Remote | Full-Time | $85,000โ$92,000/year
Are you an experienced Registered Nurse with a background in clinical quality, chart auditing, utilization review, or case review? We're seeking a Clinical Quality Reviewer to join a dynamic team supporting a large federal healthcare program. This is a fully remote opportunity for clinicians who are passionate about improving healthcare quality, patient safety, and clinical outcomes.
If you have strong analytical skills, enjoy reviewing medical records, and have experience identifying quality concerns and documentation gaps, we'd love to hear from you.
What You'll Do
Review medical records to identify quality, safety, and utilization concerns.
Conduct comprehensive chart audits and clinical documentation reviews.
Identify Potential Quality Issues (PQIs) and prepare detailed case summaries and recommendations.
Support peer review and quality improvement initiatives.
Collaborate with Medical Directors and interdisciplinary teams.
Analyze trends and recommend opportunities to improve patient care and outcomes.
Ensure compliance with regulatory, accreditation, and program requirements.
Required Qualifications
Active, unrestricted Registered Nurse (RN) license.
Minimum 3 years of clinical nursing experience (Medical-Surgical and/or Behavioral Health preferred).
Strong clinical documentation and professional writing skills.
U.S. Citizenship required.
Ability to obtain and maintain a Department of Defense (DoD) background clearance.
Must reside in one of the approved remote work states.
Must be available to work Arizona business hours.
Preferred Qualifications
Clinical Quality, Quality Assurance, Case Review, or Utilization Review experience.
Strong chart auditing and documentation review experience.
Experience reviewing medical necessity and quality concerns.
InterQual experience strongly preferred.
Inpatient Medical-Surgical nursing foundation highly preferred.
Experience with MCG or similar clinical criteria.
Health plan, hospital quality, managed care, or government healthcare experience.
Bachelor's degree in Nursing (BSN) preferred.
Technical Skills
Electronic Medical Record (EMR/EHR) experience.
Microsoft Office (Word, Excel, Outlook).
Comfortable working across multiple healthcare systems and applications.
Why Join Us?
100% Remote
Competitive salary: $85,000โ$92,000 annually
Work with an experienced clinical quality team.
Meaningful work supporting a large federal healthcare program.
Stable, long-term career opportunity.
Collaborative and mission-driven environment.
Apply today if you have experience in clinical quality, chart auditing, utilization review, case review, or medical necessity review and are ready to make an impact on healthcare quality and patient safety.
Email your resume today!!
mpalkin@teemagroup.com