Arizona Licensed Clinical Quality Reviewer

Job Summary

To support a large-scale federal healthcare program, the remote Clinical Quality Reviewer (RN or LCSW) will review medical records for quality and safety concerns, conduct detailed case analyses, and collaborate with clinical leadership on quality improvement initiatives.

Key responsibilities

• Review medical records to identify potential quality, safety, and utilization concerns
• Conduct detailed case analysis and prepare clear, well-documented summaries and recommendations
• Collaborate with clinical leadership and participate in quality committees and performance improvement efforts

Required 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
• U.S. Citizenship required
• Ability to obtain and maintain a Department of Defense (DoD) background clearance
• Strong analytical and critical thinking skills