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Keywords: REMOTE Quality Review Registered Nurse, Location: USA

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Pediatric Heart Center RN Quality Coordinator - Days

**LOCATION: CHILDREN'S MEMORIAL HERMANN/TMC** **FULL TIME, DAY SHIFT** **CURRENT REGISTERED NURSE LICENSE REQUIRED** Working... reviews, aid in variance & quality event investigations (CAUTI, CLABSI, SSI, UPE, FALLS), lead quality meetings, review JC...

Company: Memorial Hermann
Location: Bellaire, TX
Posted Date: 06 Feb 2026

Pediatric Heart Center RN Quality Coordinator - Days

**LOCATION: CHILDREN'S MEMORIAL HERMANN/TMC** **FULL TIME, DAY SHIFT** **CURRENT REGISTERED NURSE LICENSE REQUIRED** Working... reviews, aid in variance & quality event investigations (CAUTI, CLABSI, SSI, UPE, FALLS), lead quality meetings, review JC...

Company: Memorial Hermann
Location: USA
Posted Date: 06 Feb 2026

Pediatric Heart Center RN Quality Coordinator - Days

**LOCATION: CHILDREN'S MEMORIAL HERMANN/TMC** **FULL TIME, DAY SHIFT** **CURRENT REGISTERED NURSE LICENSE REQUIRED** Working... reviews, aid in variance & quality event investigations (CAUTI, CLABSI, SSI, UPE, FALLS), lead quality meetings, review JC...

Company: Memorial Hermann
Location: Houston, TX
Posted Date: 06 Feb 2026

Pediatric Heart Center RN Quality Coordinator - Days

**LOCATION: CHILDREN'S MEMORIAL HERMANN/TMC** **FULL TIME, DAY SHIFT** **CURRENT REGISTERED NURSE LICENSE REQUIRED** Working... reviews, aid in variance & quality event investigations (CAUTI, CLABSI, SSI, UPE, FALLS), lead quality meetings, review JC...

Posted Date: 06 Feb 2026

Pediatric Heart Center RN Quality Coordinator - Days

**LOCATION: CHILDREN'S MEMORIAL HERMANN/TMC** **FULL TIME, DAY SHIFT** **CURRENT REGISTERED NURSE LICENSE REQUIRED** Working... reviews, aid in variance & quality event investigations (CAUTI, CLABSI, SSI, UPE, FALLS), lead quality meetings, review JC...

Company: Memorial Hermann
Location: Pasadena, TX
Posted Date: 06 Feb 2026

Pediatric Heart Center RN Quality Coordinator - Days

**LOCATION: CHILDREN'S MEMORIAL HERMANN/TMC** **FULL TIME, DAY SHIFT** **CURRENT REGISTERED NURSE LICENSE REQUIRED** Working... reviews, aid in variance & quality event investigations (CAUTI, CLABSI, SSI, UPE, FALLS), lead quality meetings, review JC...

Company: Memorial Hermann
Location: Sugar Land, TX
Posted Date: 06 Feb 2026

Registered Nurse Quality Review Specialist - CIC or CCS

Company : Highmark Inc. Job Description : JOB SUMMARY This role involves an indepth review of provider submitted... and compliance of claim findings. The clinician will prepare and review provider appeal requests, validate accuracy of ICD-10-CM/PCS...

Company: Highmark Health
Location: Home, PA
Posted Date: 28 Jan 2026

Utilization Review Specialist Registered Nurse / RN

Description Job Summary: The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting... unencumbered Registered Nurse license approved by the Georgia Licensing Board. Skills - Must meet all quality and productivity...

Company: Emory Healthcare
Location: Atlanta, GA
Posted Date: 03 Feb 2026
Salary: $46.31 per hour

Utilization Review Registered Nurse

opportunity for a local remote position. There is no communication with patients. This position supports all units/staff... care for hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical...

Company: BJC HealthCare
Location: Saint Louis, MO
Posted Date: 14 Jan 2026

Clinical Quality Management Analyst - Registered Nurse (Remote)

of compliance, process improvement, medical record review and coding, and member and provider satisfaction for all product lines.... Recommends and implements process improvements related to the potential of quality medical care and service to members...

Company: Highmark Health
Location: Home, PA
Posted Date: 13 Feb 2026

Quality Review and Coding Specialist, Continuum of Care

(HOPE), and/or ICD-10 queries. Assists coders and quality review staff in performance of duties. Maintains and reports... of Medical Specialty Coding and Compliance Or Registered Nurse (RN) - Missouri Division of Professional Registration...

Location: USA
Posted Date: 25 Dec 2025

Clinical Care Manager- Utilization Review Nurse

is passionate about advancing high‑quality, compliant, patient‑centered care through precise and timely Utilization Review... appropriateness, or quality‑of‑care review. Communicate routinely with ordering providers, provider organizations, and when...

Company: Guidehealth
Location: Chicago, IL
Posted Date: 08 Feb 2026
Salary: $72000 - 75000 per year

Clinical Care Manager- Utilization Review Nurse

is passionate about advancing high‑quality, compliant, patient‑centered care through precise and timely Utilization Review... appropriateness, or quality‑of‑care review. Communicate routinely with ordering providers, provider organizations, and when...

Company: Guidehealth
Location: Peoria, IL
Posted Date: 07 Feb 2026
Salary: $72000 - 75000 per year

Clinical Care Manager- Utilization Review Nurse

is passionate about advancing high‑quality, compliant, patient‑centered care through precise and timely Utilization Review... appropriateness, or quality‑of‑care review. Communicate routinely with ordering providers, provider organizations, and when...

Company: Guidehealth
Location: Rockford, IL
Posted Date: 07 Feb 2026
Salary: $72000 - 75000 per year

Health Plan Quality of Care Registered Nurse

. As a Health Plan Registered Nurse RN Behavioral Health Quality of Care, you will call upon your behavioral health nursing... positions, and extend our innovation to employment settings by including remote and hybrid opportunities. Clinical Quality...

Company: Banner Health
Location: Arizona
Posted Date: 13 Feb 2026
Salary: $33.11 - 55.18 per hour

Quality Care Management Registered Nurse

Management Registered Nurse contributes to AHF by improving health outcomes of patients receiving services throughout the AHF..., active Registered Nurse license in the state where the QCM operates AHF Commitment We at AIDS Healthcare Foundation...

Posted Date: 23 Nov 2025
Salary: $100000 per year

Remote Neurology Telehealth Registered Nurse - Florida License Required

Nurse (RN) to oversee its care delivery team and ensure high-quality execution of Principal Care Management (PCM... quality standards, and ensure compliance with Medicare guidelines. This is a fully remote role. Job Responsibilities...

Posted Date: 06 Feb 2026
Salary: $80000 - 110000 per year

Senior Clinical Program Manager (Registered Nurse) – Remote (Boston)

Maximus is hiring for the Senior Clinical Program Manager (Registered Nurse) for the MA EOHHS Program which provides... of education and experience. - Bachelor's degree in Nursing - An active, unencumbered Registered Nurse (RN) license in the...

Company: Maximus
Location: Boston, MA
Posted Date: 04 Feb 2026

Registered Nurse (RN) – Remote

healthcare talent you need! Registered Nurse (RN) - Remote Full Time Posted 20 hours ago Registered Nurse (RN... We are hiring a Neurology-trained Registered Nurse with direct clinical experience in neurology settings to support care...

Posted Date: 28 Jan 2026
Salary: $135000 - 145000 per year

Registered Nurse (RN) – Remote

healthcare talent you need! Registered Nurse (RN) - Remote Full Time Posted 20 hours ago Registered Nurse (RN... We are hiring a Neurology-trained Registered Nurse with direct clinical experience in neurology settings to support care...

Posted Date: 27 Jan 2026
Salary: $135000 - 145000 per year