Clinical Quality Assurance Registered Nurse 100% Remote

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 To this Job