Clinical Reviewer
$32 - $37 per hourPRIDE Health
Duration: 3 Months with possible ongoing extension Pay Range: $32 to $37/Hour Job Description and Requirements: Bachelor’s degree in healthcare (clinical nursing or medicine) (required). Min 5 yrs clinical exp (required - inpatient preferred). Previous exp w/ American College of Surgeons National Surgical Quality Program (ACS NSQIP) or Metabolic & Bariatric Accreditation & Quality Improvement Program (MBSAQIP). 3 yrs exp as SCR. Strong surgical knowledge base “Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors” #J-18808-Ljbffr
$115k - $125k
...TapestryHealth is looking for a Nurse Practitioner Clinical Reviewer to oversee Remote Patient Monitoring (RPM), Behavioral Health Integration (BHI), and Chronic Care Management (CCM) reports. This remote role requires at least 5 active NP licenses and certifications,...SuggestedRemote workMonday to Friday- Clinical Transcript Reviewer About Limbic Limbic is the leading clinical AI company for mental healthcare and the largest deployment of patient-facing mental health AI in the world. Our technology has supported over half a million patients across the UK and US, helping...SuggestedHourly payContract workPart timeFor contractorsRemote workFlexible hours
- Intero is seeking an experienced 2nd Level Clinical Documentation Reviewer to support a long-term client engagement. This is an advanced CDI role focused on complex case reviews, documentation quality, denial prevention, and physician education. We're looking for a highly...Suggested
- Cohere Health is seeking a Doctor of Physical Therapy (DPT) to deliver on musculoskeletal programs by reviewing clinical information and applying evidence-based guidelines. You will provide timely medical reviews and clinical determinations with a focus on quality and...Suggested
- Behavioral Health Services Reviewer Are you passionate about improving access to behavioral health services in the community? Do you enjoy using your clinical expertise to evaluate needs, support care decisions, and help individuals receive the right services at the right...SuggestedFull timeContract workRemote workWork from home
$45 - $50 per hour
...Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical studies. With a competitive pay of $45 - $50...Hourly payRemote work- ...Job Description Job Description JOB SUMMARY Reports to Team Lead, Clinical Quality and Record Review. Works independently and with other departments and/or vendors to ensure clinical potential quality issues are tracked, investigated and resolved in accordance...Work at officeImmediate startRemote workMonday to Friday
- ...remote 1099 contractor role, requiring a minimum of 5 state licenses. The responsibilities include reviewing patient data, developing care plans, and communicating with clinical staff to enhance patient outcomes. Candidates must have advanced practice education and strong...Remote jobFor contractorsFlexible hours
$122.91k - $188.02k
Healthfirst is seeking a Medical Peer Reviewer based in Pennsylvania to evaluate medical necessity as part of utilization management. The role requires collaboration with various medical departments and demands flexibility in workload. The hiring range is $122,907 to $...$32 - $37 per hour
...a qualified individual to fill a role that requires a Bachelor's degree in healthcare. Candidates should have at least 5 years of clinical experience, particularly in inpatient settings, and knowledge of the ACS NSQIP or MBSAQIP programs. The position offers a pay range...Hourly pay- Cincinnatus LLC is seeking licensed MD professionals to join a flexible, remote, part-time engagement. The role involves reviewing clinical content and AI-generated responses, answering questions, and contributing to field-specific references. Expect about 10 hours per...Remote jobPart time10 hours per weekFlexible hours
$80.6k - $145k
Description Clinical Data Reviewer (Oncology) Syneos Health® is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization continuum, helping...Contract workFlexible hours- Ellenco Estágios e Treinamentos is seeking a Public Health AI Reviewer to evaluate AI outputs that touch clinical review and ensure adherence to guidelines. This remote, contractor role focuses on grading reasoning, dosing logic, and flagging patient-safety issues. You...Remote jobFor contractors
- TapestryHealth is seeking a qualified Nurse Practitioner Clinical Reviewer to remotely review RPM, BHI, and CCM reports and escalate high-risk PDAC alerts. The role requires coordinating with facility leadership and Tapestry clinicians to ensure accurate reporting and meaningful...Remote jobWork at office
- ...specialised part-time consulting opportunity for experienced clinical, biomedical, and pharmaceutical professionals with strong expertise... ...research, and evidence interpretation. The role involves reviewing professional documents, spreadsheets, and presentation materials...Remote jobPart time
- ...professionals to help evaluate and improve how AI systems understand and reason about healthcare topics. You’ll bring your clinical expertise to review content for accuracy and answer domain-specific questions. This flexible engagement is remote and part-time,...Remote jobPart time10 hours per weekFlexible hours
- Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We are leaders in assisting front-line...Full timeContract workRemote work
- ...goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams... ...Friday, 8:00 AM - 5:00 PM PST (Pacific West Coast) The Clinical Reviewer supports the WISeR Prior Authorization Program by performing...Work at officeImmediate startRemote workMonday to FridayFlexible hoursAfternoon shift
- ...Conduct prepayment and post-payment audits of DRG coding and clinical documentation. The ideal candidate will have an extensive background... ...records and generating high-quality recoverable claims by reviewing medical records and other documentation to evaluate the...Remote jobLive inWork from homeMonday to Friday
- Mercor in the United States is seeking expert Evaluators in Healthcare / clinical to review AI-generated materials for accuracy, rigor, and domain quality. You’ll apply deep subject-matter expertise to grade outputs and provide structured feedback. This is a remote, hourly...Remote jobHourly payWork at office
- ...seeking experienced US-licensed psychotherapists or psychologists to review transcripts of calls between patients and our AI therapy agents... ..., 1099 contract role focuses on reviewing transcripts for clinical quality, risk, and safety, with feedback provided to our...Remote jobContract workFlexible hours
- ...prescribed procedures. This includes accurately creating, organizing, scanning, faxing, and/or filing files to facilitate retrieval, review, and processing. Additional responsibilities include reviewing all documents/transactions for correctness and completeness and...Full timeWork at officeShift work
- ...Compliance and Incident Management on assigned projects and assist staff in the gathering of information related to audits and/or document reviews.(2) Office Administration FunctionsMaintains staff and visitors sign-in logsEnsures proper cleanliness of assigned hub is...Hourly payFull timeWork at officeLocal areaMonday to Friday
- ...taking the next step in your professional career and bringing your expertise to this important mission! DESCRIPTION OF WORK Coding Review: Evaluate procedure codes and related documentation to support fee schedule decisions Information Analysis: Assess claims, encounters...Full timeTemporary workPart timeWork at officeLocal areaRemote workWork from homeMonday to Friday3 days per week
- Capital Health in Newtown, PA is seeking a File Clerk for Cardiology Specialists. This full-time day-shift role focuses on retrieving and filing information, enabling prompt exam access for on-site viewing, and supporting daily file room operations. No prior experience...Full timeWork at officeDay shift
- ...role plays a key part in maintaining the accuracy, accessibility, and confidentiality of patient health records while supporting clinical and administrative teams. This is a fully remote position, with a brief orientation conducted either in person (if local) or remotely...Local areaImmediate startRemote workMonday to FridayWeekend workDay shift
- ...in a cover letter. In this role, you will be responsible for reviewing pertinent patient data, developing care plans, recommending modifications... ...all curated patient data reports received for accuracy of clinical and demographic information; Review output of clinical care...For contractorsRemote work
- ...with serious mental illness, a 24-hour on-call psychiatric service, robust creative arts programming, a strong DBT training program, clinics in each of the facilities, substance use treatment, integrated re- entry services, and relationships with multiple training...Full timeImmediate startFlexible hours
- Centene Corporation seeks a Remote Psychologist Reviewer to review psychological testing and treatment documentation for medical necessity and quality of care. The role supports outpatient behavioral health across several states and includes a Monday-Friday schedule (8...Remote jobMonday to Friday
$18 per hour
...Essen Health Care is looking for an International Medical Graduate/Clinical Assistant to support providers in delivering high-quality healthcare. Responsibilities include assisting in day-to-day tasks, updating medical records, and monitoring patients' vitals across various...Hourly pay
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