Blue Cross Rn Remote Jobs in Florida (NOW HIRING)

Clinical Quality Assurance Specialist (Remote)

Contract‑to‑Hire | RN: $28.50/hr | LPN: $26.50/hr (Non‑Negotiable) Location: 100% Remote

About the Role

Network Medical Review Company is

seeking an entry‑level Clinical Quality Assurance Specialist

to support the Quality Assurance Department in ensuring the accuracy,

integrity, and compliance of clinical peer review reports. This role is ideal

for candidates with clinical documentation experience (RN or LPN preferred) who

excel in professional writing, attention to detail, and deadline‑driven work.

Compensation (Non‑Negotiable)

• Registered Nurse (RN): $28.50/hr
• Licensed Practical Nurse (LPN): $26.50/hr

Key Responsibilities

• Perform quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews.
• Validate clear, concise, evidence‑based rationales supporting all recommendations and determinations.
• Ensure all client instructions, specifications, and required questions are fully addressed.
• Confirm clinical citations and references are current, reputable, and properly included.
• Maintain high standards for report content, formatting, and professional presentation.
• Verify correct board specialty involvement per client or state requirements.
• Ensure reviewer attestation accuracy and absence of conflict of interest.
• Confirm provider credentials and signatures are properly applied.
• Identify inconsistencies and collaborate with Peer Reviewers for clarification or corrections.
• Support resolution of client complaints and quality assurance issues.
• Ensure compliance with federal ERISA and state mandates.
• Provide feedback to management regarding consultant quality and compliance.
• Participate in training and educational activities as required.
• Perform additional duties as assigned.

Must‑Have Skills

• RN or LPN background with strong clinical documentation experience
• Hospital experience (med‑surg or ortho preferred)
• Professional writing skills
• Ability to meet strict deadlines

Nice‑to‑Have Skills

• Strong independence and reliability
• Prior quality assurance experience in healthcare settings

Work Environment & Schedule

• 100% Remote
• Equipment provided: laptop, monitor, keyboard, mouse, phone (or candidate may use their own)
• Hours:
  • Mon–Fri, 8‑hour shifts
  • Standard: 8:30 AM–5:00 PM
  • Flexible start times: 7:00 AM–9:00 AM
  • Training: same hours
  • Post‑conversion: rotating late shift 10:00 AM–7:00 PM (monthly rotation)

Training & Performance Expectations

• 1–2 weeks of shadowing
• Candidate will complete a “teach‑back” case to demonstrate understanding
• Gradual case allocation based on complexity
• Daily metric: 8–10 cases/day
• Clarification rate: ≤ 2%

This is a Contract to Hire position based out of Orlando, FL.

The pay range for this position is $24.00 - $29.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully remote position.

This position is anticipated to close on Aug 21, 2026.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.