Remote RN Clinical Reviewer & QIDP (Alabama Medicaid)
Comagine Health
New York, NY
- Remote job
Comagine Health is seeking an RN to perform Clinical Review work and QIDP reviews as part of a remote team. The role is a (.5 FTE) QIDP and (.5 FTE) nurse clinical reviewer, primarily serving Alabama Medicaid program needs. The position requires Alabama RN licensure and at least 3 years of direct patient care. Strong organizational skills and ability to work remotely are essential, with occasional travel for meetings as needed. #J-18808-Ljbffr Comagine Health
Vacancy posted 2 hours ago
Similar jobs that could be interesting for youBased on the Remote RN Clinical Reviewer & QIDP (Alabama Medicaid) in New York, NY vacancy
- Comagine Health is seeking an RN to perform Clinical Review work and QIDP reviews. The team member will serve... ...FTE). The role requires applying Alabama Medicaid criteria to determine medical necessity... .... The position is primarily remote, with licensing in Alabama and ongoing...Remote work
COMAGINE HEALTH
Murray, UT2 hours ago - ...Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization... ...patient outcomes. Our talented remote workforce spans the country and... ...Apply Alabama Medicaid program criteria and guidelines...Remote workFull timeContract work
Comagine
United States1 day ago $93.35k - $132.43k
...Sentara Health Plans is hiring a Clinical Claims Reviewer/ RN - Remote! Status: Full-time, permanent position... ...states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho,... ...(NCQA), Centers for Medicare and Medicaid Services (CMS), and Virginia Department...Remote workPermanent employmentFull timeTemporary workWork at officeShift work- ...determine the viability of the claim for further review in a production environment. Primary Responsibilities: Clinical Case Reviews - 75% Perform clinical review... ...Rules and Regulations Proven knowledge of Medicaid/Medicare Reimbursement methodologies Proven...Remote jobContract workWork at officeLocal areaMonday to Friday
$71.18k - $108.53k
...Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS... ...33122, and 3 days remote. Job Profile... ...Risk Adjustment Clinical Coder/Nurse... ...Centers for Medicare & Medicaid Services (CMS) and... ...retrospective medical record reviews (MMR) & CMS/HHS... ...states: Alabama, Delaware, Florida...Remote workFull timeTemporary workWork at officeShift workSentara Health
Doral, FL8 hours ago- ...TEEMA is seeking a Registered Nurse for a remote role with Arizona hours (1st shift). You will review medical records for quality, safety, and utilization... ...Medical Directors. Must hold an active RN license, have 3+ years of clinical experience in med/surg or behavioral health...Remote workDay shift
TEEMA
United States4 days ago $38.2 - $57.3 per hour
...Advocate Trinity Hospital - Clinical Documentation... ...3 days onsite, 2 days remote Pay Range $38.20 - $57.... ...documentation by performing chart reviews using clinical... ...Licensure: Nurse, Registered (RN) Education/Experience... ...Carolinas, Georgia and Alabama; and Aurora Health Care...Remote workDaily paidFull timeTemporary workPart timeFlexible hoursShift workHugh Chatham Health
Chicago, IL18 hours ago$85k - $92k
...Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (typically... ...Active, unrestricted license: RN Minimum 3+ years clinical experience (med/surg and/or... ...Clinical Quality / Utilization Review / Case Review experience Experience...Remote workHourly payDay shiftLynn Rodens
United States2 days ago$40 per hour
...healthcare quality organization is seeking a Nurse Reviewer to support Medical Review Services. The... ...detailed medical necessity reviews for Medicaid claims in a remote work setting. Candidates should have a BSN with active RN licensure and at least three to five years'...Remote workHourly payPart timeHQSI
Tampa, FL2 hours ago- ...Acentra Health is seeking a Clinical Reviewer to join our growing team. You will apply clinical judgment to review medical records against... ...requirements, ensuring accuracy and compliance. The position is remote national scope, with on‑call weekends, holidays and evenings....Remote workContract workWeekend workAfternoon shift
Acentra Health
McLean, VA12 hours ago - ...outcomes through technology, services, and clinical expertise. Our mission is to innovate... ...Acentra Health is looking for a Clinical Reviewer to join our growing team. Job Summary... ...contract requirements. ~*Position is remote* ~*Required Work Hours: On‑call weekends...Remote workContract workReliefWeekend workAfternoon shift
Acentra Health
McLean, VA2 hours ago - ...standards of practice and company procedures. Review and approve patient information submitted... ...Required to have and maintain a valid clinical license, per state requirements, or in... .... Other than for designated full-time remote positions, in-office attendance is...Remote workFull timeTemporary workWork at officeLocal areaImmediate startFlexible hours
Enhabit Home Health & Hospice
Grapevine, TX1 day ago - 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
Nightingale Nurses
Selma, AL2 hours ago - Blue Cross Blue Shield of Arizona is seeking a Health Insurance Specialist to identify, research, and resolve member inquiries while ensuring privacy and compliance. You will handle a high volume of calls, analyze medical records, and apply benefit requirements to determine...Remote jobFlexible hours
- 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/or behavioral health, and eligibility for DoD background clearance. Ideal candidates have...Remote job
- ...LV Home Care And Hospice Clinical Record Reviewer - Full-Time Days (Remote) Imagine a career at one of the nation's most advanced health networks. Be part... ...OASIS Certificate & Competency Board Within 1 Year and RN - Licensed Registered Nurse_PA - State of Pennsylvania...Remote jobFull timeContract workLocal area
$45 - $50 per hour
...Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting... ...of accredited nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby.vecnakraska.sk...Remote jobHourly pay- 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
$69.8k - $125.9k
HCSC is seeking a dedicated RN to facilitate member and provider appeals, coordinating with Medical Directors and Customer Service to... ...abilities and a solid foundation in healthcare operations. This remote position supports the U.S. market. Compensation ranges from $69,8...Remote job- ...Vaya Health is seeking a Registered Nurse to provide needs-based PCS assessments for Medicaid beneficiaries in North Carolina, primarily in Alamance, Chatham, and Caswell counties. The role requires residence in NC or within 40 miles of the NC border and travel to counties...Remote work
Vaya Health
Yanceyville, NC2 hours ago - ...Nurse to perform needs-based assessments for Medicaid Personal Care Services in NC. You will... ...PCS providers. The role requires NC RN licensure, a healthcare background, and the... ...Alamance, Chatham, and Caswell counties. Remote work with NC residency is required and...Remote work
Vaya Health
Burlington, NC2 hours ago - 1 week ago Be among the first 25 applicants Job Title:Clinical Review Nurse (RN) - Utilization Management Location:Oregon or bordering states Duration... ...(Future Opportunities) Clinical Program Coordinator RN *Remote* Clinical Program Coordinator RN *Remote* Medford, OR $2,26...Remote workContract work
- ...seeking a Registered Nurse to perform needs-based assessments for Medicaid Personal Care Services in NC communities. You will schedule... ...process SARs with PCS providers. Applicants must hold an active NC RN license, have a BSN or healthcare degree, and be able to travel...Remote work
Vaya Health
Wentworth, NC2 hours ago - ...seeking a Registered Nurse to perform needs-based assessments for Medicaid beneficiaries applying for State Plan Personal Care Services in... .... Requirements include a Bachelor's degree in Nursing or related field, active RN licensure in NC, two #J-18808-LjbffrRemote work
Vaya Health
Danbury, NC2 hours ago - Clinical Reviewer Acentra Health exists to empower better health outcomes through technology, services... ...contract requirements. ***Position is remote*** ** Required Work Hours: On-call... ...Active, unrestricted Registered Nurse (RN) License in any state, or an RN compact...Remote jobContract workReliefWork at officeFlexible hoursWeekend workAfternoon shift
- ...UnitedHealth Group is seeking an HSS Clinical Coordinator RN to conduct clinical reviews and evaluations related to Medicaid appeals, ensuring compliance and accuracy in assessments. This remote role is ideal for experienced RNs seeking meaningful patient-care impact....Remote workFull time
UnitedHealth Group
Wisconsin2 hours ago - UnitedHealth Group is seeking a Remote Appeals Clinician in Texas.... ...will conduct comprehensive reviews of Medicaid-related assessments (H6516/H... ..., and provide independent clinical judgments on medical necessity... ...include a Texas RN license and 2+ years in Medicaid...Remote jobFlexible hours
$26.8 per hour
...Join Maximus as a Clinical Reviewer (LPN) and play a vital role in supporting the Illinois SALT... ...-Term Settings) program. In this fully remote position, you will help ensure individuals... ...applying to, or residing in, Medicaid-certified nursing facilities. Other services...Remote workContract workTemporary workHome officeMaximus
Santa Fe, NM12 hours ago- 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
- 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
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN Clinical Reviewer & QIDP (Alabama Medicaid). Be the first to apply!
Related searches
- injection rn New York, NY
- pediatric icu rn New York, NY
- connect rn New York, NY
- pediatric oncology rn New York, NY
- davita rn New York, NY
- womens health rn New York, NY
- registered nurse ii New York, NY
- rn per diem nurse New York, NY
- rn staff development coordinator New York, NY
- hospice registered nurse New York, NY