorial Epidemiologists
- Stryker Corporation is seeking an RN for Clinical Review and QIDP reviews, working remotely with a focus on applying Alabama Medicaid criteria to healthcare services. The ideal candidate must have a BA/BS in Nursing and be an active RN in Alabama. Key responsibilities...Remote job
- A national nonprofit organization is seeking a Registered Nurse (RN) to perform Clinical Review work and QIDP reviews. This remote position requires an active RN license in Alabama and at least three years of direct patient care experience. Key responsibilities include...Remote job
- The Council of State and Territorial Epidemiologists is looking for a remote RN to perform clinical review and QIDP work. This position requires an active RN license in Alabama and a minimum of 3 years of direct patient care experience. Your responsibilities include applying...Remote jobFlexible hours
- ...Council of State and Territorial Epidemiologists is seeking an RN to perform Clinical Review and QIDP reviews. This role is primarily remote, requiring a reliable internet connection and active RN licensure in Alabama. Key responsibilities include applying Medicaid program...Remote job
- A health organization is seeking a Registered Nurse (RN) to perform clinical review and QIDP work remotely. The ideal candidate will assess medical necessity according to Alabama Medicaid guidelines and possess a current RN license in Alabama, along with a BA/BS in Nursing...Remote job
- ...care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role... ...professionally. Position Overview We are seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess the medical necessity and quality of healthcare...Remote workFull timeContract work
$85k - $92k
...Hourly Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (... ...HAVE) Active, unrestricted license: RN Minimum 3+ years clinical experience (med/surg and/or behavioral... ...DESIRED) Clinical Quality / Utilization Review / Case Review experience Experience with...Remote workHourly payDay shift- ...Registered Nurse with active licensure and minimum 3 years of clinical experience for a remote position. Candidates must have strong clinical... ...eligible for DoD background clearance. This role involves reviewing medical records, identifying quality issues, and supporting...Remote work
$50 per hour
...Overview RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time Hourly Rate: $50/hr Position Overview Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a non-...Remote workHourly payFull timeWork at officeFlexible hours$50 per hour
...A leading healthcare staffing firm is seeking an experienced RN Clinical Reviewer to work remotely. You'll conduct detailed medical-legal reviews and appeals while maintaining high accuracy and integrity. Key qualifications include a New York State RN license and at least...Remote work- ...Astyra Corporation is seeking a remote position focusing on clinical expertise to review medical records to meet contract requirements. The role requires an active clinical license in Indiana or a Compact State and offers a flexible schedule of up to 25 hours weekly....Remote workContract workFlexible hours
- ...COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...Remote workFull time
- ...recruiting firm is seeking qualified candidates for a remote RN or LCSW position. Candidates should have at least 3 years of clinical experience in med/surg or behavioral health,... ...clearance. Responsibilities include reviewing medical records, identifying potential quality...Remote work
$50 per hour
...Staffing is looking for an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly rate of $50. This role involves conducting... .... Candidates should have an active New York State RN license and 1-3 years of experience in acute care...Remote jobHourly pay$50 per hour
Greenlife Healthcare Staffing is seeking a qualified nurse to perform utilization reviews and clinical data collection in New York. The ideal candidate will have an active New York State RN license and 1-3 years of experience in acute care. This role offers competitive...Remote jobHourly pay$85k - $89k
TriWest Healthcare Alliance in Phoenix, AZ, is seeking a Registered Nurse or Licensed Clinical Social Worker. This position ensures compliance with clinical quality management for Veterans, identifying and evaluating potential quality issues. Candidates must have 3 years...Remote job- Q-Centrix is seeking a Senior Clinical Data Specialist to join our team in Chicago, focusing on delivering quality solutions to healthcare... ...in MS Office, and hold active SCR certification along with RN credentials. We value critical thinkers who can thrive independently...Remote job
$80k
A healthcare organization is seeking a full-time Clinical Reviewer to enhance the lives of older adults and individuals with developmental disabilities... ...medical records, conducting analyses, and writing reports. Remote work is primarily allowed, with occasional in-person meetings...Remote jobFull time- ...A leading travel nursing agency is seeking an experienced travel nurse RN for the Operating Room in Selma, Alabama. This remote assignment is for 13 weeks, and you will work 40 hours per week during day shifts. The agency provides support for your travel needs, enabling...Remote workDay shift
$38.46 - $43.27 per hour
ISLAND PEER REVIEW ORGANIZATION INC is hiring a Clinical Reviewer in Jericho, NY. This full-time position requires a Licensed Registered Nurse with a Bachelor... ...a salary range of $38.46 to $43.27 hourly and allows remote work one day per week after the introductory period....Remote jobHourly payFull time1 day per week$85k - $89k
Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD... ...with contract requirements for clinical quality management (CQM) to ensure quality... ...issues and prepares summaries for further review and analysis. Supports activities of peer...Remote workContract workTemporary workWork at officeLocal area$50 per hour
...healthcare recruitment agency is seeking a Registered Nurse Clinical Reviewer for a remote to office-based position in Jericho, NY. This role involves... ...has a baccalaureate degree in Nursing and a current NY RN license with at least 3 years of related experience. Competitive...Remote jobWork at office- Stryker Corporation is seeking Clinical Utilization Review Nurses (RN) based in Alabama for a full-time remote position. The role involves assessing the medical necessity and quality of healthcare services, ensuring compliance with criteria and policies specific to Alabama...Remote jobFull time
- ...UnitedHealth Group is looking for a Secondary Review Nurse in Indiana. This role requires a current RN license and involves evaluating clinical requests for Home and Community-Based Services. The position offers remote work flexibility and responsibilities include collaborating...Remote workWork from home
- ...seeking a dedicated Registered Nurse (RN) to join the Medical Review team. This role involves conducting... ...medical reviews to ensure compliance with clinical guidelines. The successful candidate... ...essential. This position offers a remote work environment with all necessary equipment...Remote work
- ...Description: Duration: 8 months contract (with possible extension) *Note: Candidates can be remote but must have an active unrestricted Massachusetts RN License Job Summary The Clinical Reviewer, Precertification RN, is a licensed Registered Nurse that is expected to function...Remote workContract workWork at officeWork from home
$38.46 - $43.27 per hour
...Clinical Reviewer As the Clinical Reviewer, you will be responsible for the review and processing... ...the Jericho, NY office. Ability to work remotely one day per week after introduction... ...Registered Nurse, required (open to any RN state license). Graduate of a School...Remote workHourly payFull timeFor contractorsWork at office1 day per week$75k - $90k
...JOB TITLE ( # 1138 ): RN Health Care Facility Surveyor - Alabama CMS’s Long-Term Care Basic Training and SMQT certification... ...Surveyor : The position is 100% remote with up to 75% travel. The Surveyor... ..., observation of care, record review, interviews of staff and families,...Remote workFull timeWork at officeImmediate startMonday to FridayFlexible hours- ...looking for a qualified applicant to perform medical reviews and support medical claims processing. The role... ...claims and documenting decisions based on established clinical guidelines. Applicants must hold an active RN license and have at least two years of clinical...Remote workFull time
$67.7k
...consulting firm is seeking a Medical Claims Reviewer to conduct medical reviews and provide guidance on claims. This remote role requires an active RN license, a bachelor's degree in nursing, and at least five years of clinical experience. Ideal candidates will work full...Remote workFull timeMonday to Friday
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