Clinical Reviewer
Comagine Health
Comagine Health is seeking an RN to perform Clinical Review work and QIDP reviews. The team member will serve as the QIDP (.5 FTE) and as a nurse clinical reviewer (.5 FTE). The role requires applying Alabama Medicaid criteria to determine medical necessity and leveraging ICF/IID experience. The position is primarily remote, with licensing in Alabama and ongoing travel as needed. Minimum of 3 years of direct patient care, a BSN, and an active Alabama RN license are required.
#J-18808-Ljbffr- About the role We are hiring expert Evaluators in Healthcare / clinical to review and assess AI-generated work products (documents, spreadsheets, and slide decks) for accuracy, rigor, and domain quality. You will apply deep subject-matter expertise to grade outputs...SuggestedHourly payWork at officeRemote work
- ...AuraOne, Inc. seeks a Healthcare & Life Sciences Expert for a remote clinical-review track evaluating AI outputs that touch clinical review. Reviewers assess differential reasoning, dosing logic, and guideline adherence, flag patient-safety issues, and document corrected...SuggestedFor contractorsRemote work
$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...Suggested$32 - $37 per hour
...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...Suggested$35 per hour
...experience. The position offers flexibility to work remotely, with a pay rate of $35 per hour. It's an excellent opportunity for those looking to enter the remote work environment while developing their skills in content creation and analysis. #J-18808-Ljbffr Review PaysSuggestedHourly payRemote work- 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...Full timeContract workRemote workWork from home
- Integrity Management Services, Inc. is hiring a Medical Clinical Review Consultant to provide expert medical evaluations of healthcare claims, reviewing records, treatment plans, and diagnostic data to determine medical necessity and quality of care. The role supports Medicaid...Remote work
- 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
- ...A healthcare consulting firm is seeking a Licensed Social Worker (Non-Mental Health) to perform remote quality reviews for the U.S. Department of Veterans Affairs. This position requires an MSW and independent state licensure, with 3+ years of related experience. Responsibilities...Remote workFlexible hours
- Clinical Documentation Reviewer This is a remote position. Position Overview We are seeking a Clinical Documentation Reviewer to support TUWYN's contract with the VA Medical Center (Bay Pines). This role focuses on clinical documentation review (not improvement or integrity...Contract workPart timeFor contractorsRemote workMonday to Friday
- Launch Curves is a remote clinical-review track for evaluating AI outputs that touch pharma. Reviewers grade differential reasoning, dosing logic, and guideline adherence; flag patient-safety issues and document the corrected clinical reasoning so the modeling team can...Remote jobFor contractors
- Dane Street is seeking experienced Board-Certified Dentists to join as remote, independent contractors. You will review dental records, prepare clinical summaries, and answer client questions. This advisory role involves no direct patient care and requires orientation participation...Remote jobFor contractors
- AI Trainer Jobs is seeking a Neurologist for a remote clinical-review track evaluating AI outputs that touch neurology. Reviewers assess differential reasoning, dosing logic, and guideline adherence, flag patient-safety issues, and document corrected clinical reasoning...Remote job
$185 per hour
...deliver a secure, HIPAA-compliant AI platform that unifies intake, clinical documentation, coding, and quality assurance—enabling agencies... ...HCS-O, or HCS-H. Experience: 3+ years in home-health QA/OASIS review, utilization review, or clinical documentation QA. Fluency with...Contract workReliefRemote workShift workWeekend work- ...Biomedical Research AI Evaluator for a remote contractor role. You will review AI outputs in biomedical contexts, assess safety and guideline... ...biomedical license or board certification and have hands-on clinical experience with patient cases. Flexible, async availability of...Remote jobFor contractorsFlexible hours
- ...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
- AI Trainer Jobs seeks a Psychology Expert for a remote clinical-review track evaluating AI outputs that touch clinical review. Reviewers assess differential reasoning, dosing logic, and guideline adherence, flag patient-safety issues, and document corrected clinical reasoning...Remote job
- A leading global healthcare company is seeking an experienced Clinical Data Manager/Clinical Data Reviewer for a full-time, remote role. You will support clinical data management processes, ensure data integrity, and collaborate with clients on complex studies. The ideal...Full timeRemote work
$838.5 per month
...Metropolitan Job Type Travel Offering Non-Clinical Profession Non-Clinical Specialty Clerk... ...patient, encounter, date of service, and document type. Review scanned output for errors and rescan or reindex as needed. Enter...Weekly payShift work- Blue Cross Blue Shield of Arizona is seeking a Health Insurance Specialist to identify, research, and resolve member inquiries while ensuring privacy and compliance. You will handle a high volume of calls, analyze medical records, and apply benefit requirements to determine...Remote jobFlexible hours
- ...careers, and make a meaningful impact in transforming healthcare. Clinical Documentation Specialist (CDS) - 6-Month Project The 100%... ...Perform concurrent and/or retrospective clinical documentation reviews for acute-care hospital patients. Review medical records to identify...Remote work
$36.15 - $48.88 per hour
...Clinical Documentation Specialist (Fully Remote)Employment Type: Full timePosition Purpose: Utilizes advanced clinical and coding expertise... ...the integrity of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall quality,...Local areaRemote work$50 - $120 per hour
...Clinical Documentation Integrity (CDI) 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 the corrected...For contractorsRemote work10 hours per week- Brooklyn Health is seeking reviewers to perform manual, independent reviews of recorded clinical trial interviews and scale administrations to ensure scoring accuracy, interview quality, and protocol adherence. For senior roles, participate in clinical decision-making on...
- ...’re driven by a mission to improve the quality and accuracy of clinical documentation through expert CDI consulting. As we continue to... ...and compliant clinical documentation. Key Responsibilities Review and evaluate medical record documentation for completeness,...Remote work
- ...Guidehouse is seeking a CDI Specialist to perform comprehensive secondary clinical chart reviews and ensure documentation reflects severity of illness and regulatory standards. You will collaborate with Coders, Educators, Quality, Case Managers and Providers to support...
- ...e4health is seeking a CDI Consultant to provide timely reviews of patient medical records to ensure accurate documentation reflecting illness severity and complexity. You will collaborate with providers and coders to ensure chart data reflects patient complexity and educate...
- ...Description The Clinical Documentation Specialist coordinates and maintains the elements and requirements of the Clinical Documentation... ...level 1 trauma academic health system # Audit experience and review of quality initiatives (PSI, Mortality) # Worked on multiple...Full timeWork at officeRemote workHome officeMonday to FridayWeekend work
- Medical Records ClerkPrepare, scan, and index legacy paper medical records into the electronic health record as part of a department-wide effort to eliminate paper. The role requires working knowledge of how a paper medical record is organized and the ability to identify...
$17 - $18 per hour
...here for you. Join us in making a real difference in the health of our community. Job Summary Foreign Medical Graduate / Clinical Assistant Responsibilities He/she will assist the providers in day to day task such as, taking notes, updating medical records...Work at office
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