Remote Nurse Reviewer - Medical Necessity & Medicaid
Remote / Online - Candidates ideally in
Reading, Berks County, Pennsylvania, 19610, USA
Listed on 2026-06-16
Reading, Berks County, Pennsylvania, 19610, USA
Listing for:
Healthcare Quality Strategies, Inc. (HQSI)
Remote/Work from Home
position Listed on 2026-06-16
Job specializations:
-
Nursing
Healthcare Nursing, RN Nurse, Clinical Nurse Specialist, Nurse Practitioner
Job Description & How to Apply Below
Healthcare Quality Strategies, Inc. (HQSI) is seeking a Nurse Reviewer for remote work to support Medical Review Services. The position requires comprehensive medical necessity reviews for Medicaid claims and requires key responsibilities including conducting reviews and managing case processes.
Candidates should have a BSN and active RN licensure, with 3-5 years of experience in medical review. Benefits include medical, dental, vision, and a 401k plan.
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