20 Clinical Quality Specialist jobs in United States

Riverside, California, US (Hybrid)

Job Description Job Summary Provides support for clinical facility site reviews.

United States (Remote)

$65K / year

Description MEDvidi is a multi-state telehealth behavioral health organization making high-quality psychiatric care accessible, safe, and consistent.

United States (Remote)

Overview and responsibilities: Coordinates efforts to obtain and maintain certifications of excellence including Heart Failure and Stroke.

United States (Remote)

About the Role We are seeking Registered Nurses with at least 5 years of clinical experience — bedside nursing, case management, clinical nurse…

United States (Remote)

$36.00 – $38.00 / hour

Vida is looking for a licensed RN or LPN to manage clinical review requests, escalations, and member inquiries in a fully remote, virtual care setting.

United States (Remote)

Overview Clinical Documentation Specialist - RN, Remote 40 hours per week Facilitates improvement in the overall quality, completeness and accuracy…

United States (Remote)

$65–90K / year

Overview: Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Disability.

United States (Remote)

From $114K / year

Compensation for this role is expected to be approximately $114,000 annually.

United States (Remote)

Welcome! We’re excited you’re considering an opportunity with us!

United States (Remote)

Welcome! We’re excited you’re considering an opportunity with us!

United States (Remote)

JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to quality management programs, initiatives,…

United States (Remote)

$73–125K / year

Job Description A bit about this role: The Clinical Readmission Manager is responsible for conducting prepayment and post-payment clinical reviews of…

United States (Remote)

Category: Health Care Location: Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role,…

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating…

United States (Remote)

$62.7–97.2K / year

Company : Highmark Inc.

United States (Remote)

Help a growth-stage healthcare services and technology company turn its post-discharge service line into a repeatable operating model that reduces…

United States (Remote)

$47.00 – $63.00 / hour

Thank you for considering a career at Ensemble!

United States (Remote)

$53.5–102.3K / year

Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies?

United States (Remote)

$63.1–94.7K / year

Thank you for considering a career at Ensemble!

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Utilization Management is responsible for the oversight of all utilization management activities ensuring consistency of…