GLC On-The-Go is seeking a travel nurse RN Quality Assurance for a travel nursing job in Harrisburg, Pennsylvania.
Job Description & Requirements
- Specialty: Quality Assurance
- Discipline: RN
- Start Date: 07/06/2026
- Duration: 26 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel
Review and Evaluation Registered Nurse - Harrisburg, PA
Seeking a dedicated and detail-oriented Review & Evaluation (R&E) Nurse. This role focuses on ensuring the quality, appropriateness, and compliance of medical services provided under the Medical Assistance Program.
Key Responsibilities
- Review and evaluate medical records and documentation to determine medical necessity, quality, and appropriateness of care
- Analyze provider submissions and PROMISe™ data to ensure compliance with Medical Assistance regulations
- Identify potential fraud, abuse, or improper billing and recommend corrective actions
- Conduct on-site, desk, and telephonic reviews of service providers
- Communicate findings with providers, staff, and stakeholders, including advisory boards and legal representatives
- Prepare detailed reports, correspondence, and documentation of findings
- Provide consultative support to improve service delivery and administrative procedures
- Serve as a team leader on complex reviews when required
- Represent the Department in administrative or legal hearings as needed
Minimum Qualifications
- Current Registered Nurse (RN) license issued by the Pennsylvania State Board of Nursing
OR
- Non-renewable temporary practice permit (must obtain RN licensure within one year)
- Three (3) years of professional experience in medical assistance (MA), healthcare services, or human services
- At least three (3) years of recent (within the last five years) experience in one or more of the following:
- Long-term care
- Acute care
- Behavioral health
- Drug and alcohol services
- Managed care
- Quality management/utilization review
- Other related clinical settings
- Proficiency in writing and basic computer skills, including Microsoft Office
- Knowledge of InterQual criteria, ICD-9 CM, and CPT terminology (preferred)
- Ability to exercise professional judgment in identifying irregular patterns and determining appropriate actions
Essential Skills & Abilities
- Strong analytical and critical thinking skills
- Ability to interpret and apply healthcare regulations, policies, and standards
- Effective verbal and written communication skills
- Ability to establish and maintain professional working relationships
- Capability to conduct fieldwork, including travel across the state (overnight stays may be required)
- Ability to prepare reports, testify in hearings, and defend determinations
- Proficiency in data entry and documentation systems
- Physical ability to travel, walk distances, carry equipment, and sit for extended periods
Experience:
- Medical assistance, health care services, or human services: 3 years (Required)
License/Certification:
- Registered Nurse License (RN) (Required) , PA or compact state
- Work Location: In person
About GLC On-The-Go
GLC is more than just a staffing agency – we’re your trusted partner in finding travel, local, and PRN contracts that align with your career aspirations and lifestyle.
We specialize in connecting travel nurses and allied healthcare professionals like you with opportunities in acute care, long-term care, behavioral health, and allied fields across the U.S.
Our attentive and friendly recruiters are always just a call or text away, ready to guide you at every step, ensuring you feel valued and heard.
We understand the unique needs of travel healthcare professionals, which is why we offer comprehensive benefits and 24/7 support.
Join GLC, where our 20+ years of experience mean we know how to help you find the assignments that turn your career goals into reality.
With us, it's not just a placement – it's your dream career made possible
