Remote RN: Clinical Chart Review & Quality Consultant
$35 - $50 per hourVatica Health
A healthcare technology company seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for independent contractors, focusing on chart reviews and clinical data analysis. Candidates should have an active RN license, at least 3 years of adult health experience, and strong clinical judgment. The hourly rate ranges from $35 to $50, with the potential for contract renewal, but independent contractors manage their own taxes and benefits. #J-18808-Ljbffr
$48 - $65 per hour
Remote Registered Nurse - Clinical Review Fully Remote | $48-$65/hr | Monday-Friday, 9:00 AM-6:00 PM ET Medix is... ...work What we’re looking for Active RN license BSN preferred 3+ years of... ...prior authorization, population health, chart review, or digital health is...Remote jobLong term contractMonday to Friday$70k - $95k
We are seeking a remote Clinical Claims Review RN to join an established and growing clinical review team.... ...who has already built experience in chart auditing, claims review, coding, utilization... ..., and appeals Meet established quality, accuracy, and turnaround standards in...Remote workHourly payFull timeWork at officeLocal areaMonday to Friday- ...looking for a licensed Nurse Practitioner to serve as a Clinical Chart Reviewer. This remote role requires conducting patient evaluations and reviewing... ...will develop individualized care plans and engage in quality assurance efforts to improve patient outcomes. A minimum...Remote job
- Managed Medical Review Organization is seeking a licensed RN to join our team for remote, home-office work. This role emphasizes telephonic customer service, accurate documentation, and clinical review of medical records with no face-to-face patient contact. Applicants...Remote jobWork at officeWork from homeHome office
- Optum is seeking a remote IRR Clinical Claim Review Nurse to perform clinical review of claims against medical records and guidelines. The role requires an active RN license, 2+ years of acute care clinical experience, and 1+ year in claim review or related areas. You...Remote jobWork from home
$43 - $47 per hour
...Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year... ...an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office setting. This is a contractual role...Remote work- ...is seeking a Registered Nurse for a remote role with Arizona hours (1st shift). You will review medical records for quality, safety, and utilization issues, identify... ...Directors. Must hold an active RN license, have 3+ years of clinical experience in med/surg or behavioral...Remote workDay shift
- ...Management Registered Nurse (RN) for a fully remote, full-time position. The... ...medical necessity criteria to reviews, documenting findings, and... ...active and 3+ years clinical experience preferred. Responsibilities... ..., and participation in quality initiatives. #J-18808-...Remote workFull time
- ...Managed Medical Review Organization is seeking a Registered Nurse to join the team in a remote, home-office setting. The role emphasizes... ...patient data documentation, and clinical review experience, with no... ...face patient contact. The RN will verify credentialing, coordinate...Remote workHome office
- ...organization that has engaged in health care quality consulting and quality improvement services... ...and patient outcomes. Our talented remote workforce spans the country and... ...Overview We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team member...Remote workContract work
- ...We are searching for a new RN to join our team. Our... ...enjoy the flexibility to work remotely and do not have face-to-... ...skills in addition to clinical experience. Please review the roles and responsibilities... ...by the Bookkeeper. Quality review rough draft versions...Remote workHome office
- UnitedHealth Group is seeking a Remote Appeals Clinician in Texas. You will conduct comprehensive reviews of Medicaid-related... ...records, and provide independent clinical judgments on medical necessity... ...Requirements include a Texas RN license and 2+ years in Medicaid...Remote jobFlexible hours
- ...Acentra Health is seeking a Clinical Reviewer to join our growing team. You will apply clinical... ...accuracy and compliance. The position is remote national scope, with on‑call weekends,... ...cross‑functional teams to support high‑quality health solutions for public sector...Remote workContract workWeekend workAfternoon shift
- UnitedHealth Group seeks a Clinical Review Clinician to act as a subject matter expert in itemized bill reviews and hospital facility bill... ...payment as part of a team preparing Forensic Reviews for clients. Remote work is available nationwide, with responsibilities spanning...Remote job
- Comagine Health is seeking a Clinical Utilization Review Nurse (RN) for a 100% remote, full-time role supporting Alaska contracts. The nurse will assess medical necessity and care quality through prospective, concurrent, and retrospective reviews, applying InterQual criteria...Remote jobFull time
- ...through technology, services, and clinical expertise. Our mission is to... ...to increase efficiency, quality, and impact in their roles.... ...Health is looking for a Clinical Reviewer to join our growing team.... ...requirements. ~*Position is remote* ~*Required Work Hours: On‑call...Remote workContract workReliefWeekend workAfternoon shift
- UnitedHealthcare, part of the UnitedHealth Group family, invites you to join as a SSBV Clinical Claims Review RN. This role is a multifaceted position with autonomy and responsibility, focusing on administrative reviews of inpatient hospital claims and documenting determinations...Remote jobWork at office
- Managed Medical Review Organization, Inc. is seeking an experienced RN to join our team in a remote, home-office capacity. The role emphasizes telephonic/customer service, accurate documentation, and clinical review of cases. Candidates must reside in Michigan, Florida...Remote jobHome officeMonday to Friday
- Natera is seeking an experienced Oncology Registered Nurse (RN) to support the clinical review and validation of AI-driven workflows that power Signatera reimbursement and coverage operations. The role combines oncology expertise with a curiosity for technology and process...Remote job
- 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+ years in med/surg and... ...healthcare systems. This role focuses on quality review, PQIs, and collaborating with...Remote job
- A leading organization in healthcare quality is seeking a Clinical Quality Reviewer to review clinical cases and identify potential quality or safety concerns. This remote position is ideal for licensed clinical professionals with a strong analytical mindset and a minimum...Remote job
$112.7k - $193.2k
...200/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...together.The Clinical Quality Consultant for the Oncogenetic Program... ...enjoy the flexibility to work remotely * from anywhere within the U... ...management, clinical coverage review, member appeals clinical review...Remote workMinimum wageFull timeWork experience placementLocal area- Hippocratic AI is seeking Registered Nurses with 5+ years of clinical experience for a remote data annotation contract role. You will review AI agent conversations across primary care and related areas and provide safety-focused feedback. The position is 1099 contract with...Remote jobContract workFlexible hours
$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 jobHourly pay- 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 quality or safety concerns, and supporting quality improvement initiatives across a healthcare network. The candidate...Remote job
- MES Solutions is seeking a Clinical Quality Assurance Coordinator (RN/LPN) to review peer reports and ensure accuracy, compliance with client agreements, and regulatory standards. This 100% remote role aligns clinical expertise with quality control across cases. The position...Remote jobMonday to Friday
- As a Clinical Documentation Review Specialist (RN), you will help medical staff clarify patient records to ensure appropriate reimbursement and reflect care... ..., organizational skills, and attention to detail. Remote Work: Equipment provided including laptop, docking station...Remote job
- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims, document determinations, and maintain screening criteria. This multifaceted role offers telecommuting from anywhere in the U.S. and...Remote job
$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 workHourly payDay shift- ...among the first 25 applicants Job Title:Clinical Review Nurse (RN) - Utilization Management Location:... ...demands Collaborate with supervisors on quality assurance and continuous improvement... ...Opportunities) Clinical Program Coordinator RN *Remote* Clinical Program Coordinator RN *...Remote workContract work
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