Performs quality review oversight visits to HHC owned nursing homes and retirement communities as assigned. May serve as a member of a quality review team or at times may visit assigned facilities as ...
New
Performs quality review oversight visits to HHC owned nursing homes and retirement communities as assigned. May serve as a member of a quality review team or at times may visit assigned facilities as ...
New
Performs quality review oversight visits to HHC owned nursing homes and retirement communities as assigned. May serve as a member of a quality review team or at times may visit assigned facilities as ...
New
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...
Quick apply
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...
Rancho Cucamonga, CA · On-site
Medical
Dental
Vision
Life
Retirement
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for: * Receive and research all PQI and QR cases as assigned, provide a summary and ...
Rancho Cucamonga, CA · On-site
Medical
Dental
Vision
Life
Retirement
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for: * Receive and research all PQI and QR cases as assigned, provide a summary and ...
$91K/mo
Medical
Dental
Vision
Life
Retirement
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for: * Receive and research all PQI and QR cases as assigned, provide a summary and ...
$91K/mo
Medical
Dental
Vision
Life
Retirement
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for: * Receive and research all PQI and QR cases as assigned, provide a summary and ...
Rancho Cucamonga, CA · On-site +1
$91K - $120K/yr
Medical
Dental
Vision
Life
Retirement
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for: * Receive and research all PQI and QR cases as assigned, provide a summary and ...
Rancho Cucamonga, CA · On-site +1
$91K - $120K/yr
Medical
Dental
Vision
Life
Retirement
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for: * Receive and research all PQI and QR cases as assigned, provide a summary and ...
Mexia, TX · On-site
RN - Quality Review Join Parkview Regional Hospital in Mexia, TX, a 49-bed, acute-care facility providing services that include medical/surgical care, rehabilitation, and emergency care. Parkview ...
Mexia, TX · On-site
RN - Quality Review Join Parkview Regional Hospital in Mexia, TX, a 49-bed, acute-care facility providing services that include medical/surgical care, rehabilitation, and emergency care. Parkview ...
Mexia, TX · On-site
Job Summary The RN - Quality Review is responsible for supporting the organization's quality and patient safety initiatives through data collection, analysis, and process improvement activities. This ...
Mexia, TX · On-site
Job Summary The RN - Quality Review is responsible for supporting the organization's quality and patient safety initiatives through data collection, analysis, and process improvement activities. This ...
Dallas, TX · Remote
$42/hr
The review nurse is responsible for medical record abstractions and overreads during the annual ... Perform quality reviews of abstracted medical records as assigned * Ensure open and honest ...
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Dallas, TX · Remote
$42/hr
The review nurse is responsible for medical record abstractions and overreads during the annual ... Perform quality reviews of abstracted medical records as assigned * Ensure open and honest ...
Newport Beach, CA · On-site
$30 - $38.25/hr
The Quality Review Nurse is a professional, licensed vocational nurse responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes. * This position will ...
Newport Beach, CA · On-site
$30 - $38.25/hr
The Quality Review Nurse is a professional, licensed vocational nurse responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes. * This position will ...
Las Vegas, NV · On-site
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in ... This role works closely with clinical teams to ensure efficient resource utilization and quality ...
Las Vegas, NV · On-site
Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in ... This role works closely with clinical teams to ensure efficient resource utilization and quality ...
Alpharetta, GA · On-site
Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2 ... Participate in quality improvement initiatives and utilization management committees.Stay current ...
Alpharetta, GA · On-site
Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2 ... Participate in quality improvement initiatives and utilization management committees.Stay current ...
Miami, FL · On-site
Concurrent Review Nurse Under the general supervision of the Director of Health Services, the ... Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ...
Miami, FL · On-site
Concurrent Review Nurse Under the general supervision of the Director of Health Services, the ... Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ...
BASIC FUNCTION Perform and administer level 2 Medical Review Pre-Determinations according to ... nursing degree program or experience required to obtain Registration (RN) from the state. The ...
BASIC FUNCTION Perform and administer level 2 Medical Review Pre-Determinations according to ... nursing degree program or experience required to obtain Registration (RN) from the state. The ...
The Quality Management (QM) Nurse is responsible for preparing, reviewing, and presenting findings on all potential quality management events reported to the department and all grievances submitted ...
The Quality Management (QM) Nurse is responsible for preparing, reviewing, and presenting findings on all potential quality management events reported to the department and all grievances submitted ...
Birmingham, AL · On-site
BASIC FUNCTION Perform and administer level 2 Medical Review Pre-Determinations according to ... nursing degree program or experience required to obtain Registration (RN) from the state. The ...
Birmingham, AL · On-site
BASIC FUNCTION Perform and administer level 2 Medical Review Pre-Determinations according to ... nursing degree program or experience required to obtain Registration (RN) from the state. The ...
The Quality Management (QM) Nurse is responsible for preparing, reviewing, and presenting findings on all potential quality management events reported to the department and all grievances submitted ...
The Quality Management (QM) Nurse is responsible for preparing, reviewing, and presenting findings on all potential quality management events reported to the department and all grievances submitted ...
Phoenix, AZ · Remote
$42 - $43.50/hr
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 ...
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Phoenix, AZ · Remote
$42 - $43.50/hr
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 ...
New Orleans, LA · On-site
Medical
Dental
Vision
Life
Retirement
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Ensures medically appropriate, high quality, cost effective care through assessing the medical ...
New Orleans, LA · On-site
Medical
Dental
Vision
Life
Retirement
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Ensures medically appropriate, high quality, cost effective care through assessing the medical ...
Medical
Dental
Vision
Life
Retirement
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Ensures medically appropriate, high quality, cost effective care through assessing the medical ...
Medical
Dental
Vision
Life
Retirement
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Ensures medically appropriate, high quality, cost effective care through assessing the medical ...
Newport Beach, CA · On-site +1
The Quality Management (QM) Nurse is responsible for preparing, reviewing, and presenting findings on all potential quality management events reported to the department and all grievances submitted ...
Newport Beach, CA · On-site +1
The Quality Management (QM) Nurse is responsible for preparing, reviewing, and presenting findings on all potential quality management events reported to the department and all grievances submitted ...
$29.5K - $42.3K
2% of jobs
$42.3K - $55K
0% of jobs
$66.3K is the 25th percentile. Wages below this are outliers.
$55K - $67.8K
26% of jobs
The median wage is $76.8K / yr.
$67.8K - $80.6K
31% of jobs
$80.6K - $93.4K
11% of jobs
$98K is the 75th percentile. Wages above this are outliers.
$93.4K - $106.1K
11% of jobs
$106.1K - $118.9K
5% of jobs
$118.9K - $131.7K
7% of jobs
$131.7K - $144.5K
2% of jobs
$144.5K - $157.2K
1% of jobs
$157.2K - $170K
2% of jobs
$29.5K
$90.3K
$170K
A Quality Review Nurse is responsible for evaluating patient care to ensure it meets clinical standards, regulatory requirements, and organizational policies. They review medical records, analyze data, and identify areas for improvement to enhance healthcare quality and patient safety. These professionals often collaborate with healthcare teams to develop best practices, ensure compliance, and recommend corrective actions when needed. Their role is essential in maintaining high standards of care and improving overall healthcare outcomes.
A typical day for a Quality Review Nurse involves reviewing patient medical records to ensure compliance with healthcare regulations and organizational quality standards, identifying areas of improvement, and documenting findings for reporting. You will often collaborate with clinical staff, quality assurance teams, and management to recommend process improvements and provide feedback on care delivery practices. Quality Review Nurses may also participate in case reviews, audits, and staff training, making the work both analytical and interactive. This role requires balancing independent record analysis with teamwork to drive effective quality initiatives throughout the healthcare facility.
To thrive as a Quality Review Nurse, you need a solid clinical background in nursing, critical thinking skills, and strong attention to detail, typically supported by an active RN license and several years of nursing experience. Familiarity with quality assurance protocols, electronic health records (EHR) systems, and healthcare accreditation standards (such as The Joint Commission) is commonly required. Excellent communication, problem-solving abilities, and a collaborative mindset help distinguish top performers in this role. These skills are crucial for ensuring compliance, promoting patient safety, and driving continuous improvement in healthcare quality standards.
Cities with the most Quality Review Nurse job openings:
The most popular types of Quality Review Nurse jobs are:
States with the most job openings for Quality Review Nurse jobs include:
The top searched job categories for Quality Review Nurse jobs are:

Health and Hospital Corporation is an organization that celebrates diversity, and seeks to employ a diverse workforce. We actively encourage all individuals to apply for employment and to seek advancement opportunities. Health and Hospital Corporation also provides reasonable accommodations to qualified individuals with disabilities as required by law. For additional questions please contact us at: hrmail@hhcorp.org.
Assists the Vice President of Long Term Care and other department personnel in the review and analysis of care and services provided by HHC owned nursing homes and licensed residential facilities. Performs on site and office review of various clinical resident care services and nursing management operations at the long term care facilities and prepares related reports for the long term care department, individual facilities and the contract management company. Assists in the analysis of various aspects of nursing home operations using professional standards of practice and industry benchmarks and in the preparation of reports for the HHC Board of Directors' Planning Committee. This position is responsible for promoting health and wellbeing of long term care residents of Health and Hospital Corporation Marion County nursing facilities by promoting preventive, therapeutic, and supportive care based on standards of practice and in compliance with all applicable regulatory requirements.
Responsibility 1: 70%
Responsibility 2: 30%
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
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Software development
1 - 10 Employees
Fairfax, VA, US
2001