Remote RN Clinical Reviewer & QIDP Specialist
Comagine Health
- 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 and at least three years of clinical experience. Responsibilities include completing timely reviews and engaging with stakeholders about the status of reviews. This position requires excellent communication skills and reliable internet access for remote work. #J-18808-Ljbffr Comagine Health
- COMAGINE HEALTH is seeking a registered nurse for Clinical Review and QIDP responsibilities, working remotely from any U.S. location. The role requires an active RN license in Alabama, a BA/BS in Nursing, and at least three years of direct patient care experience. Responsibilities...Remote jobWork from home
- 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 include...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
- The 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...Remote job
- ...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...Remote job
- ...improve care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role in... .... Position Overview We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team member will serve as the QIDP (...Remote workContract work
- ...professional are encouraged to join us. Career Opportunity: Comprehensive Cancer Centers of Nevada is seeking a Clinical Insurance Reviewer to work remotely in the Southern Nevada area only. The Clinical Reviewer reviews diagnostic imaging and pulmonary testing orders...Remote workWork at office
$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- ...at Mercy! The Cardiac Device Specialist (CDS) assists physicians,... ...advanced practitioners, and the CIED clinic supervisor in monitoring... ...manages patient diagnostics via remote monitoring websites, analyzes... ...Diploma, or BSN). Experience : RN experience or LVN, CMA,...Remote workFull timeShift work2 days per week1 day per week
$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- ...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
...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- ...A healthcare staffing company is seeking a Remote Registered Nurse (RN) to specialize in triage on a PRN basis. Ideal candidates will have at least 1 year of nursing experience and an active RN license. Responsibilities include conducting patient assessments, providing...Remote workPart timeReliefWork from home
$85k - $89k
...We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA,... ...with contract requirements for clinical quality management (CQM) to ensure... ...summaries for further review and analysis. Supports activities... ...for Complex Authorization Specialists. o Performs other duties as...Remote workContract workTemporary workWork at officeLocal area- ...A healthcare company is looking for an RN Telephone Triage to work remotely. This role involves assessing symptoms using clinical algorithms, delivering health education for symptom management, and assisting patients in accessing appropriate levels of care. The ideal...Remote work
- ...healthcare provider seeks a Home Infusion IVIG Registered Nurse (RN) for a fully remote position in the Houston area. This role involves providing... ...nursing experience, and maintain CPR certification. Strong clinical skills and customer service are essential. Competitive...Remote work
- ...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
- ...Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and utilization reviews across Southern California ministries, requiring effective problem-solving and decision-making skills...Remote workPart time
$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- ...AIS Healthcare is seeking a Home Infusion IVIG Registered Nurse (RN) for a fully remote position in the Atlanta, GA area. This role involves providing infusion therapies in patients' homes, ensuring compliance with treatment plans, and maintaining nursing certifications...Remote work
$50 per hour
...RN Clinical Reviewer / IDR - Remote Location: Remote Employment Type: Full-time Hourly Rate: $50/hr About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals...Remote workHourly payFull timePrivate practice$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- A healthcare organization is seeking Clinical Utilization Review Nurses (RN) for a remote position to assess healthcare services in line with Alabama Medicaid requirements. Candidates must possess a BA/BS in Nursing, an active RN license in Alabama, and at least 3 years...Remote job
$80k
Liberty Healthcare Corporation Career Center is looking for a full-time Clinical Reviewer to join their team. This remote-first role involves reviewing medical records, conducting analyses, and writing objective reports. In addition to a competitive annual salary of $80...Remote jobFull time- Q-Centrix is seeking a Senior Clinical Data Specialist to join our team in Chicago, focusing on delivering quality solutions to healthcare partners... ...in MS Office, and hold active SCR certification along with RN credentials. We value critical thinkers who can thrive...Remote job
$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$43 - $47 per hour
...in Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year of... ...must possess an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office setting. This is a...Remote work- ...A company is looking for an Appeals Specialist II - RN (REMOTE). Key Responsibilities Reviews and resolves pre-payment insurance denials in collaboration with follow-up teams Coordinates with various teams to ensure payer accountability and identifies education opportunities...Remote workWork at office
$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
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