Clinical Quality Assurance Registered Nurse 100% Remote

Remote Full-time
Job Title: Clinical Quality Assurance Registered Nurse Location: Remote Pay Rate: 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 precisely as specified—no more, no less. • Assess whether services meet policy criteria and are medically necessary. • Compile findings and communicate results to clients via phone and email. • Ensure reports are grammatically sound, clinically accurate, and clearly written. • Manage time effectively, especially when 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 & vision • 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 close on Oct 10, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas 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 North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems 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 North 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 momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. Apply tot his job
Apply Now

Similar Opportunities

Coding & Billing Specialist (part-time)

Remote

English (United States) AI Prompt Creation Opportunity - Full Training Provided for Remote Workers

Remote

[Remote] Analyst- Audience Strategy

Remote

Remote Sales Closer – High-Ticket Digital Marketing ($300–$500 Commissions per Sale)

Remote

Work From Home Account Executive

Remote

Sr. Software Engineer (REMOTE)

Remote

Oncology Customer Service Support Representative - Remote

Remote

[Entry Level Jobs] bolthires Remote Jobs - $25/H

Remote

Director Talent Acquisition (Remote - US)

Remote

Talent Acquisition Manager, Remote Job

Remote

Director/Senior Director of Project Management

Remote

Experienced Help Desk Associate Tier 3 – Remote Technical Support Specialist for a Leading Parenting Technology Company

Remote

Palo Alto Networks - Associate Consultant - Digital Forensics and Incident Response, application via RippleMatch

Remote

Experienced Full-Time Customer Support Representative – Online Course Platform & E-Learning Solutions at Blithequark

Remote

**Experienced Entry-Level Remote Data Entry Coordinator (Part-Time) - Join the blithequark Team**

Remote

**Experienced Full Stack Live Chat Support Specialist – Remote Customer Service Representative**

Remote

[Remote] Systems Engineer II - DataBase Patching Engineer (Remote)

Remote

Online Data Entry (Part-Time) - Ideal for College Students Using Mobile & Laptop

Remote

Experienced Remote Customer Service Representative – Delivering Exceptional Support and Solutions to Valued Customers at blithequark

Remote

Experienced Seasonal Backcountry Gearhead – Web & Customer Service Expert for Outdoor Enthusiasts

Remote
← Back to Home