Phoenix, AZ · Remote
$42 - $43.50/hr
This is an excellent opportunity for a licensed clinical professional with experience in clinical ... Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) * ...
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Phoenix, AZ · Remote
$42 - $43.50/hr
This is an excellent opportunity for a licensed clinical professional with experience in clinical ... Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) * ...
Our collaborators over see our highly skilled Nurse Practitioners in the field as stated by state ... Type: Collaborating Physician - 1099 (Chart Reviews) Location: Remote Opportunity - State of ...
Our collaborators over see our highly skilled Nurse Practitioners in the field as stated by state ... Type: Collaborating Physician - 1099 (Chart Reviews) Location: Remote Opportunity - State of ...
Phoenix, AZ · On-site +1
... as a health professional, including RN or LPN. Required Certifications * N/A PREFERRED ... Utilize clinical skills, chart review, physician communication and appropriate criteria for ...
Phoenix, AZ · On-site +1
... as a health professional, including RN or LPN. Required Certifications * N/A PREFERRED ... Utilize clinical skills, chart review, physician communication and appropriate criteria for ...
Engage in comprehensive chart preparation and provide crucial patient education on care plan ... are professionals. * Promote patient health through education on preventive care and self ...
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Engage in comprehensive chart preparation and provide crucial patient education on care plan ... are professionals. * Promote patient health through education on preventive care and self ...
Support chart review, audit preparation, accreditation readiness, and quality assurance initiatives ... Experience supervising or mentoring RNs or clinical teams strongly preferred * Comfortable working ...
Support chart review, audit preparation, accreditation readiness, and quality assurance initiatives ... Experience supervising or mentoring RNs or clinical teams strongly preferred * Comfortable working ...
Scottsdale, AZ · Remote
$50K/yr
Remote work eligibility is subject to all work from home criteria met and based on business need ... This job operates in a professional office environment. This role routinely uses standard office ...
Scottsdale, AZ · Remote
$50K/yr
Remote work eligibility is subject to all work from home criteria met and based on business need ... This job operates in a professional office environment. This role routinely uses standard office ...
Phoenix, AZ · Remote
$50K/yr
Remote work eligibility is subject to all work from home criteria met and based on business need ... This job operates in a professional office environment. This role routinely uses standard office ...
Phoenix, AZ · Remote
$50K/yr
Remote work eligibility is subject to all work from home criteria met and based on business need ... This job operates in a professional office environment. This role routinely uses standard office ...
Scottsdale, AZ · On-site +1
$50K/yr
Remote work eligibility is subject to all work from home criteria met and based on business need ... This job operates in a professional office environment. This role routinely uses standard office ...
Scottsdale, AZ · On-site +1
$50K/yr
Remote work eligibility is subject to all work from home criteria met and based on business need ... This job operates in a professional office environment. This role routinely uses standard office ...
Phoenix, AZ · On-site +1
$50K/yr
Remote work eligibility is subject to all work from home criteria met and based on business need ... This job operates in a professional office environment. This role routinely uses standard office ...
Phoenix, AZ · On-site +1
$50K/yr
Remote work eligibility is subject to all work from home criteria met and based on business need ... This job operates in a professional office environment. This role routinely uses standard office ...
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is ... This is an excellent opportunity for a licensed clinical professional with experience in clinical ...
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Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is ... This is an excellent opportunity for a licensed clinical professional with experience in clinical ...
Phoenix, AZ · Remote
$40 - $43/hr
... professional with experience in clinical review, utilization management, or healthcare quality ... Remote or onsite depending on business needs * Must have a secure home office setup if remote
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Phoenix, AZ · Remote
$40 - $43/hr
... professional with experience in clinical review, utilization management, or healthcare quality ... Remote or onsite depending on business needs * Must have a secure home office setup if remote
Tempe, AZ · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...
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Tempe, AZ · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...
Phoenix, AZ · On-site +1
... RN role through nursing chart and recorded visit audits, competency assessments, remediation ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Phoenix, AZ · On-site +1
... RN role through nursing chart and recorded visit audits, competency assessments, remediation ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Tempe, AZ · On-site +1
$40 - $45/hr
Active, unrestricted RN licensure from the United States in the respective state or active compact ... With over 20 years of experience connecting organizations with highly qualified professionals ...
Tempe, AZ · On-site +1
$40 - $45/hr
Active, unrestricted RN licensure from the United States in the respective state or active compact ... With over 20 years of experience connecting organizations with highly qualified professionals ...
Review and process prior authorization, reauthorization, and continued stay requests for home ... Graduate of an accredited nursing program (RN, LPN, or LVN), or * Graduate of an accredited ...
Review and process prior authorization, reauthorization, and continued stay requests for home ... Graduate of an accredited nursing program (RN, LPN, or LVN), or * Graduate of an accredited ...
Mesa, AZ · Remote
$29.05 - $67.97/hr
Michigan is NOT included in a compact RN license. Job Duties Facilitates medical review of ... Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or ...
Mesa, AZ · Remote
$29.05 - $67.97/hr
Michigan is NOT included in a compact RN license. Job Duties Facilitates medical review of ... Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or ...
Scottsdale, AZ · Remote
$29.05 - $67.97/hr
Michigan is NOT included in a compact RN license. Job Duties Facilitates medical review of ... Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or ...
Scottsdale, AZ · Remote
$29.05 - $67.97/hr
Michigan is NOT included in a compact RN license. Job Duties Facilitates medical review of ... Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or ...
Key responsibilities include performing retrospective medical chart reviews to pinpoint areas for ... Active nursing credential as Registered Nurse (RN), Licensed Practical Nurse (LPN), or ...
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Key responsibilities include performing retrospective medical chart reviews to pinpoint areas for ... Active nursing credential as Registered Nurse (RN), Licensed Practical Nurse (LPN), or ...
Mesa, AZ · On-site +1
$28.85 - $31.25/hr
... office and 3 days remote) What You'll Do The Coding & OASIS Reviewer will review chart ... Eager to learn and grow professionally * Coachable and receptive to feedback * A dependable team ...
Mesa, AZ · On-site +1
$28.85 - $31.25/hr
... office and 3 days remote) What You'll Do The Coding & OASIS Reviewer will review chart ... Eager to learn and grow professionally * Coachable and receptive to feedback * A dependable team ...
... , BSN or Medical Records Professional with three years hands-on medical record experience with ... review, abstractor Strong computer skills Commitment to abide by all patient health information ...
... , BSN or Medical Records Professional with three years hands-on medical record experience with ... review, abstractor Strong computer skills Commitment to abide by all patient health information ...
| Aspect | Professional Remote Rn Chart Review | Medical Records Reviewer |
|---|---|---|
| Credentials | Registered Nurse (RN) license | Varies; often includes medical background or certification |
| Work Environment | Remote, healthcare-focused | Remote or onsite, administrative or healthcare settings |
| Industry Usage | Healthcare, insurance, legal cases | Healthcare, insurance, legal documentation |
| Job Focus | Reviewing patient charts for accuracy, compliance, and medical necessity | Reviewing medical records for completeness, accuracy, and compliance |
The Professional Remote Rn Chart Review primarily involves licensed RNs analyzing patient charts for medical accuracy and compliance, often for insurance or legal purposes. Medical Records Reviewers may have a broader background and focus on verifying the completeness and correctness of medical documentation. While both roles are remote and healthcare-related, the RN chart review emphasizes clinical expertise, whereas medical records reviewers may not require nursing credentials.
$42 - $43.50/hr
Full-time
Posted 29 days ago
Overview:
TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing clinical cases, identifying potential quality or safety concerns, and supporting quality improvement initiatives across a complex healthcare delivery network. This is an excellent opportunity for a licensed clinical professional with experience in clinical review, utilization management, or healthcare quality within health plans, hospital systems, or government-supported programs.
What you will be doing:
Review medical records to identify potential quality, safety, and utilization concerns
Conduct detailed case analysis and prepare clear, well-documented summaries and recommendations
Support peer review processes and quality improvement initiatives
Analyze trends and assist in identifying patterns in care delivery and outcomes
Collaborate with clinical leadership, including Medical Directors, to review findings
Participate in quality committees and performance improvement efforts
Ensure compliance with regulatory requirements and program standards
Coordinate with cross-functional teams such as case management, care coordination, and program integrity
What you must have:
Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW)
Minimum 3+ years of clinical experience (medical/surgical and/or behavioral health)
U.S. Citizenship required
Ability to obtain and maintain a Department of Defense (DoD) background clearance
Strong analytical and critical thinking skills
Excellent written communication skills
Nice to have:
Bachelor’s degree in Nursing or healthcare-related field
Experience in clinical quality, utilization review, or case review
Familiarity with federal or government healthcare programs
Experience with clinical criteria tools (InterQual or similar)
Exposure to healthcare data analysis or reporting
Technical Skills
Proficiency with Microsoft Office (Word, Excel, Outlook)
Comfortable working across multiple systems and electronic medical records
What makes you successful
Strong clinical judgment and attention to detail
Ability to work independently and manage multiple priorities
Analytical mindset with problem-solving ability
Clear and professional communication skills
Comfortable working in a structured, compliance-driven environment
Other Information:
Remote or onsite depending on business needs
Must have a secure home office setup if remote
Occasional extended hours may be required
Salary/Rate Range: $85,000 – $92,000 annually; Hourly Equivalent: Approximately $41 – $44/hour
