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Case Review Officer Jobs (NOW HIRING)

In addition, works closely with the Safety Officer, managers of the unit and medical staff in ... case review activities, develop methods and techniques of deficiency resolution and review medical ...

The candidate must be able to successfully apply critical-thinking skills when evaluating each case ... foreign disclosure officers, CD/CI/CT analysts, etc) AND a demonstrated familiarity with the ...

The candidate must be able to successfully apply critical-thinking skills when evaluating each case ... foreign disclosure officers, CD/CI/CT analysts, etc) AND a demonstrated familiarity with the ...

The candidate must be able to successfully apply critical-thinking skills when evaluating each case ... foreign disclosure officers, CD/CI/CT analysts, etc) AND a demonstrated familiarity with the ...

The candidate must be able to successfully apply critical-thinking skills when evaluating each case ... foreign disclosure officers, CD/CI/CT analysts, etc) AND a demonstrated familiarity with the ...

The Reviewing Medical Officer (RMO) in the Medical Employability Program (MEP) provides ... Evaluating workers' compensation case files, interprets medical reports, evaluates medical evidence ...

Deputy Probation Officer I

Globe, AZ · On-site

$55K - $69K/yr

Participates in case review conferences to determine if change in level of supervision is warranted ... Probation Officer I have the authority of Peace Officers in the performance of his or her duties.

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Case Review Officer information

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How much do case review officer jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for case review officer in the United States is $22.95, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $24.76 per hour, depending on experience, location, and employer.

What skills does a case review officer need?

A case review officer needs strong analytical skills to assess case information accurately and attention to detail to ensure thorough reviews. Good communication skills are essential for documenting findings and interacting with team members, while proficiency with case management software and knowledge of relevant regulations are also important for effective performance.

What is the difference between Case Review Officer vs Claims Adjuster?

AspectCase Review OfficerClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require a bachelor's degreeHigh school diploma or equivalent; some roles may require certifications
Work EnvironmentOffice settings, government agencies, insurance companiesOffice settings, insurance companies, fieldwork in some cases
Industry UsageUsed mainly in government, legal, and insurance sectors for case assessmentsPrimarily in insurance industry for evaluating claims and determining payouts

While both roles involve reviewing cases, a Case Review Officer typically focuses on assessing legal or administrative cases within government or insurance settings, whereas a Claims Adjuster primarily evaluates insurance claims to determine coverage and settlement amounts. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

What are the key skills and qualifications needed to thrive as a case review officer?

To thrive as a Case Review Officer, you need strong analytical skills, attention to detail, and a background in law, compliance, or a related field. Familiarity with case management systems, legal databases, and sometimes certifications in regulatory compliance or investigation techniques are typically required. Excellent communication, impartial judgment, and the ability to manage sensitive information with discretion are vital soft skills. These competencies ensure accurate and fair case assessments, support organizational integrity, and maintain trust in review processes.

How does a case review officer typically collaborate with other departments during the case assessment process?

Case Review Officers regularly work with departments such as legal, compliance, and operations to ensure cases are evaluated thoroughly and fairly. They often participate in cross-functional meetings, sharing findings and gathering additional information required for accurate decision-making. Effective communication and documentation are key, as Case Review Officers must relay case updates and recommendations to both internal teams and, when appropriate, external partners. This collaborative process helps maintain transparency and consistency in case handling.

What is a case review officer?

Case Review Officers are professionals who assess, investigate, and review cases within an organization or government department, often related to compliance, complaints, or claims. Their primary responsibility is to ensure that cases are handled fairly, thoroughly, and in accordance with established policies and regulations. They gather and analyze information, interview relevant parties, and make recommendations or decisions based on their findings. Case Review Officers work in sectors such as social services, insurance, legal, and law enforcement, helping to ensure transparency and accountability in decision-making processes.
More about Case Review Officer jobs
Who are the top companies hiring for Case Review Officer jobs? The top employers for Case Review Officer jobs are:
What states have the most Case Review Officer jobs? States with the most job openings for Case Review Officer jobs include:
Infographic showing various Case Review Officer job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $47,743 per year, or $23 per hour.

Full-time

Re-posted 3 days ago


Powers Health rating

6.5

Company rating: 6.5 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

605th of 887 rated healthcare providers


Job description

POSITION PURPOSE AND SUMMARY

Under the direction of the Director, Quality/Risk Management, the Manager, Quality/Risk Management supports the design, monitoring, analysis and improvement of patient care organizational functions. Implements the day-to-day Quality/Risk Management Program as outlined in the Quality/Risk Management Plan, including, but not limited to: data collection, analysis and reporting of care and risk activities. In addition, works closely with the Safety Officer, managers of the unit and medical staff in coordinating the medical staff quality program and the hospital's risk management program. Supporting Surgery and OB and Anesthesia. 

EDUCATION/EXPERIENCE:

  • Level of knowledge is equivalent to the ordinarily acquired through four (4) years of training from an accredited college, preferably registered nurse, or other health care discipline, in order to acquire a thorough knowledge of performance improvement techniques and standards, develop a knowledge of the medical review process and techniques and learn data retrieval and reporting skills.
  • Minimum experience level required is one to two years as a registered nurse.
  • Analytical ability to participate in the development of policies and procedures, conduct clinical case review activities, develop methods and techniques of deficiency resolution and review medical records data.
  • Specific skills required for the position: Microsoft Office, Midas and other system-wide computer data-based software applications, presentation skills to assist in online case review during Medical Staff Peer Review activities and written communication skills to be able to communicate the peer review committee's interventions.
  • Employee traits important to the position would be that of a self-starter and a people-oriented person.

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