Remote RN Clinical Reviewer for Healthcare Quality
Comagine Health
Comagine Health is seeking an 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, and retrospective reviews, supporting evidence-based care decisions.
The ideal candidate has RN licensure in Washington and at least five years of direct patient care. Strong medical documentation, communication, and independent work skills are essential for success.
#J-18808-LjbffrVacancy posted 10 hours ago
Similar jobs that could be interesting for youBased on the Remote RN Clinical Reviewer for Healthcare Quality in Seattle, WA vacancy
- ...Comagine Health, a national nonprofit healthcare consulting organization, seeks a Clinical Reviewer (RN) to support the Washington Labor & Industries contract. This remote role leverages nursing expertise... ...evaluate medical necessity and quality of care, collaborating with...Remote workQualityContract workWork from home
California Nursing Students Association
United States10 hours ago - ...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,... .... The ideal candidate has RN licensure in Washington and at least...Remote workQuality
COMAGINE HEALTH
United States3 days ago - ...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 workQuality
Lynn Rodens
Phoenix, AZ3 days ago - ...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....Remote workQualityContract workWork from home
Comagine Health
United States9 hours ago - ...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...Remote workQuality
Lonestar State College
Anchorage, AK1 day ago $93.35k - $132.43k
...: Sentara Health Plans is hiring a Clinical Claims Reviewer/ RN - Remote! Status: Full-time, permanent position... ...(BOI), National Committee for Quality Assurance (NCQA), Centers for Medicare... .... Be a part of an excellent healthcare organization that cares about our People...Remote workQualityPermanent employmentFull timeTemporary workWork at officeShift work$85k - $92k
...41–$44/hr Location: Remote Schedule: Must work... ...unrestricted license: RN Minimum 3+ years clinical experience (med/surg... ...Desired) Clinical Quality / Utilization Review / Case Review experience... ...federal or government healthcare programs InterQual or...Remote workQualityHourly payDay shiftLynn Rodens
United States4 days ago- ...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...Remote workQualityContract work
Comagine Health
United States9 hours ago - ...Job Title: Preoperative Clinical Review RN About the Client: A specialized... ...dedicated to providing high-quality ophthalmic surgical care. The... ...supported by an experienced team of healthcare professionals. Overview:... ...: Night Shift Setup: Remote Why Join STAFFVIRTUAL? Competitive...Remote workQualityNight shift
STAFFVIRTUAL
New York, NY2 days ago - ...Health in Washington State is seeking an experienced Registered Nurse to join our remote Clinical Reviewer team. The role focuses on assessing medical necessity, appropriateness, and quality of care through prospective, concurrent, and retrospective reviews for inpatient...Remote jobQualityContract workWork from home
$45 - $50 per hour
Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical... ...an active New York RN license. #J-18808-Ljbffr...Remote jobQualityHourly pay$32 - $38 per hour
...technology, services, and clinical expertise. Our mission... ...increase efficiency, quality, and impact in their roles... ...expertise for the review of medical records against... ...a Registered Nurse (RN) in any state and/or a... ...redefine expectations for the healthcare industry. State and...Remote workQualityContract workWork at officeLocal areaMonday to FridayAcentra Health
United States2 days ago- ...Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home Department: Care Management Contract: Washington Labor &... ...building a career in clinical review and healthcare quality. Why Comagine Health? At Comagine...Remote workQualityFull timeContract workLocal areaWork from homeHome office
- ...has engaged in health care quality consulting and quality... ...patient outcomes. Our talented remote workforce spans the... ...Overview We are seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess... ...necessity and quality of healthcare services through prospective...Remote workQualityFull timeContract work
- ...first 25 applicants Job Title:Clinical Review Nurse (RN) - Utilization Management... ...with supervisors on quality assurance and continuous improvement... ...Bachelor’s degree in a healthcare-related field At least 2 years... ...Program Coordinator RN *Remote* Clinical Program Coordinator...Remote workQualityContract work
$62.7k - $100.4k
Clinical Care Reviewer II-RN with Compact License Apply ( remote type Remote locations Remote time type Full time posted... ...as monitoring the delivery of healthcare services. Essential Functions... ...standards Identify and refer quality issues to Quality Improvement...Remote workQualityHourly payFull timeWork at office- ...PRN Remote RNSubject Matter Expert (SME) Clinical Content Writer/Reviewer Are you an experienced Cardiac Cath Lab RN or Critical Care RN looking to apply your expertise... ...to help develop high-quality clinical competency assessments for healthcare professionals nationwide...Remote workQualityFor contractorsInterim roleReliefFlexible hours
Interim HealthCare of Augusta
North Charleston, SC2 days ago - ...To enhance the quality of clinical documentation, the full-time Washington State RN Clinical Documentation Specialist... ...will interact with healthcare providers to... ...services rendered, working remotely during daytime hours.... ...in utilization review and/or as a clinical...Remote workQualityFull time
Virtual Vocations Inc
United States2 days ago - ...To enhance the quality and completeness of clinical documentation, the full-... ...salaried Washington RN Clinical Documentation... ...collaboration with healthcare providers and coding... ...rendered, all in a remote setting. Key responsibilities... ...in utilization review and/or as a clinical...Remote workQualityFull time
Virtual Vocations Inc
United States2 days ago - ...delivering world-class healthcare close to home is our goal... ...JOB SUMMARY: The Clinical Documentation Specialist... ...visit and retrospective reviews of ambulatory clinical... ...auditing preferred. RN with Current Certified... ...latest technology, highest quality and the utmost care to...Remote workQualityWork at officeShift work
St. Tammany Parish Hospital
United States7 hours ago - ...Privacy & Security Enterprise Engagement Officer Director, Quality Improvement, Digital Quality Measurement Privacy & Security... ...Enterprise Engagement Officer Compliance Oversight Specialist (Non Clinical) Vice President, Clinical Operations - Behavioral Health UM...Remote workQuality
Centene Corporation
United States2 days ago $65.31k - $100.53k
...everything. Grow your career as an RN, Ambulatory Clinical Documentation Specialist and help guide the quality, consistency, and... ...days No holidays or weekends Remote position (must live in WI, IA... ...for-profit, patient-centered healthcare network based in Green Bay and...Remote workQualityLive inLocal areaWork from homeMonday to FridayWeekend workGundersen Health System
Madison, WI23 hours ago- ...RN, Ambulatory Clinical Documentation Specialist - 15625Posted 2 days agoUS:WI... ...Specialist RN and help guide the quality, consistency, and... ...days. No holidays or weekends.Remote position (must live in WI,... ...Bellin?With so many amazing healthcare organizations in this area,...Remote workQualityFull timeLive inLocal areaMonday to FridayWeekend work
Bellin Health
Green Bay, WI2 days ago - ...CVS Health is seeking a licensed RN to review and interpret clinical documentation, applying policy-driven criteria to post-service claims while coordinating... ..., strong technical literacy, and the ability to work remotely within the employee's state of residence. #J-18808-...Remote workQuality
CVS Health
United States1 day ago $53 - $59 per hour
## Clinical Documentation SpecialistApplylocations: 1... ...Documentation Specialists will review the documentation and... ...safety indicators/quality, hospital acquired... ...Quality, HIM and other healthcare professionals D.... ...Environmental Demands: Remote with occasional onsite...Remote workQualityHome officeShift workMontefiore Nyack
Nyack, NY2 days ago- ...Working remotely on a full-time basis, the Registered Nurse Clinical Reviewer will process medical necessity reviews for healthcare services, assist with discharge planning... ...delivery and refer quality issues to Quality... ...accredited registered nursing (RN) degree program Three...Remote workQualityFull time
Virtual Vocations Inc
United States4 days ago - RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse... ...regarding benefits and clinical criteria and assess and... ...Preventive Services, Subrogation, Quality of care Referrals, etc.).... ...America's most trusted Healthcare Services Firms, which...Remote jobQualityFull timeContract workLocal areaShift work
$64.5k - $92.2k
...Gainwell Technologies LLC is seeking a Clinical Quality Nurse Reviewer, Sr. Specialist to perform ongoing... ...audits on clinical staff. This full-time remote position requires an active RN license and clinical experience in healthcare. Responsibilities include reviewing...Remote workQualityFull timekozmetickesluzby.vecnakraska.sk - Jobboard
United States2 days ago$26.8 per hour
...Join Maximus as a Clinical Reviewer (LPN) and play a vital role in supporting... ...) program. In this fully remote position, you will help ensure... ...team, you will partner with healthcare providers, monitor screening... ...trends, and contribute to quality outcomes for individuals requiring...Remote workQualityContract workTemporary workHome officeMAXIMUS
United States1 day ago- ...eight hospitals and over 180 clinics, we are the region’s largest... ...provided. Performs concurrent review of patient records for documentation... ...): The transformation of healthcare diagnosis, procedures,... ...effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages...Remote jobQualityTemporary workWork experience placementReliefLive out
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN Clinical Reviewer for Healthcare Quality. Be the first to apply!
