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Clinical Evaluator Jobs (NOW HIRING)

Clinical Evaluator

Alton, IL ยท On-site

$48K - $67K/yr

Strong analytical skills, applied in evaluating individual needs and resources. QUALIFICATIONS ... clinical risk, and patient safety.

New

Clinical Evaluator

$80K - $100K/yr

Evaluators conduct phone screens and comprehensive clinical evaluations to determine clinical eligibility and appropriateness for InStride services. They provide education and orientation about ...

Clinical Evaluator

Gainesville, GA ยท On-site

$26.24/hr

The incumbent serves as the initial point of contact for referring agencies, documents referrals, schedules evaluations, administers and scores assessment tools, completes clinical interviews and ...

Clinical Evaluator

Springfield, MO ยท On-site

$80K - $111K/yr

Comply with Quality Assurance procedures and clinical records regulations. * Complete all required trainings and evaluations. * Report critical incidents and staff responses to supervising leadership.

Clinical Evaluator

Springfield, MO

$80K - $111K/yr

Comply with Quality Assurance procedures and clinical records regulations. * Complete all required trainings and evaluations. * Report critical incidents and staff responses to supervising leadership.

$30.81 - $41.59/hr

The CPEP Clinical Evaluator provides a key function in the CPEP patient evaluation, intervention and disposition decision-making process for patients presenting across the entire range of 5 years old ...

As a Clinical Evaluator, you will conduct face-to-face PASRR Level II assessments to determine appropriate placements and next levels of care for individuals with complex needs. Your primary focus ...

As a Clinical Evaluator, you will conduct face-to-face PASRR Level II assessments to determine appropriate placements and next levels of care for individuals with complex needs. Your primary focus ...

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Clinical Evaluator information

See salary details

$29.5K

$65.5K

$106.5K

How much do clinical evaluator jobs pay per year?

As of Jul 30, 2026, the average yearly pay for clinical evaluator in the United States is $65,471.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,500.00 and $79,500.00 per year, depending on experience, location, and employer.

Are evaluators in high demand?

Clinical evaluators are generally in steady demand due to the need for assessments in healthcare, insurance, and social services. Employment opportunities can vary based on industry growth, geographic location, and required certifications such as clinical or psychological licensure.

How do I become a search evaluator?

To become a search evaluator, you typically need to pass a qualification test that assesses your ability to evaluate search engine results accurately. Most companies require good reading comprehension, attention to detail, and familiarity with internet search tools; some may also ask for a reliable computer and internet connection. Once qualified, you can work as an independent contractor, often with flexible hours and task-based pay.

What is the highest paying job in clinical research?

The highest paying roles in clinical research are often senior positions such as Clinical Research Director or Vice President of Clinical Operations, which can earn six-figure salaries. These roles typically require extensive experience, advanced degrees, and strong leadership skills, often overseeing multiple projects or departments within pharmaceutical or biotech companies.

What does a clinical evaluation specialist do?

A clinical evaluation specialist assesses medical data and patient information to determine treatment effectiveness and safety. They review clinical trial results, ensure compliance with regulatory standards, and may prepare reports for approval processes, often requiring knowledge of medical terminology and data analysis tools.

What is a Clinical Evaluator job?

A Clinical Evaluator assesses patients' medical conditions, cognitive abilities, and functional capacities to determine appropriate treatment plans or care recommendations. They often work in healthcare settings such as hospitals, rehabilitation centers, or insurance companies, conducting evaluations, reviewing medical records, and collaborating with healthcare teams. Their role may involve determining eligibility for medical services, disability benefits, or rehabilitation programs. Strong analytical skills, medical knowledge, and communication abilities are essential for success in this position.

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

To thrive as a Clinical Evaluator, you need a background in clinical assessment, behavioral health, and typically a degree in psychology, social work, nursing, or a related field. Familiarity with standardized assessment tools, electronic health record (EHR) systems, and credentialing such as an LCSW, LPC, or RN license is often required. Strong communication, attention to detail, and the ability to build rapport with individuals from diverse backgrounds are crucial soft skills in this role. These competencies ensure accurate evaluations, effective client care planning, and seamless integration within multidisciplinary healthcare teams.

What are the typical day-to-day responsibilities of a Clinical Evaluator?

As a Clinical Evaluator, your primary responsibilities include conducting patient intake assessments, evaluating mental health or substance use issues, and preparing thorough reports to guide care planning. You will collaborate closely with physicians, therapists, and other healthcare staff to determine the best treatment recommendations for each client. The role may also involve crisis intervention, monitoring patient progress, and ensuring accurate documentation in compliance with industry regulations. These tasks are essential to ensure that each individual receives the most appropriate and timely care.

More about Clinical Evaluator jobs
What cities are hiring for Clinical Evaluator jobs? Cities with the most Clinical Evaluator job openings:
What are the most commonly searched types of Clinical Evaluator jobs? The most popular types of Clinical Evaluator jobs are:
What states have the most Clinical Evaluator jobs? States with the most job openings for Clinical Evaluator jobs include:
Infographic showing various Clinical Evaluator job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 73% Full Time, 17% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $65,471 per year, or $31.5 per hour.

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Job description

) Clinical Evaluator
Acute Rehabilitation Hospital
Plano, TX
Position Summary
Acute Rehabilitation Hospital in Plano, TX is seeking a Clinical Evaluator to join our interdisciplinary team. The Clinical Evaluator is responsible for completing timely and accurate patient pre-admission screenings (PAS), PAS updates, and ensuring CMS-13 compliance for patients referred for inpatient rehabilitation services.
This position works collaboratively with the Business Development team, including Clinical Liaisons, the Admissions Coordinator, Admissions staff, physicians, nursing, case management, therapy, and other internal and external stakeholders to facilitate the referral-to-admission process in a timely manner. The Clinical Evaluator serves as a clinical resource while supporting regulatory compliance, payer requirements, and exceptional patient care.
Minimum Qualifications
  • Clinical degree in a healthcare-related field whose education and scope of practice support competent assessment of medical conditions, functional status, rehabilitation potential, and risk for medical and functional complications.
  • Current unrestricted licensure in Nursing (RN), Medical Social Work (LMSW/LCSW), or Therapy (OT, PT, RT, or SLP) is required.
  • Minimum of two (2) years of Clinical Liaison experience preferred; prior Inpatient Rehabilitation Facility (IRF), LTACH, acute care, or case management experience preferred.
  • Excellent clinical assessment and critical thinking skills.
  • Excellent written, verbal, and interpersonal communication skills.
  • Ability to collect, document, analyze, and communicate clinical information accurately.
  • Strong relationship management skills with physicians, referral sources, patients, families, and interdisciplinary team members.
  • Knowledge of PPS payment and reimbursement systems, DRGs, case weights, CMS regulations, and payer authorization processes preferred.
  • Ability to prioritize multiple referrals while meeting established turnaround times.
  • Proficiency with Microsoft Office applications, electronic medical record (EMR) systems, word processing, and data entry.
  • Ability to multitask and effectively interact with internal and external customers.
  • Ability to communicate effectively in English by phone, in writing, and in person with staff, patients, families, physicians, and referral partners.

Essential Duties & Responsibilities
Clinical Assessment
  • Complete comprehensive pre-admission screenings (PAS) and PAS updates accurately and within established turnaround times (goal of two hours).
  • Evaluate referred patients to determine medical necessity, rehabilitation potential, and appropriateness for inpatient rehabilitation admission.
  • Review medical records, therapy evaluations, physician documentation, laboratory results, and clinical information to ensure patients meet rehabilitation admission criteria.
  • Ensure all documentation complies with CMS-13 requirements, Medicare regulations, hospital policies, and payer guidelines.
  • Collect, document, analyze, and communicate clinical information supporting admission decisions.

Insurance & Admissions Coordination
  • Review referrals to identify insurance requirements, pre-certification needs, financial coverage, and admission criteria.
  • Serve as the clinical liaison with the Admissions Office and insurance companies by providing clinical documentation necessary to obtain pre-certifications and prior authorizations.
  • Monitor pending referrals and proactively follow up on internal and external issues affecting referral and admission timelines.
  • Maintain accurate documentation within the electronic medical record and other required systems.

Collaboration & Relationship Management
  • Develop and maintain strong working relationships with physicians, referral sources, hospitals, case managers, discharge planners, Clinical Liaisons, Admissions staff, and hospital leadership.
  • Maintain open communication with the Director of Business Development, Clinical Liaisons, Admissions, nursing, and interdisciplinary team members to promote teamwork, cooperation, and mutual respect.
  • Serve as a clinical resource regarding rehabilitation admission criteria, payer requirements, and referral appropriateness.
  • Deliver exceptional customer service while fostering positive relationships with patients, families, and referral partners.

Quality & Performance
  • Maintain knowledge of PPS payment and reimbursement systems, DRGs, case weights, Medicare regulations, and current inpatient rehabilitation admission requirements.
  • Achieve established individual productivity and performance goals.
  • Participate in quality improvement initiatives, departmental meetings, and ongoing education as assigned.
  • Maintain HIPAA compliance and protect patient confidentiality at all times.
  • Perform additional duties and special projects as assigned.

Benefits
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Company-Paid Life Insurance
  • 401(k) Retirement Savings
  • Supplemental Voluntary Benefits
  • Paid Time Off with Cash-Out and Donation Options
  • Paid Holidays
  • Pay on Demand (Payday Advance)
  • Gym Membership and Fitness Program Discounts
  • Employee Discounts on Everyday Purchases and Services
  • Access to Automobile and Home Insurance Marketplace
  • And More!