Registered Nurse | Review Analyst I – Remote | Contract | (We’re Hiring)

Overview: Join a dynamic healthcare team as a Review Analyst I (Registered Nurse) in a remote, contract-based role. This opportunity is ideal for RNs looking to apply their clinical expertise in a non-bedside setting—reviewing medical documentation and supporting compliance, quality assurance, and utilization management from home. About the Role: As a Review Analyst I, you’ll work closely with clinical and administrative teams to evaluate healthcare claims, clinical records, and treatment authorizations. This position allows licensed nurses to transition into a data-driven, administrative role with the flexibility of remote work. Key Responsibilities: - Conduct detailed clinical reviews of medical records and healthcare data - Evaluate the appropriateness of medical procedures using established criteria - Ensure documentation compliance with federal, state, and organizational guidelines - Collaborate with other clinical analysts and providers to resolve discrepancies - Prepare detailed reports and summaries of findings - Support audits and quality improvement initiatives as needed - Maintain confidentiality and data integrity in all case documentation Requirements: - Active, unrestricted RN license in the U.S. (compact license preferred) - At least 2 years of clinical nursing experience (review or audit experience is a plus) - Familiarity with CMS, NCQA, or URAC guidelines a bonus - Detail-oriented with strong analytical and organizational skills - Proficient in EMR systems and Microsoft Office Suite - Reliable internet and a secure home office setup What We Offer: - Competitive contract compensation ($40–$48 per hour) - 100% remote flexibility - Supportive and collaborative virtual team - Professional development opportunities in health data review - Potential for contract renewal or permanent placement How to Apply: Submit your resume and a brief statement of interest highlighting your clinical and/or audit experience. We’re excited to review your application and welcome you into a fast-growing team that’s transforming healthcare from behind the scenes. Apply Job!