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Case Reviewer Jobs in Washington (NOW HIRING)

URAC

Clinical Accreditation Reviewer

Washington, DC · On-site

$120K - $135K/yr

MAJOR PURPOSE OF THIS JOB: The Accreditation Reviewer is an expert in the content and ... For Case Management and Disease Management Accreditation, certification in case management is ...

American Traveler

Travel Case Manager RN

Lanham, MD · On-site

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...

Nüvitek

Case Analyst

Washington, DC · On-site

$60K - $75K/yr

Perform compliance reviews and case validation activities to support program integrity initiatives, including investigative reviews and quality assurance examinations. * Verify employer eligibility ...

Comagine Health

Clinical Reviewer DC

Washington, DC · On-site

Review case files to ensure that patient's level of care status is appropriate on admission and prior to discharge. * Communicate timeline with the Client, internal team or providers and provide ...

Encompass Health

Case Manager

Bowie, MD

$19.25 - $24.75/hr

Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

Interfaith Works

Case Management Supervisor

Rockville, MD · On-site

$90K - $100K/yr

Review assessments, housing plans, service plans, case notes, and documentation for accuracy, quality, and timeliness. Ensure services are delivered using Housing First, trauma-informed, person ...

Interfaith Works

Case Management Supervisor

Rockville, MD · On-site

$90K - $100K/yr

Review assessments, housing plans, service plans, case notes, and documentation for accuracy, quality, and timeliness. * Ensure services are delivered using Housing First, trauma-informed, person ...

Interfaith Works

Case Management Supervisor

Rockville, MD · On-site

$90K - $100K/yr

Review assessments, housing plans, service plans, case notes, and documentation for accuracy, quality, and timeliness. * Ensure services are delivered using Housing First, trauma-informed, person ...

Comagine

Clinical Reviewer DC

Washington, DC · On-site

Review case files to ensure that patient's level of care status is appropriate on admission and prior to discharge. * Communicate timeline with the Client, internal team or providers and provide ...

Acentra Health

Clinical Reviewer-SCA

Mclean, VA · On-site

Assures accuracy and timeliness of all applicable review type cases within contract requirements ... Some knowledge of Case Management, UR and/or Prior Authorization or related experience is preferred

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Showing results 21-40

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Case Reviewer information

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$21

$53

$90

How much do case reviewer jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for case reviewer in Washington is $53.84, according to ZipRecruiter salary data. Most workers in this role earn between $40.00 and $65.05 per hour, depending on experience, location, and employer.

How to get a job as a case reviewer?

To become a case reviewer, candidates typically need a background in healthcare, social work, or legal fields, along with strong analytical and communication skills. Relevant experience, attention to detail, and familiarity with case management systems or documentation are often required, and some positions may require certification or training in specific areas.

What are the key skills and qualifications needed to thrive in the case reviewer position, and why are they important?

To thrive as a Case Reviewer, you need strong analytical abilities, attention to detail, and a background in the relevant industry, often supported by a degree in law, healthcare, or a specialized field. Familiarity with case management software, electronic records systems, or regulatory databases is usually important, and certifications may be required for specialized roles. Excellent written communication, impartiality, and time management are soft skills that set top performers apart. Mastery of these skills ensures accurate, timely case evaluations and effective collaboration with stakeholders for informed decision-making.

What is a case reviewer?

A Case Reviewer is responsible for evaluating case files, documents, and related information to ensure accuracy, compliance, and completeness. They analyze evidence, verify facts, and provide detailed assessments based on established guidelines or legal standards. Case Reviewers often work in legal, medical, insurance, or government sectors and must have strong attention to detail and analytical skills. Their role helps ensure fair and accurate decision-making in various professional settings.

What are the typical daily responsibilities of a case reviewer?

As a Case Reviewer, your day-to-day work commonly involves reviewing case files, supporting documents, and related evidence to assess compliance with relevant guidelines or policies. You may be required to write detailed reports, summarize findings, and make recommendations based on established criteria. Collaboration is frequent, as you often interact with other reviewers, supervisors, and subject matter experts to discuss complex cases or clarify information. This role demands a high level of organization and consistency, as accuracy and fairness are critical when determining outcomes that impact clients, patients, or other stakeholders.

What does a case reviewer do?

A case reviewer evaluates and analyzes cases, such as insurance claims, legal matters, or healthcare records, to ensure accuracy, completeness, and compliance with policies. They often review documentation, make determinations, and document findings, using attention to detail and sometimes specialized software or guidelines.
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Case Reviewer jobs near you
Infographic showing various Case Reviewer job openings in Washington as of August 2026, with employment types broken down into 75% Full Time, 13% Part Time, and 12% Contract. Highlights an 80% In-person, 4% Hybrid, and 16% Remote job distribution, with an average salary of $111,978 per year, or $53.8 per hour.

Physician Peer Reviewer (must be actively practicing)

Commence

Annapolis Junction, MD • On-site

$100 - $450/hr

Full-time

Re-posted 2 days ago

Job description

Description:

At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.

With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.

Requirements:

We’re growing our network of clinical reviewers and are actively seeking Physicians (MD/DO) who are passionate about quality, accountability, and patient outcomes. As a member of our reviewer panel, you'll play a key role in ensuring the appropriateness, necessity, and quality of care delivered to military members and their families.
What You’ll Do

  • Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care.
  • Provide evidence-based assessments and written determinations following established clinical guidelines and review criteria.
  • Support case types including: Utilization review, Appeals and hearings, Quality of care and standard of care concerns
  • Uphold the highest standard of clinical integrity, neutrality, and objectivity.

Qualifications

  • Hold an active, unrestricted U.S. license as an MD/DO
  • Board certified in your specialty by an ABMS or AOA-recognized board
  • Minimum of 5 years of clinical experience in your specialty
  • Currently practicing and seeing patients an average of at least 20 hours per week

Preferred Qualifications

  • Experience with QIO, peer review, utilization review, or appeals work
  • Familiarity with military or federal healthcare programs (e.g., TRICARE, Medicare)
  • Previous experience with legal or regulatory case reviews

Why This Role

  • Fully remote, contract-based (1099)
  • Flexible workload – cases assigned based on your availability and specialty
  • Impactful work that contributes to high-quality care and oversight
  • Per-case pay ranging from $100–$450 depending on case complexity
  • Most cases take 1–3 hours to complete; shorter reviews may take less than 1 hour
  • Strong written communication skills and attention to detail
  • Ability to review cases objectively and meet turnaround deadlines
  • Comfortable working independently in a secure, remote environment

Current High Priority Specialties:

  • Physician: Urology
  • Dentist: Comprehensive Dentistry
  • Physician: Nephrology
  • Physician: Pediatrics (Neonatal-Perinatal Medicine)
  • Physician: Pediatrics & Adolescent (General)
  • Physician: Otolaryngology
  • Physician: Psychiatry
  • Physician: Anesthesiologist
  • Physician: Neurology
  • Physician: Ophthalmologist
  • Physician: Physical Medicine & Rehabilitation

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting accommodation, all applications must be submitted through our online application system.

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