Remote Senior Clinical Quality Nurse

Oscar Health; Phoenix (AZ); Remote; USD 75,000 - 99,000; Full time

Job summary

Oscar Health is seeking a Senior Clinical Quality Nurse to elevate clinical quality and service for members from a home office. The role focuses on audits, quality of care review, and collaborative improvements across departments.

You will mentor staff, drive audit programs, and ensure regulatory compliance while supporting peer and leadership stakeholders. The position is remote, welcomed nationwide with occasional travel for team meetings and events.

Qualifications

• Active RN license in home state with willingness to obtain additional licenses as needed.
• 2+ years RN experience in clinical care setting.
• 1+ year utilization review experience in managed care.
• Strong auditing and quality improvement mindset.
• Comfort with cross-functional collaboration and training.

Responsibilities

• Perform quality audits on clinical documentation across departments.
• Develop audit surveys and rubrics for evidence-based decisions.
• Pull and track clinician cases for auditing in department systems.
• Support NCQA and other regulatory audit readiness.
• Provide feedback and coaching to staff on audit standards.
• Deliver quality data and present trends to stakeholders.

Skills

RN license

Utilization review

Clinical care

Quality auditing

Stakeholder collaboration

Education

BSN required

Tools

Google Sheets

Google Docs

Google Slides

Google Meet

Job description

Oscar Health is seeking a Senior Clinical Quality Nurse to elevate clinical quality and service for members from a home office. The role focuses on audits, quality of care review, and collaborative improvements across departments.

You will mentor staff, drive audit programs, and ensure regulatory compliance while supporting peer and leadership stakeholders. The position is remote, welcomed nationwide with occasional travel for team meetings and events.