41 Clinical Quality Review jobs

United States (Remote)

$80K / year

Applicants must reside in: Michigan, Florida, Idaho, Texas, Minnesota or Illinois.

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)

$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)

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

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)

$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)

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)

$75–88K / year

Why Comagine Health? Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and…

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)

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

United States (Remote)

$150K / year

About Seven Starling Seven Starling is a leading virtual provider of women's behavioral health services supporting every stage of their reproductive health.

Riverside, California, US (Hybrid)

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

United States (Remote)

This is a remote position.

United States (Remote)

$62.7–97.2K / year

Company : Highmark Inc.

United States (Remote)

Quality Assurance Registered Nurse (RN) - Home Health Location: Remote Job Type: Full Time Sequoia Home Health, a proud member of the Pennant Group…

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)

We are seeking experienced US registered nurses to review and assess AI-generated responses from a health coaching agent, with a focus on safety,…

United States (Remote)

$47.00 – $63.00 / hour

Thank you for considering a career at Ensemble!

United States (Remote)

$63.1–94.7K / year

Thank you for considering a career at Ensemble!