Remote Clinical Quality Analyst II - Care Management Auditor
Alliance Health
- Remote job
Alliance Health is seeking an External Clinical Quality Analyst II to manage quality reviews for provider-led care management programs. The role emphasizes compliance with NCQA/CMS and state guidelines, with full-time remote work and some onsite travel within North Carolina. Responsibilities include auditing care management documentation, analyzing program data, and training staff to close knowledge gaps. A NC clinical license or RN license is required, with three years of relevant experience. #J-18808-Ljbffr Alliance Health
- Alliance is seeking an External Clinical Quality Analyst II for a full-time remote role based in North Carolina. The position requires NC licensure and at least three years of care management experience across populations such as MH/SUD or I/DD, with travel to Home office...Remote jobFull timeHome office
- Alliance Health is seeking an External Clinical Quality Analyst II for a remote, North Carolina-based role. The position focuses on managing quality reviews for provider-led care management programs and ensuring compliance with NCQA and regulatory guidelines. Occasional...Remote jobHome office
$69.59k - $88.73k
The External Clinical Quality Analyst II manages the quality review process for provider-led care management programs. Incumbents conduct quality reviews and audits of provider... ...care management. This position is full-time remote. Selected candidate must reside in North...Remote jobFull timeWork at officeHome officeFlexible hours- Guidehealth, a remote-first healthcare company, is seeking a Clinical Compliance Auditor II to ensure compliance across... ...operations, utilization management, and delegated... ...drive improvements in quality and regulatory readiness... ...focused on value-based care and patient #J-18808...Remote job
- L.A. Care Health Plan in Los Angeles, CA is seeking a Delegation Oversight Clinical Auditor RN II to ensure delegates performing Utilization Management comply with regulatory requirements. This leadership role supports continuous quality improvement by auditing delegated...Suggested
- Alliance Health is seeking an External Clinical Quality Analyst I to manage quality reviews and audits of provider-led care management programs. The role is full-time remote with residency in North Carolina and potential onsite travel to home office. The position requires...Remote jobFull timeHome office
- ...JOB TITLE: Clinical Quality Analyst - RN required DEPARTMENT: Quality Management REPORTS TO: Quality Management Director *Work... ...This position is onsite only . Remote work is not available for this... ...support safe, high-quality patient care and evidence-based...Remote workFull timeWork at office
- Duke Health in North Carolina is seeking a Clinical Nurse II for Cardiology with remote and in-person electrophysiology device support, stationed at Duke Cardiology... ...requires planning and delivering professional nursing care per physician orders, with RN licensure in NC and BLS...Remote work
$82k - $87k
...Guidehealth leverages remotely-embedded... ...™ and a centralized Managed Service Organization... ...partners to deliver high-quality healthcare focused on... ...Job Description The Clinical Compliance Auditor II is responsible for ensuring... ...), and value-based care program requirements...Remote jobBi-weekly payFull timeTemporary workFor contractorsWork at officeLocal areaWork from home- Duke Health in North Carolina seeks a Clinical Nurse II in Cardiology to independently plan and provide professional nursing care for patients per physician orders and policies. Work spans remote and in-person electrophysiology device support in the Duke Cardiology program...Remote work
- ...Smiles is seeking an Orthodontic Clinician II to join our growing team in Charlotte, NC. You will deliver positive clinical experiences under the supervision of... .... You’ll assist with appliances, manage patient flow, triage remote monitoring, educate patients, and uphold...Remote work
- Centene Management Company LLC is seeking a Coding Quality Coordinator II to perform complex reviews of clinical documentation in inpatient and outpatient records, validate coding accuracy, and determine appropriate payment methods. The role requires DRG and ICD-10-CM/...Remote job
$64k - $93k
...circumstances. Job Summary The Clinical Auditor I performs detailed,... ...a diverse group, including management, physicians, clinical and non... ...Investment in You Full-time remote work Competitive salaries... .... Identifies potential quality of care or utilization issues and reports...Remote workFull timeContract workWork at officeFlexible hours$29 - $52 per hour
...organization that delivers care, aided by technology to... ...issues Partner with clinical leadership during the... ...not meet established quality standards. Perform ad... ...(ICD-10, CPT, HCPCS II) experience in a multi-... ...experience in Evaluation and Management plus one or more of the...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area- Guidehealth seeks a Clinical Compliance Auditor II to ensure our clinical operations and delegated services meet regulatory and client requirements... ...improvements, and help strengthen our compliance framework in a remote, agile environment with opportunities to grow within a...Remote job
$85k - $95k
...Sales Working Model: Remote Days of Work: Friday,... ...infusion therapy and pain management, develops, manufactures, and... ...compounding, ostomy and wound care, and dialysis. The company... ...Medical, visit Clinical Procedure Specialist II The Clinical Procedure...Remote workSeasonal workLocal areaRelocationShift work$67.52k - $85.22k
Pay Plan Title Quality Data Analyst II Working Title Quality Data Analyst II - Performance Measures... ...$67,524 - $85,222 Office Location Remote within North Carolina Posting Details... ...Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties...Remote workContract workWork at officeLocal areaImmediate startWork from homeFlexible hours$90k - $105k
...and requirements carefully. This role... ...Medical Review Nurse II - SNF/MDS... ...experienced medical auditors performing... ...You will work remotely in a fast-paced... ...cross train in all clinical departments/areas... ...maintain high quality work while... ...Ability to manage multiple tasks...Remote workFull timeFor contractorsWork at office$61 - $65.21 per hour
Clinical Project Lead II for Life Cycle Management (LCM) in Vision care 4 days ago Be among the first 25 applicants Base pay range $61.00/hr - $65.21/hr Job Title: Clinical... ...Management (LCM) in Vision care Location: Remote Duration: 06 months Pay Range: $(61.00 - 65.21)...Remote workContract work- ...organization dedicated to delivering exceptional care. As a team member, you help fulfill our... ...better here for our community. The Clinical Auditor II abstracts and analyzes data from... ...which will be used to improve clinical quality. They are responsible for submitting data...Work at office
$54.35 - $84.62 per hour
...Clinical Nurse II Perioperative The Clinical Nurse II Perioperative... ...direct patient care in accordance with the... ...and appropriate quality patient care. This includes... ...nursing interventions, pain management, medication... ...5 - $84.62/ hourly Remote or Onsite Onsite Job...Remote workHourly payFull timeLocal areaShift work- Devoted Health invites applications for a Clinical Readmission Manager to lead inpatient readmission reviews... ...will work across Payment Integrity, quality, utilization management, and other... ...support, and compliant recordkeeping in a remote-capable #J-18808-Ljbffr DevotedRemote work
$70k - $110k
EXL Health seeks an experienced Clinical DRG Quality Analyst IV for a remote role. The analyst will oversee DRG auditors to ensure accuracy and will perform quality reviews on random and targeted clinical DRG audits. A coding/auditing assessment may be included during...Remote job- ...seeking a nutrition professional to evaluate and plan nutrition care for patients. The role involves assessing nutritional status, counseling... ...patients and staff, and mentoring newer staff within the clinical nutrition specialty. A focus on interdepartmental collaboration...Remote job
$55 - $62 per hour
About the job Remote Clinical Quality Analyst , Remote Lehrer Family Chiropractic is seeking a reliable... ...Workspace, or similar systems Strong time management and problem-solving skills... ...providing professional, patient-focused care and maintaining high operational standards...Remote workHourly payPart timeWork at officeMonday to FridayFlexible hours$57k - $75k
...they're met with barriers to care. From limited local options... ...profound way, apply today. The Clinical Quality Analyst is responsible for ensuring... ...person will perform and manage quality assurance and... ...D.C. for this position.#LI-REMOTE Our Values Connection...Remote workFull timeWork at officeLocal area$88.85k
...alert: Delegation Oversight Clinical Auditor RN II Job Category: Clinical... ...Established in 1997, L.A. Care Health Plan is an independent... ...mission is to provide access to quality health care for Los Angeles... ...to perform Utilization Management (UM) functions on behalf of...Full time$60.1k - $98.7k
...understanding of inpatient care and a passion for... ...? Join EXL as a Clinical Validation Auditor and help ensure medical... .... This is a fully remote position where you’ll... ...meeting productivity and quality goals. Stay up to... ...Can manage your time well and stay...Remote workFull time- ...the nation’s leading pharmacy care management companies that specializes... ...financial success. This Remote position performs highly technical... ...function of the Medical Auditor is to perform a review of... ...Responsibilities Perform clinical validation audits and interpretation...Remote workFull timeTemporary workLocal areaFlexible hours
$65k - $75k
...skilled Outpatient Auditor with deep... ...based outpatient care? Do you bring a... ...welcome you to our remote auditing team!... ...a variety of clinical specialties.... ...productivity, quality, and compliance... ...environment and manage multiple priorities... ...employees, and analysts think we’re...Remote workFull timeContract work
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