Remote Clinical Reviewer RN Healthcare Quality
Comagine Health
- Remote job
Comagine Health is seeking a licensed RN for a remote Clinical Reviewer role supporting the Washington L&I contract. The position focuses on evaluating medical necessity, clinical appropriateness, and quality of healthcare services through prospective, concurrent, and retrospective reviews. You'll collaborate with physician consultants and internal teams, apply evidence-based criteria, and document reviews to ensure compliance with contractual and regulatory standards. #J-18808-Ljbffr Comagine Health
$85k - $92k
...41–$44/hr Location: Remote Schedule: Must work... ...unrestricted license: RN Minimum 3+ years clinical experience (med/surg... ...HIGHLY DESIRED) Clinical Quality / Utilization Review / Case Review... ...federal or government healthcare programs InterQual or...Remote workQualityHourly payDay shift- ...HEDIS RN – Clinical Quality Reviewer Manhattan, NY | 6 Openings | Hybrid | Full-Time HumanEdge Healthcare Staffing is recruiting experienced HEDIS Registered Nurses for clinical... ...0 Church Street. Monday and Friday: Remote. Hours: 8:30 AM–5 PM. Responsibilities...Remote workQualityFull timeContract workWork experience placementMonday to Friday
- ...experienced Registered Nurse to serve as Clinical Reviewer in a remote, Washington-based role. You will assess medical necessity and the quality of healthcare services via prospective, concurrent,... ...decisions. The ideal candidate has RN licensure in Washington and at least...Remote jobQuality
- Comagine Health is seeking an experienced Registered Nurse for a remote Clinical Reviewer role supporting a Washington L&I contract. The position emphasizes evaluating medical necessity, quality, and appropriateness of care using established criteria and guidelines. You...Remote jobQualityContract workWork from home
- Comagine Health is seeking a Clinical Reviewer (RN) remotely to support Washington state contracts. The role evaluates medical necessity and quality of care, collaborating with physician consultants and internal teams to ensure compliant, evidence-based decisions. The ideal...Remote jobQuality
- 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+... ...experience with health plans or large healthcare systems. This role focuses on quality review, PQIs, and collaborating...Remote jobQuality
- ...seeking an experienced Registered Nurse to transition into a remote Clinical Reviewer role supporting the Washington L&I contract. The role... ...on evaluating medical necessity, appropriateness, and quality of healthcare services to promote evidence-based care. You will...Remote jobQualityContract work
- Comagine Health, a national nonprofit healthcare consulting organization, is seeking a Clinical Reviewer (Registered Nurse) to support... ...& Industries contract. This remote role focuses on evaluating... ...necessity, appropriateness, and quality of care using evidence-based criteria...Remote jobQualityContract work
- Clinical Reviewer - Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home Department: Care Management Contract: Washington Labor & Industries... ...building a career in clinical review and healthcare quality. Why Comagine Health? At Comagine Health...Remote workQualityFull timeContract workLocal areaWork from homeHome office
- ...a part-time, PRN Dental Hygienist Clinical Content Reviewer. This remote North America role supports clinicians... ...with data teams to ensure high-quality clinical information at the point of... ...flexibility and a strong commitment to transforming healthcare. #J-18808-Ljbffr OsmosisRemote jobQualityPart timeRelief
- ...compensation medical-legal review, where our agentic... ...them. You will be the clinical conscience of the product... ...findings. Support customer quality reviews and respond to... ...we look for Active RN license and 5+ years of... ...opportunity employer. Location: Remote (United States)...Remote workQualityFull timeFlexible hours
- ...organization that has engaged in health care quality consulting and quality improvement... ...and patient outcomes.Our talented remote workforce spans the country and plays... ...Position OverviewWe are seeking an RN to perform Clinical Review work and QIDP reviews work.Team member...Remote workQuality
$126k - $172.27k
...opportunity for a Clinical Documentation... ...Specialist for Oncology (RN). WORK SCHEDULE... ...- Friday Remote position POSITION HIGHLIGHTS Reviews clinical documentation... ...completeness and quality of that documentation... .... Nearly 29,000 healthcare professionals,...Remote workQualityFull timeTemporary workWork at officeMonday to FridayShift workDay shift- ...System KY & IN is seeking a Clinical Documentation Specialist to evaluate... ...specificity. The role is remote with residence in KY or IN... ...active Kentucky license and healthcare nursing experience. The specialist... ...to improve documentation quality, coding accuracy, and patient...Remote jobQuality
- Talentburst,-Inc is seeking an RN Clinical Documentation Integrity Specialist for a remote role. The candidate will work with... ...to ensure documentation meets quality and regulatory standards and... ...billing. A strong knowledge of healthcare compliance is required. Requirements...Remote jobQuality
- Vettedlance is seeking a remote, part-time reviewer with RN or NP licensure to assess clinical documentation and AI-generated triage guidance. You will review, explain, and rate the quality of AI answers and medication/watchlist decisions, supporting safe patient care....Remote jobQualityHourly payWeekly payContract workPart time
- ...Specialist Privacy & Security Enterprise Engagement Officer Director, Quality Improvement, Digital Quality Measurement Privacy & Security... ...Engagement Officer Compliance Oversight Specialist (Non Clinical) Vice President, Clinical Operations - Behavioral Health UM Medicare...Remote jobQuality
$60.2k - $107.4k
...Senior Clinical Administrative Nurse At UnitedHealthcare, we're... ...communities and removing barriers to quality care. The work you do here... ...? Join us in making healthcare work better for everyone through... ...~ Current and unrestricted RN compact license ~ Ability to...Remote workQualityMinimum wageFull timeWork experience placementLocal areaWeekday work$78k - $85k
Overview Medicaid Medical Review RN (Medical Reviewer III) - REMOTE The Medicaid Medical... ...responsible for conducting clinical reviews of medical records... ...and contribute to improved healthcare delivery by identifying... ...that meets or exceeds the quality assurance goal of 98% accuracy...Remote workQualityFor contractorsH2bH1bWork at officeLocal areaHome office- ...RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to... ...patient safety. This is a part-time, remote contract position (1099) requiring up... ...Why Join Hippocratic AI Reinvent healthcare with AI that puts safety first. We’...Remote jobQualityHourly payContract workPart timeFlexible hours
- ...Miramar, FL 33025, USA Remote Travel Required : No Clinical Care Coordination... ...the highest quality in-home care services... ...), physicians, and healthcare partners because of... ...compliance. By continuously reviewing and auditing... ...licensure as a LPN or RN Minimum 2 years of...Remote workQualityFull timeTemporary work
$60.2k - $107.4k
...and removing barriers to quality care. The work you do... ...to provide a front line clinical resource to provide... ...the flexibility to work remotely from anywhere within the... ...Educates members in healthcare decision making Takes... ...Current and unrestricted RN compact license ~4+ years...Remote jobQualityMinimum wageFull timeWork experience placementLocal areaMonday to Friday- ...AlliedTech1 is seeking a RN Clinical Documentation Integrity Specialist to work remotely in the United States. The role focuses... ...clinical documentation meets quality and regulatory standards and supports... ...to clarify documentation, review CDI indicators, and contribute...Remote workQuality
- ...Mosaic Life Care is seeking a CDI reviewer to perform initial and intermediate clinical documentation integrity reviews. You will work with providers to clarify... ...collaborating with the care team to maintain high-quality medical records. Strong nursing background and documentation...Remote workQuality
$40 - $90 per hour
...rapidly expanding field. Remote contractor opportunity... ...availability About Clinical AI Training AI training... .... Clinical reviewers help models learn to produce... ...escalation, and other healthcare scenarios. Evaluate and... ...will assess reasoning quality, verify clinical accuracy...Remote workQualityHourly payPart timeFor contractors- ...perform initial to intermediate clinical documentation integrity reviews. You will work under the... ...participate in mortality and quality reviews. The role requires an RN license, 3 years of ICU experience... ...with ICD-10-CM/PCS coding. Remote work is considered for...Remote workQuality
$30 - $50 per hour
...Clinical Data QA Reviewer $30-50/hr Remote Freelance STEM About the Role We're looking for detail-oriented... ...health record (EHR) data for quality assurance. Your expertise directly... ...used in research, analytics, and healthcare applications. This is a remote,...Remote workQualityHourly payOngoing contractContract workFreelanceFlexible hours$38.46 - $43.27 per hour
...DescriptionJob DescriptionAs the Clinical Reviewer, you will be responsible for... ...for medical necessity and quality of care issues; formulate a case... ..., NY office. Ability to work remotely one day per week after... ...Nurse, required (open to any RN state license).Graduate of a...Remote workQualityHourly payFull timeFor contractorsWork at office1 day per week$114k
Remote, USA Remote, GA Remote, MS Remote... ...transforming how healthcare works by combining... ...orchestration. As our Clinical Documentation... ...and retrospective reviews of inpatient medical... ...for improving the quality of medical record... ...hospital Have an active RN license with...Remote workQualityFull timeWork experience placementLocal area- A healthcare solutions provider is seeking a Remote Pharmacist to conduct VA quality reviews, focusing on clinical assessments without direct patient interaction. Candidates must have a Doctor of Pharmacy (PharmD) and an active pharmacist license in the U.S. Responsibilities...Remote workQualityFlexible hours
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