Remote, RI Contract * Responsible for the review and evaluation of clinical information and ... Reviews documentation and evaluates potential quality of care issues based on clinical policies and ...
Remote, RI Contract * Responsible for the review and evaluation of clinical information and ... Reviews documentation and evaluates potential quality of care issues based on clinical policies and ...
Quality Management Nurse Consultant - Pennsylvania
$60K - $129K/yr
Licensed Registered Nurse (RN) with an unrestricted license. * Minimum of 3 years of quality management care experience. * Must be willing and able to travel in-state up to 10%; with possibility of ...
Quality Management Nurse Consultant - Pennsylvania
$60K - $129K/yr
Licensed Registered Nurse (RN) with an unrestricted license. * Minimum of 3 years of quality management care experience. * Must be willing and able to travel in-state up to 10%; with possibility of ...
Quality Management Nurse Consultant - Pennsylvania
$60K - $129K/yr
Licensed Registered Nurse (RN) with an unrestricted license. * Minimum of 3 years of quality management care experience. * Must be willing and able to travel in-state up to 10%; with possibility of ...
Quality Management Nurse Consultant - Pennsylvania
$60K - $129K/yr
Licensed Registered Nurse (RN) with an unrestricted license. * Minimum of 3 years of quality management care experience. * Must be willing and able to travel in-state up to 10%; with possibility of ...
Supplier Quality Manager
Caledonia, MI · Remote
Supplier Performance Management * Establish and maintain supplier quality KPIs -- including ... Plan and execute a risk-based supplier audit program, conducting on-site and remote quality system ...
Supplier Quality Manager
Caledonia, MI · Remote
Supplier Performance Management * Establish and maintain supplier quality KPIs -- including ... Plan and execute a risk-based supplier audit program, conducting on-site and remote quality system ...
Director Quality Management
Harrisburg, PA · On-site +1
Must be a PA licensed RN, physician, physician's assistant or a licensed or certified MH ... For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ...
Director Quality Management
Harrisburg, PA · On-site +1
Must be a PA licensed RN, physician, physician's assistant or a licensed or certified MH ... For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ...
Dir Quality Management
Harrisburg, PA · On-site +1
Must be a PA licensed RN, physician, physician's assistant or a licensed or certified MH ... For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ...
Dir Quality Management
Harrisburg, PA · On-site +1
Must be a PA licensed RN, physician, physician's assistant or a licensed or certified MH ... For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ...
Quality Management Consultant
Prosper, TX · Remote
$50/hr
Quality Management Consultant Office Location ... Pleasanton Tech Center 100% Remote *Must be a US Citizen * Any Travel for this role? : No
Quick apply
Quality Management Consultant
Prosper, TX · Remote
$50/hr
Quality Management Consultant Office Location ... Pleasanton Tech Center 100% Remote *Must be a US Citizen * Any Travel for this role? : No
Quality Assurance Engineer
Gaithersburg, MD · Remote
$84K - $109K/yr
This person will work closely with Case Management, Partner Support, and remote Quality Engineering, effectively managing quality as an onsite quality expert to ensure quick turnaround time.
Quality Assurance Engineer
Gaithersburg, MD · Remote
$84K - $109K/yr
This person will work closely with Case Management, Partner Support, and remote Quality Engineering, effectively managing quality as an onsite quality expert to ensure quick turnaround time.
The Contract Utilization Management Nurse plays a critical role in ensuring high-quality, cost ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
The Contract Utilization Management Nurse plays a critical role in ensuring high-quality, cost ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
QA & Testing Advisor
Chicago, IL · On-site +1
Remote QA & Testing Advisor : Provides QA and Testing leadership for Provider initiatives ... Experience with Agile delivery and defect management tools. Note : Remote VIVA is an equal ...
QA & Testing Advisor
Chicago, IL · On-site +1
Remote QA & Testing Advisor : Provides QA and Testing leadership for Provider initiatives ... Experience with Agile delivery and defect management tools. Note : Remote VIVA is an equal ...
SAP Quality management consultant: Remote
Chicago, IL · Remote
$68.25 - $89/hr
SAP Quality management consultant Location: Chicago, IL, remote Duration: 6+ months Min Exp: 15+ Years Description: Need 15+ years of experience in SAP Quality management consultant
Quick apply
SAP Quality management consultant: Remote
Chicago, IL · Remote
$68.25 - $89/hr
SAP Quality management consultant Location: Chicago, IL, remote Duration: 6+ months Min Exp: 15+ Years Description: Need 15+ years of experience in SAP Quality management consultant
Requisition ID2026-4514Job Summary Quality Management Specialist Artemis is seeking a full-time ... Remote work is anticipated. However, occasional travel for client engagements may be required.
Requisition ID2026-4514Job Summary Quality Management Specialist Artemis is seeking a full-time ... Remote work is anticipated. However, occasional travel for client engagements may be required.
Requisition ID 2026-4514 Job Summary Quality Management Specialist Artemis is seeking a full-time ... Remote work is anticipated. However, occasional travel for client engagements may be required.
Requisition ID 2026-4514 Job Summary Quality Management Specialist Artemis is seeking a full-time ... Remote work is anticipated. However, occasional travel for client engagements may be required.
This is a remote position; candidates must live and be authorized to work in the United States. The Specialist- Quality supports the firm's Quality Management program by performing quality assurance ...
This is a remote position; candidates must live and be authorized to work in the United States. The Specialist- Quality supports the firm's Quality Management program by performing quality assurance ...
Advocate quality care and enhanced quality of life * Advocate decreased hospital stay when ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Advocate quality care and enhanced quality of life * Advocate decreased hospital stay when ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Advocate quality care and enhanced quality of life * Advocate decreased hospital stay when ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Advocate quality care and enhanced quality of life * Advocate decreased hospital stay when ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Quality of Care Investigative Nurse (RN) - Remote Join the Arizona Division of Developmental Disabilities' Quality Management team and help protect the health, safety, and well-being of individuals ...
Quality of Care Investigative Nurse (RN) - Remote Join the Arizona Division of Developmental Disabilities' Quality Management team and help protect the health, safety, and well-being of individuals ...
Utilization Management Nurse Consultant - Medical Review (Remote)
$26.01 - $56.14/hr
Utilization Management Nurse Consultant We're building a world of health around every individual ... We provide flexible, cost-effective care management solutions that promote high-quality healthcare ...
Utilization Management Nurse Consultant - Medical Review (Remote)
$26.01 - $56.14/hr
Utilization Management Nurse Consultant We're building a world of health around every individual ... We provide flexible, cost-effective care management solutions that promote high-quality healthcare ...
Utilization Management Nurse
Phoenix, AZ · Remote
Promote quality care and cost-effective outcomes that enhance the physical, psychosocial, and ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment:
New
Quick apply
Utilization Management Nurse
Phoenix, AZ · Remote
Promote quality care and cost-effective outcomes that enhance the physical, psychosocial, and ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment:
New
Utilization Management Nurse
Phoenix, AZ · On-site +1
Promote quality care and cost-effective outcomes that enhance the physical, psychosocial, and ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment:
Utilization Management Nurse
Phoenix, AZ · On-site +1
Promote quality care and cost-effective outcomes that enhance the physical, psychosocial, and ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment:
Remote Quality Management Nurse information
See salary details
$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
How much do remote quality management nurse jobs pay per year?
As of Aug 10, 2026, the average yearly pay for remote quality management nurse in the United States is $90,275.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,500.00 and $102,500.00 per year, depending on experience, location, and employer.
What cities are hiring for Remote Quality Management Nurse jobs? Cities with the most Remote Quality Management Nurse job openings:
What are the most commonly searched types of Quality Management Nurse jobs? The most popular types of Quality Management Nurse jobs are:
What states have the most Remote Quality Management Nurse jobs? States with the most job openings for Remote Quality Management Nurse jobs include:
Job description
Remote, RI
Contract
Job Description:
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Responsible for the review and evaluation of clinical information and documentation.
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Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.
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Independently coordinates the clinical resolution with internal/external clinician support as required.
Responsibilities:
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Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit determinations.
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Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation.
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Data gathering requires navigation through multiple system applications.
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Staff may be required to contact the providers of record, vendors, or internal Healthcare departments to obtain additional information.
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Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines.
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Accurately applies review requirements to assure case is reviewed by a practitioner with clinical expertise for the issue at hand.
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Commands a comprehensive knowledge of complex delegation arrangements, contracts, clinical criteria, benefit plan structure, regulatory requirements, company policy and other processes which are required to support the review of the clinical documentation/information.
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Pro-actively and consistently applies the regulatory and accreditation standards to assure that activities are reviewed and processed within guidelines.
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Condenses complex information into a clear and precise clinical picture while working independently.
Experience:
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3 years of clinical experience required.
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Must have experience with Medcompass
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Must have prior authorization utilization experience.
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Managed Care/Medicare experience preferred.
Skills:
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MUST HAVE MEDCOMPASS or ASSURECARE exp.
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MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge.
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MUST HAVE UM experience, inpatient utilization management review.
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MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG.
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MUST HAVE 6 months of Prior Authorization.
Education:
- RN with current unrestricted state licensure
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com) .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
About US Tech Solutions
Sourced by ZipRecruiter
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
Industry
It services
Company size
1,001 - 5,000 Employees
Headquarters location
Jersey City, NJ, US
Year founded
2000