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Healthcare Nursing

Remote Nurse Reviewer - Medical Claims & Policy Reviews

Remote / Online - Candidates ideally in
Syracuse, Onondaga County, New York, 13201, USA
Listing for: Healthcare Quality Strategies, Inc. (HQSI)
Part Time, Remote/Work from Home position
Listed on 2026-06-26
Job specializations:
  • Healthcare
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 45460 - 64747 USD Yearly USD 45460.00 64747.00 YEAR
Job Description & How to Apply Below
A healthcare quality organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The ideal candidate will have a BSN and an active RN license, along with experience in medical record review. Responsibilities include evaluating claims against standards, documenting results, and participating in ongoing training. This is a part-time remote position, offering a flexible work environment with competitive hourly pay.
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