Remote Clinical Quality Reviewer (RN/LCSW)

TEEMA Solutions Group; Phoenix (AZ); Remote; USD 85,000 - 92,000; Full time

Job summary

A leading organization in healthcare quality is seeking a Clinical Quality Reviewer to review clinical cases and identify potential quality or safety concerns. This remote position is ideal for licensed clinical professionals with a strong analytical mindset and a minimum of 3 years of clinical experience. Responsibilities include conducting detailed case analyses, supporting peer reviews, and ensuring compliance with healthcare standards. The role offers competitive salary and work flexibility.

Qualifications

• Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW).
• Minimum 3+ years of clinical experience in medical/surgical and/or behavioral health.
• Ability to obtain and maintain a Department of Defense (DoD) background clearance.

Responsibilities

• Review medical records to identify potential quality, safety, and utilization concerns.
• Conduct detailed case analysis and prepare clear, well-documented summaries and recommendations.
• Support peer review processes and quality improvement initiatives.

Skills

Analytical and critical thinking skills

Strong clinical judgment

Attention to detail

Clear communication skills

Education

Bachelor’s degree in Nursing or healthcare-related field

Tools

Microsoft Office (Word, Excel, Outlook)

Job description

A leading organization in healthcare quality is seeking a Clinical Quality Reviewer to review clinical cases and identify potential quality or safety concerns. This remote position is ideal for licensed clinical professionals with a strong analytical mindset and a minimum of 3 years of clinical experience. Responsibilities include conducting detailed case analyses, supporting peer reviews, and ensuring compliance with healthcare standards. The role offers competitive salary and work flexibility.