Home Health Clinical Reviewer
$109.26k - $194.25kMultiCare
Clinical Reviewer
Join a team that shares your calling
At MultiCare, you're more than just a job title you're part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
Virtual work position.
FTE: 1.0, Shift: Day, Schedule: M-F
Position Summary
The Clinical Reviewer is responsible for reviewing and analyzing documentation to ensure compliance with OASIS data entry for Home Health, and for documentation in support of terminal illness for Hospice. Responsibilities also include communication to clinical staff on necessary corrections required to meet regulation and to report to management any audit activity related to review. This is a professional position working under the direct supervision of the Clinical Supervisor and supports the mission and vision of MultiCare Home Health and Hospice. Work situations require clinical judgment, discretional decision making and an understanding of applicable policies and procedures.
Requirements
- Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service or internal candidates hired before January 1, 2021 may be considered in satisfaction of this requirement in lieu of an education agreement
- Advanced degree in Nursing (MSN, PhD, DNP, ARNP) preferred
- Current Registered Nurse license in Washington State or Multistate License endorsement (MLS)
- Three (3) years of current Medicare Home Health and/or Hospice experience
- Experience with electronic Medical Records for Home Health and Hospice
- Research and special projects experience preferred
Why MultiCare?
Rooted in the local community
Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.
Growth and education
Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.
Well-being and support
Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.
Living our values
Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.
Belonging for all
Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.
Pacific Northwest lifestyle
Work and live where natural beauty, adventure and strong community connections are part of everyday life.
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $109,262.40 - $194,251.20 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant's years of experience align.
MultiCare$57 per hour
ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts...Work from homeHourly payRemote workFlexible hours- ...Position Overview We are seeking a Clinical Utilization Review Nurse (RN) to assess the medical necessity... ...primarily remote and performed in a home‑based setting, requiring reliable... ...Equal Opportunity Employer Comagine Health is an equal opportunity employer and is...Work from homeFull timeContract workWork at officeRemote work
- COMAGINE HEALTH is seeking a registered nurse for Clinical Review and QIDP responsibilities, working remotely from any U.S. location. The role requires an active... ...federal requirements. The work environment is primarily home-based, requiring reliable internet access and...Work from homeRemote work
$93k - $104k
...or an alternative application process. Clinical Reviewer DC Washington DC, DC, US 7 days ago Requisition... ...we encourage you to apply. Why Comagine Health? Comagine Health is a national, mission-... ...is primarily remote and performed in a home-based setting, requiring reliable...Work from homeFull timeRemote work- ...profile Please respond with your updated profile if interested Clinical Care Reviewer Interview type: Phone + face 2 face Location: Des Moines,... ...Iowa RN license or LPN UM Experience / Waiver Knowledge (Home and community based) Position Qualifications/Requirements...Work from home
$57 per hour
Hiring Immediately: Clinical Pharmacist Reviewer - $57/hour (Remote - Massachusetts Only) Work from home while making an impact on patient care $57/hour pay rate with career growth in pharmacy review Support Retail, Specialty, and Home Infusion Therapy Collaborate with...Work from homeRemote jobHourly payImmediate start- ...We are looking for a remote inpatient coder -- this position can work for home full time! Requirements: Successful completion of an accredited coding program CCS, RHIT, or RHIA A minimum of 3 years inpatient coding in an acute care setting When sending candidates...Work from homeFull timeRemote workDay shift
- ...position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Clinical Appeals Reviewer (Licensed Healthcare Professional) based in the United States. This is a fully remote clinical decision-making role...Remote jobFull timeContract workFlexible hours
- ..., Hospital – Piedmont. Remote/work-from-home role. Schedule: Monday–Friday, flexible hours... ...inpatient coding. Responsibilities Review, analyze, and code documentation for... ...level ~ Entry level Job function ~ Health Care Provider Industries ~...Work from homeFull timeRemote workMonday to FridayFlexible hours
- ...takes to join our team and are looking for a legitimate work from home position while serving our soldiers, please email your resume... ...accredited program for coding certification, an accredited registered health information administrator or registered health information...Work from homeContract workRemote work
- ...Community HealthWorks in Sacramento is seeking a Licensed Clinical Reviewer for a per diem, non-exempt role focused on clinical documentation... ...will review client charts and provide support to community health workers. Flexible hours based on program needs; work may typically...Daily paidRemote work10 hours per weekFlexible hours
- ...INPATIENT CODING OPPORTUNITY - WORK FROM HOME AcuityMRI is working with a hospital that has an immediate need for an Inpatient Coder. This is a direct-hire position with the hospital (NOT contract or temp-to-perm)! FLEXIBLE HOURS, FULLY REMOTE, Paid Time Off! NATIONWIDE...Work from homePermanent employmentContract workTemporary workImmediate startRemote workFlexible hours
- ...physicians with a minimum of 5 years clinical experience, preferably in Family Medicine, for a peer review role. Responsibilities include... ...while working from home with a flexible schedule. Applicants... ...a team dedicated to improving health outcomes nationwide. #J-18808-Ljbffr...Work from homeRemote workFlexible hours
- ...Representative 2 conducts quality assurance review of medical records and ICD-9/10... ...accurate and properly supported clinical documentation within the health record. Follows state and federal regulations... ...driving to locations close to your home, as well as driving to locations...Work from homeFor contractorsWork at officeHome officeMonday to FridayNight shift
- ...Clinical Reviewer, Precertification RN Duration: 8 months contract (with possible extension)... ...expected to demonstrate sound clinical and health plan business knowledge in their decision... ...normal office conditions and work from home as required. Work may require simultaneous...Work from homeContract workWork at officeRemote work
- ...Healthcare-1 in Michigan is seeking a qualified medical coder to handle outpatient records coding. The position offers flexible onsite or home work options and requires a minimum of two years' experience in applying ICD-10 and CPT codes. The successful candidate will work...Work from homeRemote workFlexible hours
$90.87 - $154.33 per hour
Prime Therapeutics is seeking a Physician Clinical Reviewer specializing in Rheumatology. This remote position involves timely medical reviews of service requests, collaboration with physicians, and maintaining compliance with clinical guidelines. A successful candidate...Hourly payRemote work- ...healthcare consulting firm is seeking Peer Reviewers (MDs/DOs/DDS) for a full-time remote position. The role involves providing clinical expertise for peer reviews of patient care... ...specialty. Benefits include comprehensive health care, paid time off, and training...Full timeRemote work
- ...The primary purpose of the position is to review both procedural and diagnostic (ICD-10)... ...met. This position will be staffed during clinic hours and is largely remote. Occasionally... ...Environment- with the option to work from home.PHYSICAL DEMANDS:Abide by the ergonomic...Work from homeWork at officeRemote work
- ...FitOn is looking for a licensed Nurse Practitioner to serve as a Clinical Chart Reviewer. This remote role requires conducting patient evaluations and reviewing clinical documentation. The ideal candidate will have a strong focus on ensuring effective and evidence-based...Remote work
- ...roles. What We Offer Remote work from your home office Signing Bonus Program – enhanced... ...medical terminology, pathology, pharmacology, health record format, reimbursement... ...Certified Coding Specialist‑Physician (CCS‑P) Clinical Modification/Procedure Coding System Trainer...Work from homeHourly payWeekly payFull timePart timeFor contractorsImmediate startRemote workHome officeRelocation package
$90.87 - $154.33 per hour
Prime Therapeutics is seeking a Physician Clinical Reviewer for Rheumatology to join their remote utilization management team. In this role, you will review service requests, collaborate with physicians, and ensure adherence to clinical guidelines. Candidates must have...Hourly payRemote work$50 - $52 per hour
...Claims Clinical Documentation Reviewer Schedule: 5-10 hours per week. Resource can work any day of the week they are available and any time including... ...by providers for Medicaid services (medical, behavioral health, NEMT, etc.) to ensure compliance with state, federal,...Part timeWork at officeRemote workLong distance10 hours per week- ...Centene Corp. is looking for a Clinical Review Nurse - Prior Authorization to work remotely. This position entails analyzing prior authorization requests to determine medical necessity, working with healthcare providers for timely reviews, and maintaining compliance with...Remote workMonday to Friday
$28.37 - $32 per hour
...all applications and next steps. Our partner is looking for a Clinical Reviewer based in the United States. This role plays a key part in... ...review (preferred) Experience in a call center or behavioral health setting (a plus) Bachelor’s degree in a related field (...Remote jobHourly payFull timeContract workWeekday work- A healthcare solutions provider is seeking a Remote Pharmacist to conduct VA quality reviews, focusing on clinical assessments without direct patient interaction. Candidates must have a Doctor of Pharmacy (PharmD) and an active pharmacist license in the U.S. Responsibilities...Remote workFlexible hours
- ..., Elevate Care – Join Us as a Clinical Documentation Specialist We are... ...required Utilization Review or coding experience preferred... ...their best selves at work and at home. A comprehensive benefits program... ...mission is to preserve and restore health, one person at a time. From...Work from homeFlexible hours
$68k - $71.03k
...Claims Clinical Documentation Reviewer Division of Fee for Service (DFSM) Job Location Address: 150 North 18th Avenue Phoenix, Arizona 85007. This... ...provider organizations in support of billed medical, behavioral health, NEMT and other related Medicaid services. The role...Full timePart timeWork at officeRemote workLong distance$23.89 - $42.69 per hour
...healthier lives. This is a remote, work-from-home opportunity. The role provides coding... ...additional data elements during the chart review process when coding, as needed Adhere to... ...off and holidays Medical plan options with Health Spending Account or Health Savings...Work from homeHourly payFull timeTemporary workRemote workRelocation packageMonday to Friday- ...contributions can make a difference, yours included. The Surgical Clinical Reviewer collects, compiles, and submits reliable surgical data to the... ...unmatched benefits including flexible schedules, affordable health, vision, and dental insurance, child care and student loan...Local areaFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Home Health Clinical Reviewer. Be the first to apply!
- health long term care Tacoma, WA
- nurse practitioner - women's health Tacoma, WA
- health analyst Tacoma, WA
- lifepoint health Tacoma, WA
- health science Tacoma, WA
- health clerk Tacoma, WA
- population health nurse Tacoma, WA
- united health group Tacoma, WA
- health communications Tacoma, WA
- health receptionist Tacoma, WA


