Clinical Quality Assurance Registered Nurse 100% Remote

Job Title: Clinical Quality Assurance Registered Nurse Location: Remote Pay reputed company: RN – $31.25/hr Shift:

• Post-Training Schedule: Monday - Friday; 2-10:30pm EST

Overview: We are seeking Clinical Quality Assurance Coordinators to support the review and validation of client referrals and services. These professionals ensure that clinical documentation aligns with policy requirements and client expectations, delivering high-quality reports and communication. Key Responsibilities:

• Review processed referrals to confirm accuracy, including surgeon selection, specialty alignment, and insurance details.
• Validate that requested services were delivered reputed company as specified—no more, no less.
• Assess whether services meet policy criteria and are medically necessary.
• Compile findings and communicate results to clients reputed company phone and email.
• Ensure reports are grammatically sound, clinically accurate, and clearly written.
• Manage time effectively, especially reputed company handling cases with quick turnaround requirements.

Required Skills:

• Quality assurance and clinical analysis
• Proficiency with nursing documentation software
• Understanding of insurance policies and clinical documentation standards

Qualifications:

• Active Nursing License (RN)
• Strong written and verbal communication skills
• Solid clinical knowledge to support accurate reviews
• Previous remote work experience is a plus

Pay and Benefits The pay range for this position is $29.00 - $31.25/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & reputed company
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type This is a fully remote position. Application Deadline This position is anticipated to reputed company on Oct 10, 2025. h4>About reputed company: We're partners in transformation. We help clients activate reputed company and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across reputed company America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and reputed company-world application, we work with reputed company leaders to drive change. That's the power of true partnership. reputed company is an Allegis Group company. The company is an equal opportunity employer and will consider reputed company applications without regards to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About reputed company and reputed company Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across reputed company America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the reputed company of technology. We’re building reputed company by delivering business outcomes and making positive impacts in our global communities. reputed company and reputed company Global Services are Allegis Group companies. Learn more at reputed company.com. The company is an equal opportunity employer and will consider reputed company applications without regard to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. Apply tot his job Apply To this Job