Remote Registered Nurse - $29/hr
Location: 100% Remote
About The Role
Network Medical Review Company is seeking an entry-level Clinical Quality Assurance Specialist to support the Quality Assurance Department in ensuring the accuracy, integrity, and compliance of clinical peer review reports. This role is ideal for candidates with clinical documentation experience (RN or LPN preferred) who excel in professional writing, attention to detail, and deadline-driven work.
Pay
Compensation (Non-Negotiable):
- Registered Nurse (RN): $28.50/hr
- Licensed Practical Nurse (LPN): $26.50/hr
The pay range for this position is $24.00 - $29.00/hr.
Responsibilities
- Perform quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews.
- Validate clear, concise, evidence-based rationales supporting all recommendations and determinations.
- Ensure all client instructions, specifications, and required questions are fully addressed.
- Confirm clinical citations and references are current, reputable, and properly included.
- Maintain high standards for report content, formatting, and professional presentation.
- Verify correct board specialty involvement per client or state requirements.
- Ensure reviewer attestation accuracy and absence of conflict of interest.
- Confirm provider credentials and signatures are properly applied.
- Identify inconsistencies and collaborate with Peer Reviewers for clarification or corrections.
- Support resolution of client complaints and quality assurance issues.
- Ensure compliance with federal ERISA and state mandates.
- Provide feedback to management regarding consultant quality and compliance.
- Participate in training and educational activities as required.
- Perform additional duties as assigned.
Requirements
- RN or LPN background with strong clinical documentation experience
- Hospital experience (med-surg or ortho preferred)
- Professional writing skills
- Ability to meet strict deadlines
Skills
Nice-to-Have Skills:
- Strong independence and reliability
- Prior quality assurance experience in healthcare settings
Schedule
Hours: Mon–Fri, 8-hour shifts
- Standard: 8:30 AM–5:00 PM
- Flexible start times: 7:00 AM–9:00 AM
- Training: same hours
- Post-conversion: rotating late shift 10:00 AM–7:00 PM (monthly rotation)
Work Environment
- 100% Remote
- Equipment provided: laptop, monitor, keyboard, mouse, phone (or candidate may use their own)
Training & Performance Expectations
- 1–2 weeks of shadowing
- Candidate will complete a “teach-back” case to demonstrate understanding
- Gradual case allocation based on complexity
- Daily metric: 8–10 cases/day
- Clarification rate: ≤ 2%
Benefits
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)
About The Company
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.