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
$90k - $110k
...Job Description Job Description Description: Job Role The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment...Remote jobTemporary workCasual workWork at office$95 - $105 per hour
...RN | Quality Assurance Nurse Consultant **Location:** Puget Sound, Washington (... ...| Hybrid/Partially Remote **Travel:** Bi-monthly... ...California Help Shape Clinical Excellence Across... ...conducting quality reviews, and helping communities... ...and comprehensive chart reviews to evaluate...Remote workHourly payTemporary workPart timeWork at officeFlexible hours$31 - $35 per hour
Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in... ...you will help support high-quality care, regulatory... ...outcomes. What you’ll do: Consult with Medical Directors on... ...this role: This is a 100% remote role, and requires robust...Remote workFull timeFlexible hoursShift work$35 - $43 per hour
...Clinical Quality Improvement Advisor, Part-Time At CPCQC,... ...outcomes Facilitate the review, benchmarking, and... ...data outcomes, control charts, run charts, and more... ...healthcare setting (e.g., RN, CNM, NP, MD, case... ...collaboratively in a remote, team-based environment...Remote workHourly payPart timeLive inRelocation$29 - $52 per hour
...UnitedHealth Group is seeking a qualified Registered Nurse in Massachusetts to perform clinical coverage review services. As part of this role, you will communicate benefit determinations and work closely with healthcare providers to explain coverage. We offer telecommuting...Remote workHourly pay- ...TEEMA Solutions Group is looking for a Clinical Quality Reviewer to support a large-scale federal healthcare... ...ideal candidate will have an active RN or LCSW license, at least 3 years of... ...skills. This role offers flexibility with remote or onsite work options, depending on...Remote work
$85k - $92k
...TEEMA Solutions Group is seeking a Clinical Quality Reviewer to support a federal healthcare program. This... .... Candidates must have a valid RN or LCSW license with at least three years... ...clinical experience. The position may be remote or onsite based on business requirements...Remote workWork at officeHome office- ...Comagine Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity of healthcare services. This full... ...and ensuring compliance with clinical policies for quality care. Candidates should possess a BA/BS in Nursing,...Remote workFull time
- TALENT Software Services is seeking a Clinical Quality Reviewer to investigate PQI allegations and review cases... ...the Manager, Clinical Quality Review in a remote environment. The role requires an organized, detail-oriented RN with extensive clinical knowledge, including...Remote job
- ...Nurse with active licensure and minimum 3 years of clinical experience for a remote position. Candidates must have strong clinical... ...DoD background clearance. This role involves reviewing medical records, identifying quality issues, and supporting quality improvement...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- ...Utilization Review Nurse Participates as a member of a multidisciplinary... ...completion of appropriate clinical review of all applicable... ...as well. This role will be remote but regular meetings/trainings... ...orders, and reporting quality issues. Reviews concurrently...Remote workReliefWeekend work3 days per week
- ...federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing... ...unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW... ...-driven environment Other Information Remote or onsite depending on business needs Must...Remote workWork at officeHome office
$80k - $90k
...deliver industry-leading speed, quality, and accuracy. We're... ...: $80-90k The Medical Review Clinical Appeals Auditor (RN) is responsible for conducting... ...business insights. Consults with internal resources as... ...to work independently in remote setting with minimum supervision...Remote workFor contractorsImmediate startWork from homeHome officeFlexible hoursShift work$29 - $52 per hour
...Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier... ...: ~ Associate's degree ~ Active and unrestricted RN license OR LPN in the state of residence ~2+ years of clinical...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal area- Myaegis is hiring an Oasis / Coding Review Specialist in Mesa, AZ. This full-time role involves reviewing clinical charts, supporting quality improvement initiatives, and coaching clinicians... ...has a healthcare background (LPN, RN, PT, or PTA) and must possess strong documentation...Remote jobFull time
- ...Clinical Quality Reviewer RN (Quality of Care Review) Duration: 9+ Months (Potential Extension and Conversion to FTE) Location: Remote - CA Work Schedule: Monday – Friday | 8:00 AM – 4:30 PM / 5:00 PM (depending on 30-minute or 1-hour lunch) Hours: 40 Hours per Week...Remote workWork experience placementWork at officeMonday to Friday
- ...To build and manage a clinical Quality Assurance program, the full-time Clinical Quality Assurance Specialist, RN will review patient charts, ensure documentation compliance, and collaborate... ...teams to enhance care quality in a remote setting. Key responsibilities Review...Remote workFull time
- ...Description Job Description Fully remote- Must have state of MI unrestricted RN license. You will perform... ...prospective, concurrent and retrospective review of inpatient, outpatient,... ...computer skills (Microsoft office) Clinical experience in ICU, ER, or medical...Remote workWork at officeFlexible hours
$80k - $95k
...by addressing the social and clinical barriers that get in the way... ...a sharp, operations-minded RN to make sure every patient encounter... ...We are looking for a Quality Assurance Specialist, RN, to... ...checklist job. You will review patient charts, design and run the QA schedule...Remote workPermanent employmentLocal area- ...healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews,... .... Candidates need an active RN license and 2-4 years experience... ...essential for maintaining high-quality care. This 12-month contract...Remote workContract work
- ...WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing medical necessity, resolving escalations, and maintaining HIPAA-compliant documentation with HealthHelp policies. Requires active nursing license...Remote workWork at office
- ...Role Chronic disease isn't managed in a clinic. It is managed at home, in relationships... ...with our team. What You'll Do Chart Review: review patient records to ensure that... ...to Nuna product teams Participate in quality improvement efforts What We're...Remote workContract workPart time
- ...Opportunity Are you looking for a non-clinical opportunity for work/life balance... ...us as an Medical Director to conduct chart and peer reviews from your home office. Where you’ll be... ...the lives of patients by improving the quality of healthcare nationwide. This is a...Remote workFull timePart timeWork from homeHome officeMonday to FridayWeekend work
- ...A healthcare organization is seeking a Clinical Review Nurse – Concurrent Review to perform utilization management functions remotely. The role requires conducting concurrent reviews... ...with medical teams, and ensuring quality healthcare outcomes. Candidates should have...Remote workWork at office
- ...Providing support for inpatient and outpatient clinical claim review activities, the full-time Remote Registered Nurse Clinical Reviewer will verify coded diagnoses... ...Active and unrestricted Registered Nurse (RN) license in the state of practice Advanced knowledge...Remote workFull time
$29 - $52 per hour
...on some tough challenges. Primary Responsibilities Perform clinical coverage review services, which require interpretation of state and federal... ...Required Qualifications Associate's degree Current unrestricted RN license in the state of Massachusetts 3+ years of experience...Remote workHourly payMinimum wageFull timeWork experience placementLocal area- ...Technology and Business consulting services. We are in... ...Team. Job Title: Clinical Medical Review Nurse. Location: Owings... ...Summary The Contingent RN supports CareFirst by... ...cost-containment and quality-improvement... ...collaborative mindset. Remote work environment with...Remote work
- ...DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible... ...to overarching strategy to provide quality and cost-effective member care.... ...and experience. • Registered Nurse (RN). License must be active and unrestricted...Remote workFull timeWork at office
$69.3k - $78k
...integrity company is seeking a Medical Review Nurse II - Clinical Validation to perform medical claims... ...Payers. The position requires an active RN license and a minimum of five years... ...claims and documenting findings, all in a remote work environment. This role offers a...Remote job
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