Remote Clinical Review Specialist - Home Health & Hospice
Accreditation Commission for Health Care (ACHC)
A health accreditation organization is seeking a Part-Time Clinical Review Specialist who will play a key role in supporting accreditation processes for community-based programs, particularly in Home Health and Hospice. The ideal candidate should possess clinical experience, strong communication skills, and a background in quality assurance. This role is fully remote, allowing candidates from anywhere in the United States to apply. Join a dynamic team that values excellence and innovation in the healthcare accreditation field. #J-18808-Ljbffr
- ...Acentra Health is seeking a Clinical Reviewer licensed in Arkansas to join our remote team serving the Arkansas Behavioral Health program. You will review medical records, perform prior authorization and retrospective reviews, and collaborate with Clinical Director to...Remote work
- ...organization is looking for a Full-time Clinical Review Specialist who will support the accreditation process for community health programs, including Home Health and Hospice. This role involves reviewing... ...skills and the ability to work remotely are essential. Traveling 15-20%...Remote jobFull time
- ...Comagine Health is seeking a remote clinical reviewer to support behavioral health services across Oregon. You will evaluate documentation for medical necessity... ..., conduct functional needs assessments, and coordinate home and community-based care. You will manage referrals,...Remote workWork from home
- ...Comagine Health is seeking a Clinical Reviewer with LCSW/LPC/LCPC licensure for a remote, Oregon-based role requiring travel to Salem and surrounding areas. Review clinical... ...determine medical necessity and coordinate in-home and community-based care for diverse populations...Remote workWork from home
- ...Description Job Description $10,000 Sign On Bonus Position Overview The RN Clinical Management Specialist is a qualified professional responsible for collaboration with Home Health and Hospice leadership in planning, coordinating, and delivering quality services to...Remote jobFull timeInterim roleWork at officeRelocation package
- ...Job Description Valcore Health • Growing Rural... ...current E.1 Reports To Clinical Nurse Coordinator or assigned... ...demand; MIH, mobile, home-, community-, partner-site-, telehealth-, and remote-patient-monitoring-... ...with quality-improvement reviews and implement corrective...Remote workWork from homeContract workImmediate start
- Healthcare Provider Solutions is seeking a full-time RN or licensed therapist coder/OASIS reviewer for remote home health (and home health + hospice) coding. Requires BCHH-C or HCS-D and COS-C/COQS/HCS-O certifications with at least 3 years of coding/OASIS experience....Remote jobWork from homeFull time
- ...leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure compliance... ...quality documentation. The role emphasizes strong clinical judgment, coding accuracy, and regulatory awareness...Remote jobWork from home
$10k
...Sign on BonusThe Director of Clinical Services Home Health will oversee the... ...most helpful as you will be reviewing plans of care on a daily basis... ...for designated full-time remote positions, in-office attendance... ...at Enhabit Home Health & Hospice, one of the nation’s...Remote workWork from homeFull timeTemporary workLocal areaImmediate startRelocation package- ...organization in Maine is seeking a Clinical Specialist to provide clinical decision... ...two years of behavioral health experience and must possess... ...in Maine. This role is remote and requires strong communication... ...medical necessity reviews and ensuring effective program...Remote work
$41.2 - $62.17 per hour
...Home Health RN Case Manager The RN Home Services Case... ...This is more than a clinical role. It's an opportunity... ...of home health or hospice. Ability to communicate... ..., utilization review, and/or discharge planning... ...expectations. If applying for a remote or hybrid role, this...Remote workWork from homeHourly pay- ...Community Health Educators Community Health Network of Connecticut, Inc. (CHNCT) is currently... ...off supplies, and office work. Review and respond to emails as needed. Work... ...requires working from a HIPPA compliant home workspace, via employee-supplied high-speed...Remote workWork from homePart timeWork at officeWeekend workDay shiftAfternoon shiftWeekday work
- ...Position Summary The Clinical Specialist reports to the Assistant... ...support of Community Health Options Medical... ...performing medical necessity reviews for appropriateness of... ...medical services. Remote work is required. Must... ...operational needs and have a home office environment...Remote workWork at officeLocal areaHome officeFlexible hours
- ...About the role Clinical Health Strategy Evaluation Specialist is a remote clinical-review track for evaluating AI outputs that touch clinical review. Reviewers grade differential reasoning, dosing logic, and guideline adherence; flag patient-safety issues; and document...Remote workHourly payTemporary workFor contractors10 hours per week
$72.8k - $130k
...Payment Integrity Clinical Review Specialist Optum is a global organization that delivers care, aided... ...with our team will directly improve health outcomes by connecting people with... ...You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal area- ...Clinical Specialist We anticipate the application window for... ...alleviate pain, restore health, and extend life. Our... ...team. While this is a remote position not located at... ..., operating room, or home health care Ability... ...driving record will be reviewed and will be considered...Remote workTemporary workH1bWork at officeLocal areaNight shift
$86.8k - $115k
...development. Summary The Clinical Policy Specialist – Itemized Bill Review is responsible for the... ...'s degree preferred (health administration, business,... ...and in the primary home residency, active compact... ...expect in this role ~ Remote opportunity within the U....Remote workFull timeFlexible hours- AuraOne is seeking a Clinical & Health Care Operations Reviewer for a remote clinical-review track assessing AI outputs touching clinical review. Reviewers grade differential reasoning, dosing logic, and guideline adherence; flag patient-safety issues; and document corrected...Remote job
$69.8k - $125.9k
...REQUIREMENTS Bachelor’s degree. Utilization management experience. Health claims and mainframe system experience. Experience with... ...coverage and rotating weekends/holidays. #LI-FW1 #LI-Remote This is a Remote/Work-From-Home role Sponsorship is not available Compensation: $69,800....Remote workWork from homeMonday to FridayRotating shiftAfternoon shift$76k - $114k
...alleviate pain, restore health, and extend life.... .... While this is a remote position not... ...supported by strong clinical evidence and long-... ..., the Clinical Specialist supports the Pelvic... ...operating room, or home health care Ability... ...record will be reviewed and will be...Remote workFull timeH1bWork at officeLocal areaImmediate startFlexible hoursNight shift- ...Clinical Team Specialist Opportunity At Elara Caring, we have a unique opportunity... ...the growth of an entire home care industry. Here, each... ...patient plan of care. Reviews and approves plan of care... ...nurse in a Home Health or Hospice environment ~ Current, unrestricted...Full timeWork at officeShift work
- Acentra Health is seeking a Clinical Review Advisor to join our remote US team. You will review medical records, prepare cases for physician review, and ensure timely... ...or medical records experience. A dedicated home office and reliable internet are required. #J-188...Remote jobHome office
- ...rewarding career at Enhabit Home Health & Hospice, one of the nation's largest... ...and company procedures. Review and approve patient information... ...have and maintain a valid clinical license, per state requirements... ...for designated full-time remote positions, in-office attendance...Remote workFull timeTemporary workWork at officeLocal areaImmediate startFlexible hours
$122.11k - $277.83k
...section visibility Onsite or Remote Fully On-Site Work Schedule... ...role within an award-winning health system. Help improve patient experiences... ...leadership, residents, clinical staff, and administrative/... ...data and event monitoring, peer review coordination, education, and facilitation...Remote workWork at officeMonday to Friday$105 per hour
...Compensation: $105/hour Location: Remote Role Responsibilities... ...authorisation workflows for medical and clinical services across multiple payer types. Review clinical documentation to assess... ...physician office, hospital, or health plan prior authorisation...Remote workContract workSummer workWork at office$88k - $95k
...huge role in the growth of an entire home care industry. Here each employee... ...Place. Job Description: Home Health Clinical Team Specialist (RN) Remote/Full Time/ Experience with Oasis... ...individualized patient plan of care. Reviews and approves plan of care and...Remote workFull timeWork at officeFlexible hours$35.87 - $58.37 per hour
RN - Clinical Transition Specialist Location: US-IL-Urbana ID:... ...Type: Full-Time Remote: No Shift: Day... ...care Conducts case review presentations to... ...from members of the health care team.... ...workers, physicians, Home Services, etc.)... ...DME, Home Care, Hospice, assisting with returns...Remote workFull timeWork experience placementLocal areaShift workWeekend workWeekday work$130 - $145 per hour
...We're hiring a Behavioral Health Physician Reviewer to join our Utilization Management... ...Medical Director drives clinical, financial, and operational... ...: This position is fully remote and open to candidates... ...work is completed from your home office, with occasional travel...Remote workWork from homeHourly payFull timePart timeFor contractorsRelocationHome office£42.33k - £48.18k per year
...Children's Palliative Nurse Specialist Acorns Children's Hospice are looking for a... ...Use your specialist clinical knowledge for the delivery... ...lifestyles Support with the review, discussion and fulfilment... ...on refurbished tech ~ Health cash plan ~ Gym membership...Remote workRotating shift- ...Description Location: Home Base is Radiation... ...This position will be remote after onsite training requirements... ...some job shadow with clinical team and coder from... ...region. Job Summary Reviews clinical documentation... ...Indiana University Health has nearly 40,000 team...Remote workWork from homeFull timeMonday to Friday
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