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Remote Healthcare Quality Jobs in Riverside, CA (NOW HIRING)

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$14

$22

$31

How much do remote healthcare quality jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for remote healthcare quality in Riverside, CA is $22.14, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $24.33 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Healthcare Quality position, and why are they important?

To thrive in a Remote Healthcare Quality role, you need a strong background in healthcare management, quality assurance, data analysis, and regulatory compliance, usually supported by a degree in nursing, public health, or a related field. Familiarity with healthcare quality improvement software, telehealth platforms, and accreditation standards like Joint Commission or NCQA is typically expected. Exceptional communication, problem-solving, and organizational skills help professionals excel when collaborating remotely with clinical teams and stakeholders. These competencies ensure effective monitoring and enhancement of care standards while meeting industry regulations and delivering measurable improvements.

What is a Remote Healthcare Quality job?

A Remote Healthcare Quality job involves overseeing and improving healthcare standards, compliance, and patient outcomes from a remote setting. Professionals in this role analyze data, ensure regulatory adherence, develop quality improvement initiatives, and collaborate with healthcare teams to enhance care delivery. They may work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, knowledge of healthcare regulations, and experience in quality management are typically required.

What are the typical daily responsibilities for someone working in Remote Healthcare Quality?

A Remote Healthcare Quality professional is usually responsible for monitoring healthcare processes, analyzing quality metrics, and ensuring compliance with industry standards and regulations from a remote setting. Daily tasks often include reviewing patient care data, preparing reports for leadership, participating in virtual meetings with healthcare teams, and recommending quality improvement initiatives. The role may also involve conducting audits, tracking performance indicators, and delivering training or feedback to staff. Remote work in this position emphasizes collaboration through digital tools and constant communication to maintain high care standards across the organization.

What are popular job titles related to Remote Healthcare Quality jobs in Riverside, CA? For Remote Healthcare Quality jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Healthcare Quality jobs in Riverside, CA look for? The top searched job categories for Remote Healthcare Quality jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Healthcare Quality jobs? Cities near Riverside, CA with the most Remote Healthcare Quality job openings:
Remote Healthcare Quality jobs near you
Infographic showing various Remote Healthcare Quality job openings in Riverside, CA as of July 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 69% Full Time, 16% Part Time, and 12% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $46,049 per year, or $22.1 per hour.
Provider Quality Review Nurse, RN

Provider Quality Review Nurse, RN

Inland Empire Health Plan

Rancho Cucamonga, CA • On-site, Remote

$91K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 20 days ago

Job description

Overview
This is a short-term assignment.
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!
At Inland Empire Health Plan (IEHP), we believe the highest quality of care should be delivered to all in the Inland Empire. We are thinking beyond the way Quality is viewed today - we believe it should be holistic and transformative. IEHP's provider incentive programs serve an important role in achieving IEHP's quality goals.
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 recommendations to the Medical Director of case assignments
  • Effectuate all action items as determined by the Medical Director to resolution of case assignments
  • Reviewing escalated issues
  • Discussing and reviewing cases with Medical Directors referred to the Quality Management (QM) department
  • Investigation of cases includes, but not limited to, the documentation of case summaries, follow up actions, outreach efforts, and communications in the QM database

Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Additional Benefits
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
  • Competitive salary.
  • Hybrid schedule.
  • CalPERS retirement.
  • State of the art fitness center on-site.
  • Medical Insurance with Dental and Vision.
  • Life, short-term, and long-term disability options
  • Career advancement opportunities and professional development.
  • Wellness programs that promote a healthy work-life balance.
  • Flexible Spending Account - Health Care/Childcare
  • CalPERS retirement
  • 457(b) option with a contribution match
  • Paid life insurance for employees
  • Pet care insurance

Key Responsibilities
  1. Investigate and complete case summaries and make recommendations for any Potential Quality of Care Incidents (PQI) referred to the QM department.
  2. Maintain direct communication with IEHP departments, external facilities including hospitals, Skilled Nursing Facilities, and/or Providers to ensure all PQI issues are thoroughly investigated, and care is coordinated in a timely manner, as needed.
  3. Review requested medical records to ensure complete case documentation is received from all practitioners, providers, and entities/agencies to ensure thorough investigation of the issue.
  4. Review case findings and recommendations with Medical Director. Issue Corrective Action Plans (CAP), review CAP responses, draft Opportunity for Improvement letters, and coordinate other interventions as needed to ensure all issues were addressed and future occurrences of the same issue are mitigated.
  5. Complete data entry into database systems, maintain updated documentation and other tracking mechanisms for all cases.
  6. Review and execute ad hoc requests, quality reviews, and/or focused audits, as needed.
  7. Escalate issues of non-compliance to the Quality Systems Management team.
  8. Maintain working knowledge of regulatory requirements as they relate to QM operations and protocols.
  9. Complete other tasks and assignments based on department and business needs.
  10. Demonstrate a commitment to incorporate LEAN principles into daily work.

Qualifications
Education & Requirements
  • Three (3) or more years of any individual or combined healthcare experience in quality assurance, quality management, quality improvement, utilization management, discharge planning, and/or case management
  • Three (3) or more years of work experience in a managed care, hospital, provider practice, or other comparable healthcare experience
  • Experience preferably in a quality/performance improvement setting
  • Bachelor's degree in Nursing from an accredited institution required
    • In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position
    • This experience is in addition to the minimum years listed in the Experience Requirements above
  • Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Healthcare Risk Management (CPHRM), or Clinical certification in area specialty) preferred
  • Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required

Key Qualifications
  • Must have a valid California Driver's License
  • Excellent understanding of performance improvement, quality assurance, and utilization management
  • Knowledgeable in clinical analysis of health records, assessing or evaluating quality, and identifying problems or issues with care delivery
  • Microcomputer applications: spreadsheet, database, and word processing
  • Excellent written and verbal communication skills
  • Excellent coordination skills
  • Ability to communicate findings and form recommendations based on clinical case reviews
  • Ability to demonstrate critical thinking, strong problem-solving capability. Strong attention to detail
  • Ability to prioritize work to ensure adherence to project deadlines. Ability to effectively escalate issues as identified, following established protocols
  • Positive attitude and ability to work in a team setting
  • Self-direction and ability to work with minimal supervision
  • Word processing and data entry involving computer keyboard and screens, automobile travel within the Inland Empire
  • Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval

Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
Telecommute (All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership)
Pay Range
USD $91,249.60 - USD $120,910.40 /Yr.

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