Remote Nurse Reviewer - Medical Claims & Policy Reviews

Remote / Online - Candidates ideally in
New York, USA

Listing for: Healthcare Quality Strategies, Inc. (HQSI)

Remote/Work from Home position
Listed on 2026-10-07

Job specializations:

Nursing
Healthcare Nursing, RN Nurse, Nurse Practitioner, Public Health Nurse

Salary/Wage Range or Industry Benchmark: 45460 - 64747 USD Yearly USD 45460.00 64747.00 YEAR

Job Description & How to Apply Below

A healthcare organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The role involves examining claims, maintaining knowledge of Medicaid policies, and managing the screening process effectively. Candidates must possess a BSN with an active RN license and have 3-5 years of review experience. This position offers a chance to work in a remote setup with competitive hours.

Benefits include medical, dental, and 401k options.
We are looking to fill the Remote Nurse Reviewer
- Medical Claims & Policy Reviews position at Healthcare Quality Strategies, Inc. (HQSI) in Town of Florida, NY, United States. The Remote Nurse Reviewer
- Medical Claims & Policy Reviews role at Healthcare Quality Strategies, Inc. (HQSI) is now open for applications in Town of Florida, NY, United States.

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