Centene Remote Rn Jobs in Texas (NOW HIRING)

100% Remote

$26.50-$28.50 per Hour

️ Full-Time | Wednesday-Saturday Schedule

Team C Schedule: Wednesday-Saturday

• Four 10-hour shifts each week
• Assigned shift between 6:00 AM and 7:00 PM CST
• Enjoy three consecutive days off every week
• Training conducted on the same schedule

Are you a licensed clinical professional with a passion for accuracy, compliance, and quality patient care? We are seeking a Clinical Quality Assurance Specialist to join a growing healthcare organization dedicated to ensuring high-quality, evidence-based clinical reviews.

This role is ideal for an RN or LPN who enjoys reviewing clinical documentation, collaborating with healthcare professionals, and ensuring the highest standards of quality and regulatory compliance are met.

✅ 100% Remote Opportunity

✅ Competitive Pay: $26.50-$28.50/hour

✅ Company-Provided Equipment

• Laptop
• Monitor
• Keyboard
• Mouse
• Phone

✅ Mission-Driven Healthcare Environment

✅ Comprehensive Benefits for Full-Time Employees

✅ Work-Life Balance with a 4-Day Work Week

✅ Supportive, Compliance-Focused Culture

As a Clinical Quality Assurance Specialist, you will review clinical reports and documentation to ensure accuracy, quality, and compliance with client requirements and regulatory standards.

Key responsibilities include:

• Performing quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews
• Ensuring recommendations and determinations are supported by clear, evidence-based rationales
• Verifying adherence to client specifications, regulatory guidelines, and contractual requirements
• Reviewing clinical citations and references for relevance, accuracy, and credibility
• Ensuring reports meet quality, formatting, and professional standards
• Confirming the appropriate clinical specialty reviews are completed and documented accurately
• Identifying discrepancies, omissions, or inconsistencies and coordinating corrections when needed
• Assisting with quality assurance concerns, compliance questions, and issue resolution
• Supporting adherence to federal and state healthcare regulations
• Collaborating with internal teams to maintain exceptional quality standards
• Participating in ongoing training and professional development activities

• Active RN or LPN background or equivalent clinical documentation experience
• Experience reviewing clinical documentation, medical records, or healthcare reports
• Strong professional writing and editing skills
• Ability to manage deadlines and maintain high levels of accuracy
• Strong attention to detail and critical thinking skills
• Ability to work independently in a remote environment
• Reliable and self-motivated work style

• Experience in healthcare quality assurance, utilization review, compliance, or peer review environments
• Familiarity with regulatory and healthcare documentation standards
• Experience evaluating clinical reports for accuracy and completeness

You are someone who:

• Takes pride in producing high-quality work
• Has excellent written communication skills
• Can identify inconsistencies and resolve issues efficiently
• Thrives in a structured, deadline-driven environment
• Values healthcare quality, compliance, and integrity
• Excels while working independently in a remote setting

If you're a clinically experienced professional looking for a remote opportunity with a four-day work week, competitive pay, and meaningful impact, we'd love to hear from you.

Apply today for the Clinical Quality Assurance Specialist opportunity!

This is a Contract to Hire position based out of Houston, TX.

The pay range for this position is $26.50 - $28.50/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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 Sep 1, 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.