Licensed Clinical Quality Reviewer
Virtual Vocations Inc
Delivering data oversight and ensuring compliance with clinical standards, the full-time Licensed Clinical Quality Reviewer will provide clinical analysis, conduct training, and perform quality assurance for psychiatric and cognitive assessments, working remotely. Key responsibilities Conducts activities in accordance with Good Clinical Practice guidelines and contributes to training and quality control procedures Evaluates data in relation to Rater Training and Endpoint Reliability programs, providing feedback and remediation to investigators Monitors internal and external CQR activities, ensuring consistency in review processes and resolving ambiguities with stakeholders Required qualifications Master's Degree, M.D., Ph.D., Psy.D., or Pharm.D. in a healthcare-related field with one year of clinical experience, or Bachelor's degree or RN with 2+ years of clinical experience Fluency in Spanish (written and verbal) to support Spanish-speaking study sites Deep knowledge of psychiatric and cognitive scales, particularly MDD assessments and dementia rating instruments Strong analytical and organizational skills, with a basic knowledge of statistics Comfortable working in a remote environment with diverse teams and cultures
- ...Toxicologists to join our growing team of expert clinical reviewers. In this role, you will apply your... ...and commitment to improving the quality, accuracy, and consistency of healthcare... ...Current, unrestricted Texas medical license Minimum of 5+ years of clinical experience...QualityFor contractorsRemote work
- Do you have a strong clinical background and a talent for turning complex... ...into clear,well-supported review decisions? Comagine Health is... ...remote Clinical Reviewers (Licensed Physical Therapist or... ...that has engaged in health care quality consulting and quality improvement...QualityFull timeContract workPart timeReliefRemote workWork from homeShift work
$48 - $65 per hour
..., Part- Time. LCSW, LMFT, LPCC/LPC, or Licensed Psychologist. $48–$65 per hour, depending... ...control. The Licensed Admissions Clinical Reviewer provides senior clinical expertise and... ...and opportunities to improve assessment quality and admissions processes....QualityHourly payPart timePrivate practiceRemote workHome officeMonday to Friday10 hours per week- Dane Street is seeking experienced, licensed Chiropractors to join our growing team of expert clinical reviewers. In this role, you will apply your chiropractic expertise... ...judgment and commitment to improving the quality, accuracy, and consistency of healthcare assessments...QualityFor contractorsRemote work
$62.7k - $100.4k
Clinical Care Reviewer II-RN with Compact License Apply ( remote type Remote locations Remote time type Full time posted on Posted Yesterday job requisition... ..., and accreditation standards Identify and refer quality issues to Quality Improvement Identify and refer...QualityHourly payFull timeWork at officeRemote work- ...growing team of expert medical reviewers. In this role, you will apply... ...comprehensive reviews of clinical cases and provide objective,... ...commitment to improving the quality, accuracy, and consistency of... .... Current, unrestricted Ohio license/certification & US board certification...QualityFor contractorsRemote work
- ...Maui since 1961 - The leading provider of quality health care for the residents and... ...Overall Purpose of the Position: A Licensed Practical Nurse (LPN) is a nurse that has... ...supervise other health care personnel in clinic, including delegation of duties to other...QualityHourly payFull timeWork at office
$85k - $92k
...Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Job ID: 90896 Location: USA- Remote in approved states Overview: We are partnering with... ...delivery network. This is an excellent opportunity for a licensed clinical professional with experience in clinical review,...QualityHourly payWork at officeRemote workHome office- ...Behavioral Health Services Reviewer Are you passionate about improving... ...? Do you enjoy using your clinical expertise to evaluate needs,... ...to stakeholders; support quality activities and audits; and travel... ...'s degree in nursing and licensed by the State of Oregon ~3 years...QualityFull timeContract workRemote workWork from home
- ...solutions provider is seeking a Remote Pharmacist to conduct VA quality reviews, focusing on clinical assessments without direct patient interaction.... ...a Doctor of Pharmacy (PharmD) and an active pharmacist license in the U.S. Responsibilities include evaluating medical...QualityRemote workFlexible hours
- ...Overview Dane Street is seeking experienced, licensed Chiropractors to join our growing team of expert clinical reviewers. In this role, you will apply your chiropractic... ...judgment and commitment to improving the quality, accuracy, and consistency of healthcare assessments...QualityFor contractorsRemote work
$68k - $71.03k
...Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork The... ...and dedicated team. Claims Clinical Documentation Reviewer Division of Fee for Service (DFSM)... ...Selective Preference(s): Arizona Driver's License Minimum: Two to three years...QualityFull timePart timeInternshipWork at officeRemote workWork from homeLong distanceFlexible hours$80.75k - $110.29k
...41309 Position Summary: The Surgical Clinical Reviewer’s chief responsibility is to collect and... .... This is accomplished through high quality data compilation, documentation and entry... ...EDUCATION: AS: Nursing (Required) LICENSES / CERTIFICATIONS: BLS - Basic Life Support...QualityFull timeLocal areaImmediate startFlexible hours- ...Remote Inpatient Coder will abstract and assign ICD-10-CM/PCS codes to patient claims while ensuring coding quality and integrity through documentation review and collaboration with healthcare professionals. Key responsibilities Ensure accurate assignment of principal...QualityFull timeRemote work
- ...including prior authorization review, concurrent review,... ...regulatory guidelines. Evaluates clinical information to determine medical... ...interdisciplinary teams to promote quality outcomes, appropriate... ...unrestricted Registered Nurse (RN) license issued by the Texas Board of...Quality
$185 per hour
...compliant AI platform that unifies intake, clinical documentation, coding, and quality assurance—enabling agencies to... ...Licensure: Active, unrestricted RN license in your state of residence.... ...: 3+ years in home-health QA/OASIS review, utilization review, or clinical documentation...QualityContract workReliefRemote workShift workWeekend work- Licensed Therapist Clinical Instructor or Clinical Assistant Professor of Psychiatry and the Behavioral... ...of providing access to the highest quality of mental health care for all students... ...environment Participates in quarterly peer review and quality improvement activities...QualityFull timeTraineeshipFlexible hours
- ...organization that has engaged in health care quality consulting and quality improvement... ...We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team member... ...Licensure - Current, active, unrestricted RN license - Alabama ### Required Skills &...QualityContract workRemote work
- ...A healthcare consulting firm is seeking a Licensed Social Worker (Non-Mental Health) to perform remote quality reviews for the U.S. Department of Veterans Affairs. This position requires an MSW and independent state licensure, with 3+ years of related experience. Responsibilities...QualityRemote workFlexible hours
$76.34k - $97.49k
...Clinical Reviewer### Clinical ReviewerApply: Burnet Campus: Full time: Posted Today: JR226220**Primary... ...for the production of routine quality monitoring reports and activities at the... ...education and experience May require clinical license, certification or training* 5+ years...QualityFull timeWork experience placementLocal areaShift workWeekend work- Clinical Care ReviewerIntegrated Resources, Inc is a premier staffing... ...on delivering only the best quality talent, the first time and... ...Supervisor, the Clinical Care Reviewer is responsible for completing... ...unrestricted IA Registered Nurse license.• Valid Driver's License and...Quality
- ...: Under general supervision, reviews chemotherapy regimens in accordance... ...coding/payer guidelines for clinical staff. Tracks pathways and... ...in Healthcare, LPN state license and registration preferred. Minimum... ...to achieve them. -Commits to Quality: Emphasizes the need to...QualityWork at officeShift work
- Position Purpose: The Clinical Reviewer serves as a subject matter expert in the clinical review... ...and FWA audits, utilization review and quality assurance Advanced knowledge of clinical... ...A ctive and unrestricted RN or LPN license or equivalent Coding Certification preferred...QualityContract workFor contractors
$28.37 - $39.19 per hour
...through technology, services, and clinical expertise. Our mission is to... ...a Behavioral Health Clinical Reviewer to join our growing team.... ...Collaborate with the Supervisor on quality monitoring activities,... ...Certified Behavior Analyst (BCBA) licensed in the State of Indiana...QualityContract workLocal area$28.37 - $35 per hour
...through technology, services, and clinical expertise. Our mission is to... ...to increase efficiency, quality, and impact in their roles. Job... ...Acentra seeks a Clinical Reviewer to join our growing team. Job... ...and/or Compact State clinical license For LPN - Associate's degree...QualityContract workLocal areaFlexible hours- Clinical Quality Reviewer Ensures compliance with the contract, and program requirements for Clinical Quality Management (CQM) within West Region... ...: H.S. diploma or GED or Bachelors Registered Nurse or Licensed Clinical Social Worker, with current unrestricted license...QualityContract workInterim role
- Clinical Reviewer PositionAre you passionate about using your clinical expertise to support quality healthcare outcomes and ensure members receive medically appropriate services? Do... ...must maintain a valid driver's license and meet the organization's driving eligibility...QualityFull timeRemote workWork from homeMonday to Friday
- Do you have a strong clinical background and a talent for turning complex... ...into clear, well-supported review decisions?Comagine Health is... ...remote Clinical Reviewers (Licensed Physical Therapist or... ...that has engaged in health care quality consulting and quality improvement...QualityFull timeContract workPart timeReliefRemote workShift work
$93.35k - $132.43k
...Overview: Sentara Health Plans is hiring a Clinical Claims Reviewer/ RN - Remote! Status: Full-time,... ...Insurance (BOI), National Committee for Quality Assurance (NCQA), Centers for Medicare... .../Licensure Registered Nurse (RN) License (Compact or Virginia) REQUIRED Certified...QualityPermanent employmentFull timeTemporary workWork at officeRemote workShift work$28.37 - $39.19 per hour
...through technology, services, and clinical expertise. Our mission is to... ...to increase efficiency, quality, and impact in their roles. Job... ...for a CAP Clinical POC Reviewer to join our growing team. Job... ...unrestricted Registered Nurse license in a Compact state. Minimum of...QualityContract workWork at officeLocal areaWork from home
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