1:00 PM - 2:00 PM
Senior Product Manager Interview
Sarah Jenkins
Healthcare organizations across the USA are expanding their remote teams, and quality assurance RN jobs are in high demand nationwide. With 500+ open positions available, this remote opportunity allows experienced nurses to contribute to patient safety and clinical excellence from anywhere in the country. Employers are actively looking to hire a quality assurance RN who can bridge clinical expertise with regulatory precision.
Success in this role requires strong analytical skills, deep familiarity with clinical documentation standards, and a sharp eye for detail when reviewing patient charts. Candidates should understand CMS guidelines, HEDIS measures, and accreditation requirements, along with proficiency in electronic health record systems. Clear communication with clinical staff and the ability to translate complex findings into actionable improvement plans are equally essential for quality assurance RN positions.
Remote work for this profession typically involves flexible scheduling, secure digital access to patient records, and collaboration through virtual meetings with multidisciplinary teams. As telehealth and value-based care models expand, hiring outlook for quality assurance RN vacancies continues to grow across hospitals, insurers, and healthcare consulting firms nationwide.
If you're ready to advance your nursing career while enjoying the flexibility of remote work, explore quality assurance RN jobs in the USA through Global Work AI. Take the next step toward a rewarding, impact-driven career today.

Sedgwick
Perform clinical assessments and evaluate patient conditions, including treatment utilization and compliance. Collaborate with physicians, claims examiners, and other parties to negotiate care levels.

Sedgwick
Assess performance of internal and vendor case files for accuracy and compliance. Identify trends for service efficiency and quality improvements. Compile audit results for management review and quarterly reports. Monitor action items and project plans with stakeholders.

Advarra
Conduct internal audits and host audits to ensure compliance with FDA regulations. Manage client assessments and develop Corrective and Preventive Action reports (CAPAs) to enhance quality performance.
UBC
Monitor incoming and outgoing patient, provider, and client calls to evaluate performance. Provide onsite leadership support and participate in call calibration sessions. Conduct reporting and trend analysis for management, and assist with service improvement projects as needed.

Gainwell Technologies LLC
Monitor and evaluate voice and non-voice interactions for accuracy and compliance. Conduct daily reviews and audits to ensure adherence to standards and policies. Participate in calibration sessions and stakeholder meetings, and identify quality issues and process improvement needs.

Helper Heroes
Review clinical notes and documentation for accuracy, completeness, and compliance. Ensure documentation meets payer and regulatory standards. Operate within Axxess software for documentation management.

Amerihealth Caritas
Oversee quality management for Long Term Services and Supports (LTSS) in Pennsylvania. Ensure compliance with state regulations and NCQA/URAC standards, including credentialing and quality investigations.

Jobgether
Manage components of the Quality Management System, including internal auditing, document control, and CAPA processes. Supervise QA staff, review audit reports, and develop the internal audit schedule.

Revitalize Home Healthcare
Review OASIS-E2 assessments for accuracy and consistency before submission. Confirm alignment of OASIS, visit notes, therapy evaluations, and medication profiles. Verify ICD-10 coding and PDGM accuracy, providing actionable feedback to clinicians.
St. Joseph Hospice
Manage workflow in the HCHB Quality Assurance program, ensuring accurate and updated medical records for patients. Process data in the EMR system and communicate with peers, focusing on education and quality improvement.

Texas Health & Human Services Commission
Conduct monitoring visits in Texas nursing facilities to assess conditions affecting resident health and safety. Prepare detailed narrative reports after visits, documenting findings and recommendations.

WNS Global Services
Conduct quality assurance reviews of clinical activities, ensuring compliance with regulatory and accreditation standards. Perform internal and external quality audits, analyze trends, and recommend corrective actions.

DPR Construction
Lead quality assurance and control across multiple complex projects, ensuring alignment with standards. Serve as a subject matter expert for quality planning and audits, resolving systemic quality issues.

TEKsystems
Review clinical reports and documentation for accuracy, quality, and compliance with client requirements and regulatory standards. Perform quality assurance reviews, verify adherence to guidelines, and ensure reports meet professional standards.

TEKsystems
Conduct quality assurance reviews of peer review reports and ensure compliance with client specifications and regulatory standards. Provide evidence-based rationales for recommendations, verify clinical citations, and maintain report quality.

EXL
Oversee clinical CVA auditors to ensure accuracy in DRG coding. Conduct quality reviews of clinical audits, mentor auditors, and recommend process improvements. Provide root cause analysis on errors and communicate findings to management.

Gainwell Technologies LLC
Monitor and evaluate voice and non-voice interactions for accuracy and compliance. Conduct daily reviews and audits to ensure adherence to standards. Analyze performance trends and identify opportunities for operational improvement.
North Haven Solutions
Review reports for accuracy and completeness, ensuring adherence to customer requirements and clinical guidelines. Coordinate with customers and management to resolve issues and facilitate timely report completion.

Emmes Group
Oversee the quality program at Emmes, managing components like internal auditing, document control, and CAPA. Supervise QA staff, review audit reports, and lead client audits and regulatory inspections. Draft QA policies, prepare management reports, and provide corporate training as needed.

Centene Corporation
Lead Medicaid state withhold and pay-for-performance programs, ensuring compliance with accreditation and regulatory standards. Develop and monitor action plans, interventions, and reporting for quality improvement initiatives. Conduct assessments of programs and manage vendor oversight.

Zaden Tech
Develop and implement the quality control plan for a Defense Health Agency program. Inspect deliverables and service performance, run corrective actions, and conduct root-cause reviews. Prepare evidence for government quality surveillance and ensure compliance with performance requirements.
UBC
Monitor incoming and outgoing patient, provider, and client calls to evaluate performance. Provide onsite leadership support and participate in call calibration sessions. Analyze and report quality trends to management, and lead service improvement projects to enhance quality and expand services.

Montage Health
Lead enterprise STAR strategy to achieve and sustain 4+ STAR ratings. Oversee HEDIS, HOS, and administrative measure performance. Drive cross-functional initiatives to improve clinical outcomes and member satisfaction.

AW Health Care
Oversee quality and clinical management of patients, ensuring development of individual care plans. Implement and monitor quality assurance projects, perform chart reviews for compliance, and track service utilization trends.
Managed Resources
Own and enhance the Clinical Appeals education and QA program. Develop standardized QA methodologies and audit frameworks, manage a centralized knowledge base, and implement process improvements. Design onboarding programs, facilitate training sessions, and evaluate training effectiveness.

Network Health WI
Develop and implement intervention plans to improve quality ratings and reduce medical costs. Conduct HEDIS and medical record reviews, ensuring compliance with OCI, CMS, and NCQA standards. Collaborate with providers and members to close quality gaps and coordinate care management programs.

WNS Global Services
Lead the Quality Management Program, including program evaluation, quality improvement initiatives, and KPI development. Conduct compliance audits, root cause analyses, and develop corrective action plans. Oversee quality audit programs and ensure alignment with regulatory requirements.

Medica
Conduct medical record reviews and clinical quality audits to ensure compliance with quality standards. Collect and validate clinical documentation, prepare audit findings, and support quality programs through data abstraction.
CorVel Career Site
Oversee quality assurance processes and case management mentorship, ensuring adherence to CorVel standards. Develop and implement performance measurement tools, manage URAC compliance, and facilitate training for new hires.

EXL
Oversee clinical audits to ensure accuracy in DRG coding. Conduct quality reviews of inpatient medical records and mentor Clinical DRG auditors. Identify audit trends and provide root cause analysis on errors. Document audit findings and recommend process improvements.

Early Learning Coalition of Palm Beach County
Conduct on-site programmatic assessments and compliance reviews of childcare providers. Prepare reports based on monitoring findings and provide recommendations for improvement. Facilitate training and provide technical assistance to support providers.

CorVel Corporation
Oversee quality assurance processes and case management mentorship. Develop performance measurement tools and ensure compliance with national account and regulatory standards.

Numotion
Conduct internal audits of billing and collections processes to ensure compliance with standards. Analyze audit results to identify trends and performance gaps, and develop reports to track quality metrics.

Caris Life Sciences
Review case information and testing ordered to ensure accuracy of patient reports. Confirm all documentation is correct before sending to physicians. Perform quality control checks on reports and participate in weekly task rotations. Address issue resolution and troubleshoot problem cases as needed.

Molina Healthcare
Provide senior clinical support to the quality team, ensuring timely and accurate quality of care investigations. Conduct audits of medical records and monitor key quality activities involving clinical decision-making.

Frontier Science & Technology Research
Assist in the development and maintenance of the Quality Management System (QMS) and electronic QMS (eQMS). Conduct internal audits, incident management, and CAPA management. Perform system administration tasks in the eQMS and support QA team members with documentation and training.

Lifeforce
Manage the clinical QA program, including auditing telehealth visits and chart notes, producing QA scorecards, and escalating patient safety concerns. Own the Rippit platform for scorecard setup, reporting, and insights.

Provider Partners Health Plan
Monitor performance against CMS quality measures, analyze clinical and claims data to identify gaps, conduct medical-record audits, and develop training programs. Provide actionable feedback to clinical teams, support quality improvement initiatives, and maintain audit tools and reports.

OmniOn Power
Audit engineering specifications and packages for accuracy and compliance with customer standards. Track Cost of Quality metrics and support corrective actions to improve quality and customer satisfaction.

EXL
Oversee clinical CVA auditors to ensure accuracy in DRG coding. Conduct quality reviews of clinical audits, mentor auditors, and recommend process improvements. Provide root cause analysis on errors and communicate findings to management.
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