clinical reviewer

MultiCare Health System

<p></p><div><p><b>Where Kids and Families are Always First
</b></p><p>MultiCare Mary Bridge Children&rsquo;s Hospital is the state-designated Level II Pediatric Trauma Center and the only pediatric hospital in Washington&rsquo;s South Sound Region dedicated to a comprehensive network of health services for children and adolescents. Our vision is to be the highest quality and safest place for children to receive care, where every child has a medical home and is supported by nationally recognized services and experience. Mary Bridge Children&rsquo;s multi-disciplinary approach to care includes pediatric experts for emergency services, inpatient care, and outpatient specialty clinics, all specializing in kids and their unique needs.
</p><p><b>FTE:</b> 0.5 <b>Shift:</b> Days <b>Schedule:</b> Monday - Friday</p><p></p><p><b>
Position Summary</b></p>
The Surgical Clinical Reviewer works with the Manager of the Pediatric Surgery Program to implement and monitor the quality of care of pediatric patients receiving surgical services; serves as a resource for multidisciplinary team members; provides data abstraction into the ACS NSQIP-P database; participates in teams and evaluates performance improvement; develops effective working relationships with members of the Children&rsquo;s Surgery Department and ancillary hospital employees.<p><b>
Responsibilities:</b></p><ul><li>
Navigate the electronic medical record and abstract patient data in the ACS NSQIP-P database.</li><li>
Communicate with MB providers and hospital staff across the care continuum.</li><li>
Analyze and present data to providers, hospital teams and leadership.</li><li>
Contact patients and families to obtain post-operative follow-up as per ACS NSQIP-P guidelines.</li></ul><p></p><p><b>
Requirements:</b></p><ul><li>
Bachelor's degree in Nursing (required); Master degree in Nursing (preferred)</li><li>
Registered Nurse license (RN) in Washington State or multi-state licensure endorsement (MSL)</li><li>
BLS - Basic Life Support (includes RQI) - American Heart Association or American Red Cross</li><li>
Minimum five (5) years of professional/technical nursing experience required</li><li>
Minimum two (2) years of experience in data abstraction or quality improvement</li></ul><p></p><p><b>
Why Mary Bridge Children's?</b></p><ul><li><p><b>
Mission-driven:</b> Partnering for healing and a healthy future for the patients and communities we serve</p></li><li><p><b>
Award-winning: </b>Named &lsquo;Top Children&rsquo;s Hospital&rsquo; for five years by the Leapfrog Group; physicians consistently named on &lsquo;Top Doctors&rsquo; lists by Seattle Magazine, Seattle Met and the Tacoma News Tribune</p></li><li><p><b>
Growing:</b> New pediatric hospital facility and medical office building opening in 2026</p></li><li><p><b>
Leading research: </b>MultiCare Institute for Research &amp; Innovation partners with our pediatric providers, offering ground-breaking research and clinical trials</p></li><li><p><b>
Employee-centric: </b>MultiCare is consistently ranked among &ldquo;America&rsquo;s Best Employers by State&rdquo; by Forbes</p></li><li><p><b>
Lifestyle: </b>Live and work in the Pacific Northwest surrounded by breathtaking mountain, forest and water views</p></li><li><p><b>
Explore </b>our services at marybridge.org</p></li></ul><p></p><p><b>
Pay and Benefit Expectations</b></p>
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 $54.17 - $88.37 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&rsquo;s years of experience align.<p></p><p>
Associated benefit information can be viewed here.</p></div>

Registered Nurse (RN) - Surgical Clinical Reviewer

Acentra Health

<div>Company Overview:
<div>
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.</div><div></div><div><br>
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes &ndash; making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.</div>
Job Summary and Responsibilities:
<div><b>
Acentra Health is looking for a Clinical Reviewer - LPN/LVN or RN (remote U.S.) to join our growing team.</b></div><div><b><br>
Job Summary:</b></div><div></div><div><br>
The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements.</div><div></div><div><b><br>
***This position is remote within the United States, but applicants must be clinically licensed for the State of Indiana or have a compact license.***</b></div><div></div><div><b><br>
***Work Schedule: Five 8-hour shifts between 9:00 AM to 6:00 PM Eastern Time with alternating weekends and holidays***</b></div><div><b><br>
Responsibilities:</b></div><ul><li>
Assures accuracy and timeliness of all applicable review type cases within contract requirements.</li><li>
Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department.</li><li>
In collaboration with Supervisor, responsible for quality monitoring activities.</li><li>
Maintains current knowledge base related to review processes and clinical practices.</li><li>
Functions as providers' liaison for customer service issues and problem resolution.</li><li>
Performs all applicable review types as workload indicates.</li><li>
Fosters positive and professional relationships with internal and external customers.</li><li>
Attends training and scheduled meetings for current/updated information.</li><li>
Cross trains to provide flexible workforce to meet client/customer needs.</li><li>
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.</li></ul><div><i>
The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.</i></div>
Qualifications:
<div><b>
Required Qualifications:</b></div><ul><li>
Active, unrestricted LPN/LVN or RN license in the state of Indiana or a Compact state clinical license.</li><li>
Associate's degree (bachelor's preferred) or Practical/Professional nursing diploma from an accredited nursing school, college, or university.</li><li>
2+ years of Utilization Review/Management (UR/UM) and/or Prior Authorization experience.</li><li>
2+ years of medical necessity review experience.</li><li>
1+ years of InterQual criteria and/or Milliman Care Guidelines (MCG) experience.</li><li>
Knowledge of medical records, medical terminology, and disease processes.</li><li>
Strong clinical assessment and critical thinking skills.</li><li>
Excellent written and verbal communication skills.</li><li>
Proficient in navigating multiple systems with the ability to switch between systems seamlessly and effectively.</li><li>
Flexibility and strong organizational skills.</li><li>
Ability to work five 8-hour shifts between 9:00 AM to 6:00 PM Eastern Time with alternating weekends and holidays.</li></ul><div><b>
Preferred Qualifications:</b></div><ul><li>
3+ years of clinical experience in an acute, behavioral health, and/or med-surgical environment.</li><li>
Knowledge of current National Committee for Quality Assurance (NCQA) standards.</li><li>
Knowledge of Utilization Review Accreditation Commission (URAC) standards.</li><li>
Ability to work in a team environment.</li><li>
Proficient in Microsoft Office.</li><li>
Efficient time management, including the ability to prioritize tasks, and meet deadlines.</li><li>
Exhibit the ability to maintain confidentiality standards and ensure HIPAA compliance when assessing relevant issues.</li></ul><div><b>
Why us?</b></div><div></div><div><br>
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.</div><div></div><div><b><br>
We do this through our people.</b></div><div></div><div><br>
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.</div><div></div><div><b><br>
Benefits</b></div><div></div><div><br>
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.</div><div></div><div><b><br>
Compensation</b></div><div></div><div><br>
The pay range for this position is listed below.</div><div></div><div><br>
&ldquo;Based on our compensation philosophy, an applicant&rsquo;s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.&rdquo;</div><div></div><div><b><br>
Thank You!</b></div><div></div><div><br>
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!</div><div></div><div><br>
~ The Acentra Health Talent Acquisition Team</div><div></div><div><br>
Visit us at https://careers.acentra.com/jobs</div><div></div><div><b><br>
EEO AA M/F/Vet/Disability</b></div><div></div><div><br>
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.</div>
Pay Range: USD $28.37 - USD $39.19 /Hr.</div>

Clinical Reviewer - LPN/LVN or RN

RemoteFocus

<p><b>Job Overview</b><br/>We are seeking a dedicated and detail-oriented Clinical Chart Reviewer (HomeCare) to join our dynamic healthcare team. In this vital role, you will meticulously review patient charts and clinical documentation to ensure accuracy, completeness, and compliance with regulatory standards. Your expertise will support quality assurance initiatives, enhance patient care documentation, and uphold the highest standards of clinical integrity. This position offers an exciting opportunity to contribute to improving healthcare outcomes through precise chart analysis and collaborative teamwork.</p><p><b>Responsibilities</b></p><ul><li>Conduct comprehensive reviews of patient medical records, clinical notes, and homecare documentation to verify accuracy and completeness</li><li>Ensure all documentation aligns with regulatory guidelines, payer requirements, and organizational policies</li><li>Identify discrepancies or gaps in clinical records and collaborate with healthcare providers for clarification or correction</li><li>Maintain detailed logs of review findings, including any issues identified and actions taken</li><li>Support quality improvement initiatives by providing insights based on chart reviews and documentation trends</li><li>Stay current with evolving healthcare regulations, documentation standards, and best practices in homecare settings</li><li>Assist in training staff on proper documentation procedures to promote consistency and compliance</li></ul><p><b>Requirements</b></p><ul><li>Proven experience in clinical chart review within a homecare or outpatient healthcare setting</li><li>Strong knowledge of healthcare regulations, coding standards, and documentation requirements (such as CMS guidelines)</li><li>Excellent attention to detail with the ability to identify errors or inconsistencies swiftly</li><li>Effective communication skills for collaborating with clinicians, administrators, and regulatory bodies</li><li>Ability to interpret medical records accurately and maintain confidentiality at all times</li><li>Proficiency in electronic health record (EHR) systems and data management tools</li><li>A proactive approach to problem-solving and continuous learning in a fast-paced environment</li></ul><p>Join us in making a meaningful difference by ensuring the highest quality of clinical documentation. We&rsquo;re committed to supporting your professional growth while fostering a vibrant team dedicated to excellence in homecare services!</p><p>Pay: $35.00 - $40.00 per hour</p><p>Work Location: Remote</p>

Clinical Chart Reviewer (HomeCare)

HMSA

<div>
 <strong>
  Employment Type
  <br/>
  <br/>
 </strong>
 Full-time
 <br/>
 <br/>
 <strong>
  Exempt or Non-Exempt
  <br/>
  <br/>
 </strong>
 Exempt
 <br/>
 <br/>
 <strong>
  Job Summary
  <br/>
  <br/>
 </strong>
 <strong>
  Hybrid Work Environment - Must reside in Hawaii
  <br/>
  <br/>
 </strong>
 <strong>
  Pay Range:
 </strong>
 $59,000 to $116,000
 <br/>
 <br/>
 <strong>
  Note
 </strong>
 : Individuals typically begin between the minimum to middle of the pay range
 <br/>
 <br/>
 Under minimal supervision, conducts detailed analysis and review of precertification requests, post-service and suspended claims, by applying clinical expertise against HMSA medical and reimbursement policies, plan benefits and nationally accepted clinical guidelines to determine appropriateness of care for all HMSA lines of business.
 <br/>
 <br/>
 <strong>
  Minimum Qualifications
 </strong>
 <br/>
 <br/>
 <ul>
  <li>
   Associates degree in Nursing.
  </li>
  <li>
   Current, unrestricted Nursing License in the state of Hawaii as an RN or LPN.
  </li>
  <li>
   Two years clinical, case management or utilization management related experience.
  </li>
  <li>
   Knowledge of current standards of care to be followed for a given diagnosis and the normative values of medical tests and procedures.
  </li>
  <li>
   Strong organizational skills
  </li>
  <li>
   Good communication skills both verbally and written
  </li>
  <li>
   Analytical skills
  </li>
  <li>
   Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.
  </li>
  <li>
   Currently licensed in Hawaii as an RN or LPN
  </li>
  <ul>
   <li>
    (if applicable upon hire, proof of licensure to be provided by employee or confirmed by Human Resources)
    <br/>
   </li>
  </ul>
 </ul>
 <strong>
  Duties And Responsibilities
 </strong>
 <br/>
 <br/>
 <ul>
  <li>
   Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes evaluating whether the requested service is a covered benefit under the member's health plan, is medically appropriate for the member's clinical condition or whether the request requires referral to a Medical Director for potential denial of the request. The Nurse Reviewer must follow each line of business' requirements and each accrediting body's (CMS, NCQA, HSAG) requirements for each request. Assists on inquiries from external parties such as the State Insurance Commissioner and from the Legal Department. Responsibilities include, but are not limited to:
  </li>
  <ul>
   <li>
    Demonstrate understanding and application of over 250 Guide to Benefits, Evidence of Coverage, Plan Brochure, and Member Handbook. HMSA annually updated medical and drug policies, medical protocols, National Comprehensive Cancer Network, Milliman Care Guidelines, Drugdex, etc. to determine the medical necessity of urgent and non-urgent precertification requests. Urgent requests must be completed within 72 hours and non-urgent requests within 15 calendar days.
   </li>
   <li>
    Use clinical judgment, medical necessity guidelines and plan benefits to determine approval, potential denial or alternative treatment of each urgent or non-urgent precertification request. Settings include inpatient, outpatient, in-state, out-of state and out-of country.
   </li>
   <li>
    Document clinical case summary and review outcome of each review appropriately to meet regulatory and program requirements.
   </li>
   <li>
    Review various types of services, including but not limited to:
   </li>
   <li>
    Transplants
   </li>
   <li>
    Air Ambulance
   </li>
   <li>
    Chemotherapy
   </li>
   <li>
    Clinical trials
   </li>
   <li>
    Genetic testing
   </li>
   <li>
    Cancer treatments/radiation therapy
   </li>
   <li>
    Experimental/Investigational Services/Devices
   </li>
   <li>
    New Technology
   </li>
  </ul>
  <li>
   Utilize medical necessity criteria from established medical policies and clinical practice guidelines to render precertification determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes evaluating whether the requested service is a covered benefit under the member's health plan, is medically appropriate for the member's clinical condition or whether the request requires referral to a Medical Director for potential denial of the request. The Nurse Reviewer must follow each line of business' requirements and each accrediting body's (CMS, NCQA, HSAG) requirements for each request. Assists on inquiries from external parties such as the State Insurance Commissioner and from the Legal Department. Responsibilities include, but are not limited to:
  </li>
  <ul>
   <li>
    Call providers when additional clinical information is required to clarify or complete a complex precertification determination.
   </li>
   <li>
    Approve precertification requests based on clinical judgment using criteria, medical record documentation and other information received from the provider.
   </li>
   <li>
    Consult with Medical Directors on requests which do not meet clinical criteria and offer alternative covered health care options as appropriate.
   </li>
   <li>
    Consult Medical Directors on potential quality issues identified during review of medical records. Refer cases to Integrated Health Management, Pharmacy Department or Benefits Integrity Department depending on the concern.
   </li>
  </ul>
  <li>
   Evaluate suspended claims against medical records to determine the medical necessity and appropriateness of medical services, identify irregularities such as over or under-utilization of services, potential up-coding, over billing, etc.
  </li>
  <li>
   Communicate timely, accurate information either verbally, electronically or in writing using clinical judgment, knowledge of medical/reimbursement policies and plan benefits to providers, members as well as internal MM staff and other internal departments (Claims Administration, Customer Relations, Provider Contracting, etc.). For denied services, ensure the denial, benefit and appeal language are accurate and consistent with department procedures, accreditation and regulatory guidelines.
  </li>
  <li>
   Identify and refer members with specific medical and/or behavioral health needs or complex case management and collaborate with medical and behavioral case management staff. Identify and refer quality of care issues and suspected fraud, waste or abuse to the appropriate departments.
  </li>
  <li>
   Perform pre-screening assessment of incoming pre-certification requests to ensure appropriateness of review. Advises non-clinical staff on clinical and coding questions to ensure correct system processes and entries.
  </li>
  <li>
   Performs all other miscellaneous responsibilities and duties as assigned or directed.
   <br/>
   <br/>
  </li>
 </ul>
</div>


Nurse Reviewer - Clinical Review Unit

Staffing Solutions Organization LLC (SSO)

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.
<br><br>
Nurse Reviewer – Illinois
<br><b>Location:</b> Remote with on site visits across Illinois
<br><br>
Position Overview
<br>The Nurse Reviewer conducts provider compliance reviews to ensure adherence to state regulations, quality standards, and program requirements. This role includes conducting onsite visits, evaluating documentation, and determining provider compliance. The Nurse Reviewer works independently, exercises sound judgment, and provides recommendations that guide provider improvement and support statewide oversight efforts.
<br><br>
Duties & Responsibilities
<br><ul>
<li>Build and maintain effective relationships with providers and users to support high quality customer service.</li>
<li>Evaluate providers for compliance with applicable state and program regulations.</li>
<li>Coordinate and schedule on site provider visits; clearly communicate visit requirements.</li>
<li>Conduct compliance interviews with providers and gather all necessary information.</li>
<li>Review provider documentation, policies, and business practices for regulatory alignment.</li>
<li>Collect, organize, and submit documentation supporting compliance findings.</li>
<li>Utilize technology and web based systems to convert paper documentation to electronic format.</li>
<li>Conduct in person assessments of provider sites to evaluate compliance with oversight requirements.</li>
<li>Summarize on site visit findings accurately and professionally.</li>
<li>Exercise independent judgment to evaluate compliance and make final determinations based on documented evidence.</li>
<li>Identify deficiencies and recommend appropriate next steps to support provider improvement.</li>
<li>Analyze trends in non compliance and identify gaps in provider business processes.</li>
<li>Provide timely recommendations and updates to the Supervisor.</li>
<li>Maintain HIPAA standards and confidentiality at all times.</li>
<li>Perform other duties as assigned.</li>
</ul>
Required Skills
<br><ul>
<li>Strong interpersonal skills with the ability to relate well to staff and providers.</li>
<li>Active listening and effective communication skills.</li>
<li>Proficiency in MS Word, Excel, Outlook, and web based applications.</li>
<li>Process oriented and results driven work approach.</li>
<li>Ability to foster teamwork and collaborate across levels of management and staff.</li>
<li>Ability to work independently and within a team environment.</li>
<li>Excellent written and verbal communication skills and customer service techniques.</li>
<li>High accuracy, strong attention to detail, and commitment to quality.</li>
<li>Proven ability to meet deadlines and follow strict standards.</li>
<li>Ability to travel regularly to provider sites across Illinois.</li>
</ul>
Qualifications
<br>Education
<br><ul>
<li>Bachelor’s degree in any field (Nursing preferred)</li>
</ul>
Experience
<br><ul>
<li>Minimum 2 years of clinical experience working with critical care providers, public health providers, or providers serving children, older adults, individuals with traumatic brain injury, or individuals with developmental disabilities.</li>
<li>Minimum 1 year of experience conducting quality assurance reviews.</li>
</ul>
Certification
<br><ul>
<li>Active Illinois Registered Professional Nurse (RN) license required.</li>
</ul>
Working Conditions
<br><ul>
<li>Remote work with 2–3 on site provider visits per week throughout the state of Illinois.</li>
</ul>
Benefits (Through SSO)
<br>SSO offers a competitive benefits package that supports your health, financial well being, and long term growth, including:
<br><ul>
<li>Medical, dental, and vision insurance</li>
<li>401(k) with discretionary employer match</li>
<li>Paid time off and holidays</li>
<li>Flexible spending accounts</li>
<li>Additional employee perks</li>
</ul>
Keyword Search Terms
<br>Nurse Reviewer, RN Reviewer, Provider Management Specialist, Compliance Nurse, Healthcare Quality Review, Provider Compliance, Medicaid Compliance, Clinical Reviewer, Illinois RN, Site Visit Nurse, Healthcare Auditor, Public Health Nursing, QA Nurse, Provider Monitoring.
<br><br>
Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.
<br><br>
Applicants must be authorized to work in the U.S. This position is not eligible for work authorization sponsorship (including H-1B sponsorship) by SSO and under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD extension application.
<br><br>
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an E-Verify participant.

Nurse Reviewer

AllMed Healthcare Management, Inc

<div><div><div><b>AllMed </b>is looking for a dedicated <b>Pharmacy Technician</b> to join our growing team! This is your chance to work in a dynamic, supportive environment where your skills and attention to detail help improve lives every day.</div></div><div><div>
The Pharmacy Technician is responsible to ensure reports are of the highest quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates.</div></div><div><div>
This position is <b>100% remote</b> and full time.
</div></div><div><div><b>Responsibilities may include:</b></div></div><ul><li><div><div>
Performs quality assurance review of reports, correspondences, addendums or supplemental reviews.</div></div></li><li><div><div>
Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.</div></div></li><li><div><div>
Ensures that all client instructions and specifications have been followed and that all questions have been addressed.</div></div></li><li><div><div>
Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.</div></div></li><li><div><div>
Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.</div></div></li><li><div><div>
Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.</div></div></li><li><div><div>
Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.</div></div></li><li><div><div>
Ensures the provider credentials and signature are adhered to the final report.</div></div></li><li><div><div>
Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.</div></div></li><li><div><div>
Assists in resolution of customer complaints and quality assurance issues as needed.</div></div></li><li><div><div>
Ensures all federal ERISA and/or state mandates are adhered to at all times.</div></div></li><li><div><div>
Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.</div></div></li><li><div><div>
Promotes effective and efficient utilization of company resources.</div></div></li><li><div><div>
Participates in various educational and or training activities as required.</div></div></li><li><div><div>
Performs other duties as assigned.</div></div></li></ul><div><div>
If you're ready to take the next step in your pharmacy career, we&rsquo;d love to hear from you!</div></div><ul><li><div><b>
A minimum of two years of working as a pharmacy tech or clinical/related field experience equivalent combination of education and experience.</b></div></li><li><div>
High school diploma or equivalent required.
</div></li><li><div>Active Pharmacy Tech License/ Certificate
</div></li><li><div>Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.</div></li><li><div>
Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.</div></li><li><div>
Must be a qualified typist with a minimum of 40 W.P.M</div></li><li><div>
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.</div></li><li><div>
Must possess excellent skills in English usage, grammar, punctuation and style.</div></li><li><div>
Ability to accurately follow instructions and respond to directions from upper management.</div></li><li><div>
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.</div></li><li><div>
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.</div></li><li><div>
Must be able to work independently, prioritize work activities and use time efficiently.</div></li><li><div>
Must be able to maintain confidentiality.</div></li><li><div>
Must be able to demonstrate and promote a positive team-oriented environment.</div></li></ul><div><div>
AllMed provides clinical decision making and utilization management solutions to leading payer and provider organizations. We work closely with your team toward a shared vision of healthcare that delivers the highest quality, values patient experience, and ensures both appropriate care and utilization of health-related services.</div></div><p>
</p><div><div><b>AllMed </b>offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.</div></div><p>
</p><div><div>Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.</div></div></div>

Pharmacy Technician

Vital Rx

<p>Overview<br/>You review and approve peptide therapy prescriptions through an asynchronous workflow. All patients complete full intake before reaching you. This includes medical history, contraindication screening, and peptide-specific questionnaires. Your role focuses on clinical review, safety, and approval.</p><p>This role fits providers who want flexible, remote income with minimal admin work.</p><p>Responsibilities</p><ul><li>Review patient charts submitted through the platform</li><li>Evaluate medical history, medications, and contraindications</li><li>Approve or deny peptide prescriptions based on protocol and clinical judgment</li><li>Add brief clinical notes when required</li><li>Flag any cases that need escalation or synchronous follow-up</li><li>Maintain compliance with telemedicine and prescribing regulations</li></ul><p>Compensation</p><ul><li>$10 to $15 per approved async review</li><li>High volume opportunity based on availability</li><li>Fully remote, no scheduling required</li></ul><p>Requirements</p><ul><li>Active NP, PA, or MD license</li><li>Active licenses in multiple states, priority given to providers with 5 or more states</li><li>DEA registration, if applicable to prescribing scope</li><li>Experience with telemedicine or asynchronous care preferred</li><li>Familiarity with peptides, hormone therapy, or wellness protocols preferred</li><li>Strong clinical judgment and risk awareness</li><li>Ability to review charts quickly and accurately</li></ul><p>Technical Requirements</p><ul><li>Reliable high-speed internet</li><li>Laptop or desktop computer, no mobile-only workflows</li><li>Ability to learn and use EHR and async review tools</li><li>Basic comfort with digital workflows and documentation</li></ul><p>Compliance Expectations</p><ul><li>Adhere to state-specific telemedicine laws</li><li>Follow prescribing guidelines and scope of practice</li><li>Maintain accurate documentation for every approval or denial</li><li>Prioritize patient safety over approval volume</li></ul><p>Ideal Candidate</p><ul><li>Already licensed in multiple states and looking to monetize licenses</li><li>Comfortable making fast, defensible clinical decisions</li><li>Values efficiency and structured workflows</li><li>Interested in modern, tech-enabled care delivery</li></ul><p>Optional Nice-to-Have</p><ul><li>Existing multi-state licensure across high-demand states like TX, FL, CA, NY</li><li>Background in men&rsquo;s health, weight loss, or peptide therapy</li><li>Experience with high-volume telehealth platforms</li></ul><p>Pay: $150.00 - $200.00 per hour</p><p>Application Question(s):</p><ul><li>Which states are you currently licensed in?</li></ul><p>Work Location: Remote</p>

Async Telemedicine Providers Needed. NP/PA/MD

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