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
- A health accreditation organization is seeking a Part-Time Clinical Review Specialist who will play a key role in supporting accreditation... ..., particularly in Home Health and Hospice. The ideal candidate should... ...assurance. This role is fully remote, allowing candidates from...Remote workPart time
- ...personable and detail-oriented Full-time Clinical Review Specialist to perform the associated duties... ...based programs to include Home Health & Hospice programs. This person will be responsible... ...travel (15-20%) This position is 100% remote and can be located anywhere...Remote workFull timeWork at office
- ...where it matters most – at home. Pinnacle Home Care Holdings... ...We're seeking an experienced Clinical Review Specialist LPN to join our growing team... ...Position Details Location: Remote (Weekend only) On‑site Training... ...Medicare‑certified home health experience (required) First...Remote workPart timeWork at officeFlexible hoursWeekend 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
$63.65k - $92.57k
...Mass General Brigham. Job Summary The Clinical Review Specialist will assess the medical necessity... ...) Schedule and Work Model: Remote / Work from Home. Full-time, Monday through Friday,... ...a leadership role as an integrated health care system. We recognize that increasing...Remote workWork from homeFull timeMonday to FridayShift work$29 - $52 per hour
...will directly improve health outcomes by... ...Growing together. The Clinical Wellbeing Specialist role is a part of a clinical... ...services through review and evaluation of inpatient... ...to work from home XX days and the office... ...All employees working remotely will be required to adhere...Remote workWork from homeHourly payMinimum wagePermanent employmentFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayShift work- Northern Light Health is seeking a Clinical Assurance Specialist for the Home Care and Hospice division in Maine. The role focuses on analyzing clinical documentation, optimizing... ...The position is based in South Portland with remote options and a full-time schedule from 8:00 AM...Remote workFull time
- $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 the client. This is a regional...Remote workFull timeInterim roleWork at officeRelocation package
- ...Brigham Incorporated in the United States is seeking a Clinical Review Specialist to assess the medical necessity and appropriateness of... ...provide clinician education to improve clinical processes. Remote/work-from-home, full-time, standard hours apply. #J-18808-Ljbffr Mass...Remote jobWork from homeFull time
$43.31 per hour
...Brigham. Outpatient Pelvic Health Physical Therapist,... ...at the Marsh Brook clinic in Somersworth, NH. Job... ...interdisciplinary group for hospice patients and the case conference meetings for home health patients.... ...Constantly (67-100%) Remote Type Onsite Work Location...Remote workHourly payFull timeRelocation packageShift workAfternoon shift- ...Clinical Review SpecialistThe Clinical Review Specialist will assess the medical necessity and appropriateness of healthcare services.Primary Responsibilities... ....Additional Job Details (if applicable):Remote / Work from Home.Full-time, Monday through Friday, standard business...Remote workWork from homeFull timeMonday to FridayShift work
- Centene Corporation is seeking a clinical reviewer to assess mental health and substance use care, including prior authorization and concurrent... ...coordinates with providers and families. This remote position supports working from home anywhere in the Central Time Zone, with a...Remote jobWork from homeWeekday work
$63.65k - $92.57k
...means to be part of Mass General Brigham. Job Summary The Clinical Review Specialist will assess the medical necessity and appropriateness... ...Job Details (if applicable) Schedule and Work Model: Remote / Work from Home. Full-time, Monday through Friday, standard business...Remote workWork from homeFull timeMonday to FridayShift work- ...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
- Nationwide Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical necessity and guideline... ...a 90-day in-office training, the position offers remote work from home options. #J-18808-Ljbffr Nationwide-ChildrenRemote jobWork from homeWork at office
- ...clients exceed their financial health goals. Across the... ...our scalable solutions and clinical expertise help solve programmatic... ...Leadership Team Member. This is a REMOTE position within US ONLY... ...Position Summary The Clinical Review Specialist provides clinical review support...Remote workPermanent employmentFull timeWork at officeImmediate startMonday to FridayShift work
$81.12k
...Bpo Clinical Review Senior SpecialistNTT DATA strives to hire... ...Review Senior Specialist to join our team in Jacksonville... ...flexible spending or health savings account, life... ....Position is fully remote only in the state of Florida... ...those pertaining to a home workspace and related...Remote workPermanent employmentTemporary workLive inImmediate startRelocationFlexible hours- About the Metabolic Health Care CenterThe new... ...to enhance clinical drug knowledge of... ...drug utilization review efforts and other... ...Cert Pharmacotherapy Specialist (BC-PS) - ASHP American... ...potential for some Remote Work days as the... ...theft protection, home and auto insuranceTraditional...Remote workMonday to Friday
- ...Clinical Team Specialist At Elara Caring, we have a unique... ...of an entire home care industry. Here... ...Place. This is a remote, part-time... ...they are on their health journey, we care.... ...plan of care. Reviews and approves plan... ...a Home Health or Hospice environment ~ Strong...Remote workFull timePart timeWork at officeFlexible hours
- ...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
$86.8k - $124k
...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... ...in this role Location: Remote (U.S.-based) Travel: Up...Remote workFull timeFlexible hours$76k
...are currently seeking a BPO Clinical Review Specialist to join our team in Tampa, Florida... ..., flexible spending or health savings account, life and AD... .... Position is fully remote only in the state of Florida... ...including those pertaining to a home workspace and related...Remote workPermanent employmentTemporary workLive inWork at officeImmediate startRelocationFlexible hours$81.12k
...are currently seeking a BPO Clinical Review Senior Specialist to join our team in... ...contribution, flexible spending or health savings account, life and... ...benefits. Position is fully remote only in the state of... ...including those pertaining to a home workspace and related...Remote workPermanent employmentTemporary workLive inWork at officeImmediate startRelocationFlexible hours$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 payPart timeHome office$28.85 - $31.25 per hour
...Oasis / Coding Review Specialist Are you looking to start a rewarding career? Do... ...NE (2 days in office and 3 days remote) What You’ll Do Review clinical charts to confirm alignment with... ...COS-C or HCS-O required 1+ year home health/hospice/related clinical experience; strong...Remote workFull timeWork at officeLocal area- At Transition Home Healthcare and Pathways Hospice, our associates are our most valuable asset. Each... ...experience from the start! Clinical Intake Specialist-Home Health & Hospice Benefits: Very Competitive... ...home healthcare experience Reviewing patient charts and ensuring...Temporary workWork at officeLocal area
$89.6k - $134.4k
...Sacramento, the Adventist Health corporate... ...validation, and submission of clinical data to support CMS... ...registries and/or peer review data. Ensures the... ...hospitals, clinics, home care, and hospice agencies in both rural... ...3034 Job Category : Specialist Posting Date : 2026-...Full timeWork experience placementShift workDay shift$27.02 - $48.55 per hour
...Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care... ...Applicants for this role have the flexibility to work remotely from their home anywhere in the Central Time Zone. The work...Remote workWork from homeHourly payFull timePart timeWork at officeMonday to FridayFlexible hours- Optum, a UnitedHealth Group company, seeks a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews and hospital... .... You will join a diverse team with strong benefits and ongoing career development. #J-18808-Ljbffr Texas Health InstituteRemote job
$64k - $96k
...alleviate pain, restore health, and extend life.... .... While this is a remote position not... ...supported by strong clinical evidence and long-... ...Clinical Specialist supports the Pelvic... ...operating room, or home health care Ability... ...driving record will be reviewed and will be...Remote workWork experience placementH1bWork at officeLocal areaImmediate startFlexible hoursNight shift
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