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Clinical Quality Reviewer Jobs (NOW HIRING)

PWP Health

Clinical Quality Reviewer

Chicago, IL · On-site

$41 - $48/hr

Review IM+CANS assessments and reassessments for quality, accuracy, and completeness. * Monitor reassessment due dates and communicate upcoming deadlines to clinicians. * Provide ongoing coaching ...

Pacer Group

Clinical Quality Reviewer

Clinical Quality Reviewer Ensures compliance with the contract, and program requirements for Clinical Quality Management (CQM) within West Region. To ensure quality care is delivered for ...

PWP Health

Clinical Quality Reviewer

Chicago, IL · On-site

$41 - $48/hr

Review IM+CANS assessments and reassessments for quality, accuracy, and completeness. * Monitor reassessment due dates and communicate upcoming deadlines to clinicians. * Provide ongoing coaching ...

TEEMA

RN Clinical Quality Reviewer

Phoenix, AZ · Remote

$40 - $43/hr

Job Summary RN Clinical Quality Reviewer TEEMA Full-time Remote | Phoenix, AZ, United States Overview: We are partnering with a leading organization supporting a large-scale federal healthcare ...

Pacer Group

Clinical Quality Reviewer RN 3

Clinical Quality Reviewer RN (Quality of Care Review) Duration: 9+ Months (Potential Extension and Conversion to FTE) Location: Remote - CA Work Schedule: Monday - Friday | 8:00 AM - 4:30 PM / 5:00 ...

Onos

Clinical Quality Reviewer - BCBA

San Francisco, CA · On-site

$110K - $140K/yr

Clinical Quality Reviewer - BCBA About Onos Health Onos Health's mission is simple but ambitious: ensure every healthcare dollar goes toward delivering the highest quality care. Today, nearly 30% of ...

TEEMA Group

Clinical Quality Review Nurse

Phoenix, AZ · Remote

$41 - $44/hr

CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...

TEEMA Group

REMOTE RN - Quality Review

Phoenix, AZ · Remote

$42 - $43.50/hr

TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing clinical cases, identifying ...

Medica

Supervisor, Clinical Quality Review

... standards, reviewer training, and tool readiness * Ensures SOPs and job aids are audit ready ... Demonstrated experience managing clinical review, quality, or audit work under strict regulatory ...

Imedica

Supervisor, Clinical Quality Review

Omaha, NE · Remote

... standards, reviewer training, and tool readiness * Ensures SOPs and job aids are audit ready ... Demonstrated experience managing clinical review, quality, or audit work under strict regulatory ...

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Clinical Quality Reviewer information

What are some common challenges faced by Clinical Quality Reviewers and how can they be addressed?

Clinical Quality Reviewers often encounter challenges such as interpreting complex clinical documentation, staying updated with regulatory changes, and ensuring consistent application of quality standards across diverse cases. To address these, it's important to maintain strong communication with clinical staff, participate in ongoing training, and utilize up-to-date review tools and checklists. Collaborating closely with other reviewers and quality teams can also help in sharing best practices and resolving ambiguous cases efficiently.

What does a Clinical Quality Reviewer do?

A Clinical Quality Reviewer is responsible for evaluating clinical documentation, processes, and patient care activities to ensure they meet established quality standards and regulatory requirements. They review medical records, analyze compliance with protocols, and identify areas for improvement to enhance patient safety and care outcomes. Clinical Quality Reviewers often collaborate with healthcare teams to implement quality improvement initiatives and provide feedback or training as needed. Their work is essential for maintaining accreditation and ensuring continuous improvement in healthcare facilities.

What are the key skills and qualifications needed to thrive as a Clinical Quality Reviewer, and why are they important?

To thrive as a Clinical Quality Reviewer, you need a solid background in healthcare, clinical knowledge, and quality assurance, often supported by a nursing or allied health degree and relevant certifications. Familiarity with clinical documentation systems, quality measurement tools, and regulatory compliance standards is typically required. Attention to detail, analytical thinking, and effective communication are vital soft skills for this role. These skills ensure accurate reviews, uphold compliance, and drive improvements in patient care quality.
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What job categories do people searching Clinical Quality Reviewer jobs look for? The top searched job categories for Clinical Quality Reviewer jobs are:
Clinical Quality Reviewer jobs near you
Infographic showing various Clinical Quality Reviewer job openings in the United States as of July 2026, with employment types broken down into 50% Part Time, and 50% Contract. Highlights an 100% In-person job distribution.

Clinical Quality Reviewer

PWP Health

Chicago, IL • On-site

$41 - $48/hr

Part-time

Medical, Retirement, PTO

Posted 25 days ago

Job description

About PWP Health
At PWP Health, we're committed to transforming lives through accessible, compassionate, and high-quality behavioral health services.
PWP Health offers an environment where individuals can grow professionally, work with diverse populations, and make a meaningful impact in the communities we serve.
The Opportunity
We're looking for an experienced mental health Clinician who enjoys quality improvement, coaching others, and ensuring clinical excellence. If you're passionate about maintaining high standards of care while supporting fellow clinicians, we'd love to meet you.
What You'll do
  • Review IM+CANS assessments and reassessments for quality, accuracy, and completeness.
  • Monitor reassessment due dates and communicate upcoming deadlines to clinicians.
  • Provide ongoing coaching, education, and feedback to clinicians regarding best practices and continuous quality improvement.
  • Review documentation to ensure completeness and clinical appropriateness.

Who You Are
  • Current Licensed Practitioner of the Healing Arts (LPHA) licensure in Illinois.
  • Strong knowledge of IM+CANS assessments and behavioral health documentation.
  • Excellent understanding of medical necessity, diagnostic documentation, and treatment planning.
  • Experience reviewing clinical documentation for quality and compliance.
  • Strong written communication and coaching skills.
  • Reside in the Chicago metropolitan area

Schedule
  • Part-time
  • 15 - 25 hours per week
  • Flexible scheduling

Why Join PWP Health?
We offer a suite of benefits designed to support our teams. This includes:
  • Competitive compensation
  • 401(k) with company match
  • Paid Time Off program

The anticipated salary range for this role is $41 to $48 per hour. Salary offers are made based on the candidate's qualifications, experience, skills, and education as they relate to the position's requirements, the position's budget, and the cost of labor in the market where the candidate will be hired.
If you're ready to shape the ethical foundation of a growing, values-driven healthcare organization, we'd love to meet you.
Apply today and help us build a future where integrity and impact go hand in hand.

Apply