Support HEDIS measures, care gap closure, and clinical quality improvement programs — helping health plans and providers improve outcomes from home.
Virelia Health connects healthcare professionals with opportunities across nursing, managed care, population health, and clinical quality improvement programs.
We are seeking qualified LVNs/LPNs for remote quality improvement opportunities supporting health plans, ACOs, provider organizations, and population health teams.
A Remote LPN Quality Improvement Nurse supports healthcare organizations in measuring and improving clinical quality — typically through HEDIS measure review, care gap identification and closure, chart audits, and coordination of quality improvement initiatives. Unlike utilization review or appeals (which focus on individual coverage decisions), QI work focuses on patterns — identifying where quality metrics are falling short and coordinating programs to improve them.
This position is well-suited to an LVN who enjoys analytical work, data-driven problem solving, and improving care at the population level rather than one case at a time.
The specific quality programs, HEDIS measure sets, technology, and scope of responsibilities will depend on the employer and assignment.
This opportunity may be suitable for professionals searching for remote LPN quality improvement jobs, remote quality improvement nurse, remote HEDIS nurse, remote care gap nurse, work-from-home quality nurse, or remote population health LVN roles.
Quality improvement work runs on annual quality calendars and quarterly reporting cycles — so your workflow is structured around measure deadlines rather than daily patient volumes. There are no shift rotations, no overnight hours, and no on-call. Most QI teams run Monday–Friday during business hours, with heavier workloads during HEDIS season (typically January–May) and lighter periods during summer months. We offer both full-time and part-time positions, and many QI nurses work flexible start times or 4-day compressed schedules. Discuss your preferred rhythm during your interview.
As a Remote LPN Quality Improvement Nurse, you may support health plans and provider organizations in measuring, analyzing, and improving clinical quality metrics.
Quality improvement nursing helps healthcare organizations understand where care is falling short of measurable quality benchmarks — and coordinates the interventions that close those gaps.
Depending on the program, quality improvement work may involve:
The LVN's role is to support data collection, documentation review, member outreach, and coordination — not to independently determine quality scores or final measure compliance. Complex measure interpretations or program decisions are escalated to an RN, quality director, or analytics team according to the employer's protocol.
This structure keeps the role focused on chart review, care gap identification, member communication, documentation, and quality improvement coordination.
Quality improvement is collaborative — it depends on clear communication with both providers and members to close care gaps.
You may communicate with:
Communication should be factual, respectful, and aligned with the organization's quality improvement goals.
A Remote LPN Quality Improvement Nurse may follow a structured improvement cycle across each quality program.
Depending on the employer's protocols, you may:
Quality programs are governed by strict regulatory and accreditation requirements. The exact reporting, audit, and escalation process will be defined by the employer and must always be followed.
Experience in any of the following may be beneficial:
A typical day may begin by reviewing the current HEDIS measure dashboard and identifying care gaps or documentation needs assigned to you.
You may then perform chart reviews to validate quality measure evidence — checking whether a screening, lab, or preventive service is documented according to HEDIS specifications.
When documentation is missing or unclear, you may contact provider offices to request additional clinical evidence or clarification.
In parallel, you may support member outreach activities — contacting members about overdue screenings or labs and connecting them with resources to complete recommended care.
You'll document your findings, intervention activities, and outcomes in the quality reporting platform, and flag patterns that may indicate a need for a broader improvement intervention.
The role combines chart review, data analysis, provider and member communication, documentation, and quality improvement coordination.
Unlike bedside nursing, quality improvement work is analytical, project-driven, and typically performed during standard business hours.
This position is designed for remote healthcare quality improvement work.
Depending on the employer, you may work with:
Candidates should be comfortable learning multiple healthcare technology platforms and working with data-driven quality workflows.
Because member and provider information is involved, candidates should have an appropriate professional environment for confidential healthcare communication and documentation.
Quality improvement nurse roles are currently in highest demand in states with major health plan headquarters, large ACO networks, and heavy Medicare Advantage and Medicaid managed care enrollment:
Top markets (payer HQs + value-based care hubs): California, Texas, Florida, New York, Pennsylvania, Ohio, Illinois, Michigan, Georgia, North Carolina, Minnesota, Connecticut.
Strong secondary markets: Arizona, Colorado, Indiana, Kentucky, Maryland, Massachusetts, Missouri, New Jersey, Tennessee, Virginia, Washington, Wisconsin.
Also eligible: All other states where the employer operates, subject to state-specific licensure rules.
Applicants with an active LPN or LVN license, or an eligible multistate compact license, may apply. Final eligibility depends on the states in which the employer's members are located, the employer's requirements, and the licensing rules applicable to the specific position.
Learn how UR fits into the broader remote nursing landscape: read our how to become a remote LPN guide.
This position offers $27–$40 per hour, based on experience, geographic location, clinical background, and assignment requirements. Quality improvement roles typically offer project-based, deadline-driven work with predictable weekday schedules.
Benefits are assignment-specific and may vary depending on whether the opportunity is full-time, part-time, contract, or direct hire. Depending on the employer, benefits may include:
Eligibility, waiting periods, and specific benefit terms are confirmed with the employer during the offer stage.
Quality improvement nursing is one of the most analytical remote specialties — it appeals to nurses who like thinking about systems rather than just individual cases. Every health plan, ACO, and large provider organization in the country runs quality programs to maintain accreditation and improve outcomes.
Many nurses find quality improvement appealing because it offers:
It may be particularly suitable for LVNs who enjoy data analysis, systems thinking, chart review, and improving care at scale.
Whether you want full-time stability or part-time flexibility, we have a place for you. Click below to fill out your application and let us know your preferred schedule.
Questions? Contact: hr@virelia-health.com
A home-office setup designed for remote nursing, telehealth, clinical coordination, education, and other patient-facing healthcare work.
We match analytical nurses with data-driven quality programs that value their clinical insight.
QI roles focus on patterns and populations — a better fit for nurses who enjoy data analysis and process improvement.
Quality programs run on annual and quarterly cycles — predictable deadlines, no shift rotations, no on-call.
We work directly with Medicare Advantage plans, Medicaid MCOs, ACOs, and population health teams — the primary employers of remote QI nurses.
QI experience opens doors into quality leadership, healthcare analytics, population health strategy, and compliance.
Submit your application and tell us about any quality, HEDIS, or population health exposure.
We review your chart review skills, data-orientation, and comfort with quality reporting workflows.
Meet the quality team and learn about the HEDIS measures, populations, and reporting cycles you'll support.
Complete quality reporting platform training and begin your first measure cycle with full support.
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