Remote Nurse Reviewer - Medical Necessity & Medicaid
Remote / Online - Candidates ideally in
Lancaster, Lancaster County, Pennsylvania, 17622, USA
Listed on 2026-06-15
Lancaster, Lancaster County, Pennsylvania, 17622, USA
Listing for:
Healthcare Quality Strategies, Inc. (HQSI)
Remote/Work from Home
position Listed on 2026-06-15
Job specializations:
-
Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist, Nurse Educator
Job Description & How to Apply Below
Healthcare Quality Strategies, Inc. (HQSI) is looking for a Nurse Reviewer to support Medical Review Services. This remote position requires a BSN with active RN licensure and offers 20-30 hours of work per week.
The Nurse Reviewer will conduct thorough medical necessity reviews for Medicaid claims and collaborate with a team of professionals to ensure compliance. Key qualifications include experience in medical record review and strong analytical skills.
Benefits include Medical, Dental, Vision, and a 401k plan.
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