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Clinical Review Analyst Jobs (NOW HIRING)

CorroHealth

PRN Clinical Review Nurse (RN)

Enabling our teams with leading technology allows analytics to guide our solutions and keeps us ... The PRN Clinical Review Specialist provides clinical review support on an as-needed basis to assist ...

Actalent

Remote Clinical Review RN

Rancho Cordova, CA · On-site

Clinical Quality Review Nurse This role focuses on reviewing and investigating potential quality of ... Analyze quality issues from both internal and external sources to identify patterns, trends, and ...

Actalent

Remote Clinical Review RN

Clinical Quality Review Nurse MUST live in California MUST have Post Service Experience This role ... Analyze quality issues from both internal and external sources to identify patterns, trends, and ...

Actalent

Remote Clinical Review RN

Clinical Quality Review Nurse MUST live in California MUST have Post Service Experience  This ... Analyze quality issues from both internal and external sources to identify patterns, trends, and ...

Luminare Health

Senior Manager Clinical Review - LH

$67K - $127K/yr

Job Summary The Senior Manager, Clinical Review is responsible for the daily operations of Clinical ... Also conducts analysis of data as it relates to the Healthcare Management processes and outcomes ...

TEEMA Group

Clinical Quality Review Nurse

Phoenix, AZ · Remote

$41 - $44/hr

Analyze trends and assist in identifying patterns in care delivery and outcomes * Collaborate with clinical leadership, including Medical Directors, to review findings * Participate in quality ...

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Clinical Review Analyst information

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How much do clinical review analyst jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for clinical review analyst in the United States is $39.80, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $45.67 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a clinical review analyst?

To thrive as a Clinical Review Analyst, you need a strong background in healthcare, medical terminology, and case review, often supported by a clinical degree or relevant certification such as RN, LPN, or coding credentials. Familiarity with utilization management software, electronic health records (EHR), and medical coding systems like ICD-10 and CPT is usually required. Attention to detail, analytical thinking, and effective communication are critical soft skills for accurately assessing medical records and collaborating with providers. These skills ensure quality, compliance, and effective decision-making in the review and authorization of clinical services.

What is a clinical review analyst?

Clinical Review Analysts are healthcare professionals who evaluate medical records, treatment plans, and claims to ensure they meet established guidelines and standards. They work for insurance companies, hospitals, or healthcare organizations, reviewing clinical documentation to determine the necessity and appropriateness of medical services. Their role is crucial in ensuring that patients receive proper care while also managing healthcare costs and compliance. Clinical Review Analysts often collaborate with medical providers and may provide recommendations for care improvement or denial of claims when necessary.

What are some common challenges faced by clinical review analysts, and how can they be effectively managed?

Clinical Review Analysts often encounter challenges such as interpreting complex medical records, keeping up with evolving healthcare regulations, and balancing caseloads with tight deadlines. Effective management of these challenges involves staying current with industry guidelines, leveraging electronic health record (EHR) systems for efficient data retrieval, and collaborating closely with medical professionals to clarify clinical details. Strong organizational skills and ongoing professional development can also help analysts maintain accuracy and compliance in their reviews.
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Clinical Review Analyst jobs near you
Infographic showing various Clinical Review Analyst job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 60% In-person, and 40% Remote job distribution, with an average salary of $82,791 per year, or $39.8 per hour.

RN Clinical Reviewer (Proofer)

GreenLife Healthcare Staffing

Jericho, NY • On-site

$45/hr

Full-time

Medical

Re-posted 5 days ago

Job description

RN Clinical Reviewer (Proofer) - Jericho, NY (#25289)

Location: Jericho, NY
Employment Type: Full-time, Temp-to-Hire
Hourly Rate: $45/hr

About Greenlife Healthcare Staffing:

Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.

Position Overview:

Greenlife Healthcare Staffing is seeking a meticulous Clinical Reviewer Proofer Registered Nurse who will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They will utilize their knowledge and expertise of the review program to conduct clinical-level review, supporting Medical Review Analysts and Physician Consultants to ensure an appropriate and accurate process.

Why Join Us?

  • Competitive Compensation: Earn $45 per hour.
  • Comprehensive Benefits:
    • Paid Sick Time
    • Health insurance
    • Benefits from Paychex, such as Payactiv
    • GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc.
  • Work Schedule: Full-time (5 days per week), Temp-to-Hire position.
  • Professional Growth: Gain valuable experience in a collaborative, innovative, and supportive environment, enhancing skills in clinical review.
  • Impactful Work: Play a critical role in ensuring the accuracy and integrity of state-level healthcare dispute resolutions.

Qualifications:

  • Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program and licensed to practice in the State of New York.
  • Licensure: Must have an active NY State RN license.
  • Experience: Must have a minimum of 2 years experience in an acute care facility, preferably in medicine/surgery or special care units, and/or 1 to 3 years experience in acute care utilization review.
  • Technical Skills: Knowledge and experience with electronic medical records, including coding, quality, and clinical charting.
  • Soft Skills: 
    • Ability to oversee, problem solve, and work collaboratively with peers, medical, analytical, and administrative support staff.
    • Excellent written and verbal skills.
    • Ability to work independently with little supervision.
    • Ability and desire to be flexible, innovative, and creative

Key Responsibilities:

This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They will utilize their knowledge and expertise of the review program to conduct clinical-level review, supporting Medical Review Analysts and Physician Consultants to ensure an appropriate and accurate process.

  • Conduct utilization reviews up to and including the appeal level. This includes the chart screen, complete electronic worksheets, entering required information, and making level one denial decisions when necessary.
  • Conduct quality and clinical study data collection reviews. This includes a chart review, complete detailed electronic data worksheets.
  • Act as a resource for the administrative staff in training, problem-solving, and clarifying procedures. Will provide technical assistance and conduct/participate in staff huddles.
  • Participate in collaborative training specific to clinical study objectives.
  • Other activities as may be deemed necessary.

How to Apply: If you are a detail-oriented RN ready to take the next step in your career, we want to hear from you! Submit your Resume/CV and a writing sample to hr@glhstaffing.com or call our office at (800) 608-4025 to learn more about this opportunity.

Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

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About Greenlife Healthcare Staffing

Sourced by ZipRecruiter

Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

New York, NY, US

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