The Clinical Review Coordinator provides local quality, outcomes, and performance improvement support for assigned service lines while aligning local priorities, measures, and improvement work with ...
The Clinical Review Coordinator provides local quality, outcomes, and performance improvement support for assigned service lines while aligning local priorities, measures, and improvement work with ...
Clinical Review Coordinator, Women & Children's
Rome, GA · Hybrid
$38.20 - $57.30/hr
Pay Range: $38.20 - $57.30 The Clinical Review Coordinator provides local quality, outcomes, and performance improvement support for assigned service lines while aligning local priorities, measures ...
Clinical Review Coordinator, Women & Children's
Rome, GA · Hybrid
$38.20 - $57.30/hr
Pay Range: $38.20 - $57.30 The Clinical Review Coordinator provides local quality, outcomes, and performance improvement support for assigned service lines while aligning local priorities, measures ...
Review Coordinator
Minnetonka, MN · On-site
$18 - $23/hr
We are looking for a Review Coordinator to support administrative review activities in Minnesota ... Working knowledge of referrals, prior authorizations, triage processes, and non-clinical healthcare ...
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Review Coordinator
Minnetonka, MN · On-site
$18 - $23/hr
We are looking for a Review Coordinator to support administrative review activities in Minnesota ... Working knowledge of referrals, prior authorizations, triage processes, and non-clinical healthcare ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end ... This role acts as a bridge between the clinical therapy team, patients, and insurances to secure ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end ... This role acts as a bridge between the clinical therapy team, patients, and insurances to secure ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end ... This role acts as a bridge between the clinical therapy team, patients, and insurances to secure ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end ... This role acts as a bridge between the clinical therapy team, patients, and insurances to secure ...
Peer Review Coordinator
Mount Vernon, WA · On-site
$50 - $75.01/hr
Job Summary The Peer Review Coordinator assists with activities of the CPE (Committee for ... Acts as clinical resource for the review of safety events pertinent to medical care and other ...
Peer Review Coordinator
Mount Vernon, WA · On-site
$50 - $75.01/hr
Job Summary The Peer Review Coordinator assists with activities of the CPE (Committee for ... Acts as clinical resource for the review of safety events pertinent to medical care and other ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end ... This role acts as a bridge between the clinical therapy team, patients, and insurances to secure ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end ... This role acts as a bridge between the clinical therapy team, patients, and insurances to secure ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end ... This role acts as a bridge between the clinical therapy team, patients, and insurances to secure ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end ... This role acts as a bridge between the clinical therapy team, patients, and insurances to secure ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Review clinical content of medical records, participate in treatment team meetings, and collaborate ...
The Utilization Review Coordinator acts as a liaison between the organization and the Peer Review ... Utilizes clinical documentation from the electronic health records for children and youth to ...
The Utilization Review Coordinator acts as a liaison between the organization and the Peer Review ... Utilizes clinical documentation from the electronic health records for children and youth to ...
The Utilization Review Coordinator acts as a liaison between the organization and the Peer Review ... Utilizes clinical documentation from the electronic health records for children and youth to ...
The Utilization Review Coordinator acts as a liaison between the organization and the Peer Review ... Utilizes clinical documentation from the electronic health records for children and youth to ...
Utilization Review
Arcata, CA · On-site
RESPONSIBILITIES: • Collaborates and coordinates with health plans and providers/care teams to ensure appropriate utilization of resources and timely discharge. • Provides clinical review for ...
Utilization Review
Arcata, CA · On-site
RESPONSIBILITIES: • Collaborates and coordinates with health plans and providers/care teams to ensure appropriate utilization of resources and timely discharge. • Provides clinical review for ...
The Medical Review Coordinator collaborates with the Clinical Appeals and Quality Improvement Manager, functions as a liaison with facility staff and corporate consultants in an effort to compile ...
The Medical Review Coordinator collaborates with the Clinical Appeals and Quality Improvement Manager, functions as a liaison with facility staff and corporate consultants in an effort to compile ...
Utilization Review Coordinator - Full Time
Pembroke, MA · On-site
$5.0K/mo
Responsibilities Utilization Review Coordinator Opportunity - This is a full time position, working ... Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid ...
Utilization Review Coordinator - Full Time
Pembroke, MA · On-site
$5.0K/mo
Responsibilities Utilization Review Coordinator Opportunity - This is a full time position, working ... Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid ...
The Medical Review Coordinator collaborates with the Clinical Appeals and Quality Improvement Manager, functions as a liaison with facility staff and corporate consultants in an effort to compile ...
The Medical Review Coordinator collaborates with the Clinical Appeals and Quality Improvement Manager, functions as a liaison with facility staff and corporate consultants in an effort to compile ...
The Medical Review Coordinator collaborates with the Clinical Appeals and Quality Improvement Manager, functions as a liaison with facility staff and corporate consultants in an effort to compile ...
The Medical Review Coordinator collaborates with the Clinical Appeals and Quality Improvement Manager, functions as a liaison with facility staff and corporate consultants in an effort to compile ...
Utilization Review Coordinator - Full Time
Pembroke, MA · On-site
$5.0K/mo
Responsibilities Utilization Review Coordinator Opportunity - This is a full time position, working ... Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid ...
Utilization Review Coordinator - Full Time
Pembroke, MA · On-site
$5.0K/mo
Responsibilities Utilization Review Coordinator Opportunity - This is a full time position, working ... Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid ...
Utilization Review Coordinator - Full Time
Pembroke, MA · On-site
$5.0K/mo
Responsibilities Utilization Review Coordinator Opportunity - This is a full time position, working ... Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid ...
Utilization Review Coordinator - Full Time
Pembroke, MA · On-site
$5.0K/mo
Responsibilities Utilization Review Coordinator Opportunity - This is a full time position, working ... Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid ...
Clinical Review Coordinator information
See salary details
$11.30 - $14.51
1% of jobs
$14.51 - $17.72
11% of jobs
$20.59 is the 25th percentile. Wages below this are outliers.
$17.72 - $20.94
15% of jobs
$20.94 - $24.15
12% of jobs
$24.15 - $27.36
11% of jobs
The median wage is $27.63 / hr.
$27.36 - $30.57
13% of jobs
$33.44 is the 75th percentile. Wages above this are outliers.
$30.57 - $33.78
15% of jobs
$33.78 - $37
12% of jobs
$37 - $40.21
5% of jobs
$40.21 - $43.42
3% of jobs
$43.42 - $46.63
3% of jobs
$11
$28
$46
How much do clinical review coordinator jobs pay per hour?
What is a clinical review coordinator?
A Clinical Review Coordinator is responsible for reviewing medical records, insurance claims, and treatment plans to ensure they meet regulatory and organizational guidelines. They collaborate with healthcare providers, insurance companies, and patients to verify coverage, process authorizations, and support quality care. The role requires attention to detail, knowledge of medical terminology, and familiarity with healthcare policies.
What are the typical daily responsibilities of a clinical review coordinator?
As a Clinical Review Coordinator, your daily responsibilities often include reviewing patient medical records, assessing the necessity and appropriateness of clinical services, and preparing documentation for insurance or compliance reviews. You may also interact with healthcare providers to clarify clinical information, coordinate with case managers or insurance representatives, and ensure timely processing of authorizations. While most of the work is completed independently, you will frequently collaborate with other healthcare professionals to resolve complex cases. This role offers a balance of analytical tasks and teamwork, providing variety and ongoing professional engagement.
What are the key skills and qualifications needed to thrive in the clinical review coordinator position, and why are they important?
A Clinical Review Coordinator needs a strong background in healthcare, medical terminology, and case management, usually supported by a degree in a health-related field or equivalent experience. Familiarity with electronic health record (EHR) systems, utilization review software, and knowledge of regulatory guidelines like HIPAA is typically required. Attention to detail, excellent organizational skills, and effective communication abilities set successful candidates apart. These competencies enable Coordinators to ensure accurate clinical documentation, streamline review processes, and facilitate collaboration between medical teams and insurance providers.
What cities are hiring for Clinical Review Coordinator jobs?
Cities with the most Clinical Review Coordinator job openings:
What are the most commonly searched types of Clinical Review jobs?
The most popular types of Clinical Review jobs are:
What states have the most Clinical Review Coordinator jobs?
States with the most job openings for Clinical Review Coordinator jobs include:
What are popular job titles related to Clinical Review Coordinator jobs?
For Clinical Review Coordinator jobs, the most frequently searched job titles are:

Clinical Review Coordinator, Women & Children's
Rome, GA • On-site
Other
Posted 8 days ago
Advocate Aurora Health rating
7.6
Based on 782 frontline employees who took The Breakroom Quiz
Job description
The Clinical Review Coordinator provides local quality, outcomes, and performance improvement support for assigned service lines while aligning local priorities, measures, and improvement work with enterprise service line goals. The role combines clinical review, data integrity, analytics, project coordination, quality reporting, and frontline/provider engagement to help identify improvement opportunities, support reliable care processes, and advance measurable outcomes.
This role will support the Women & Children's Service Line. Seeking an experienced Registered Nurse with a passion for quality improvement, performance excellence, and advancing outcomes across Women & Children’s services. This role requires a clinically strong RN who can effectively partner with physicians, advanced practice providers, nursing leaders, and frontline teams to identify improvement opportunities and lead data-driven performance improvement initiatives. The ideal candidate possesses strong analytical and critical thinking skills, along with a willingness to learn and become proficient in healthcare data analysis, quality and safety metrics, regulatory and accreditation requirements, performance improvement methodologies, and outcomes measurement.
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Coordinate local service line quality and outcomes improvement activities in partnership with physicians, advanced practice providers, nursing leaders, frontline teammates, quality leaders, and enterprise service line partners.
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Screen and review medical records, clinical documentation, registries, dashboards, and other data sources to identify quality, safety, clinical outcomes, resource utilization, and regulatory improvement opportunities.
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Maintain accurate databases, registries, scorecards, dashboards, project trackers, and supporting records to ensure information is available, reliable, retrievable, and aligned with applicable reporting standards.
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Ensure integrity, accuracy, validity, and completeness of assigned data by applying measure definitions, resolving data conflicts, validating source information, and identifying data integrity concerns.
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Analyze trends in performance metrics and service line dashboards; translate findings into concise reports, presentations, action plans, and recommendations for frontline teams, providers, committees, and leaders.
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Facilitate performance improvement efforts using established improvement methods such as the Model for Improvement, Lean thinking, root cause analysis, process redesign, action planning, and measurement of outcomes.
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Lead or support multidisciplinary improvement teams, committees, case review processes, and management action plans to implement and sustain evidence-based practices and standard work.
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Support medical staff quality activities, peer review processes, case reviews, medical record audits, and documentation education consistent with role scope and organizational requirements.
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Serve as a local liaison to the enterprise service line by sharing local performance insights, supporting standardization, escalating barriers, and helping deploy enterprise priorities, best practices, and strategic initiatives.
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Partner with local and enterprise stakeholders to define key performance indicators, develop measurement tools, monitor progress, and evaluate the effectiveness of improvement actions.
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Provide education, coaching, and consultation to providers and frontline staff regarding clinical data, quality measures, documentation requirements, regulatory expectations, and improvement methods.
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Stay current on leading practices, evidence-based guidelines, regulatory and accreditation requirements, and enterprise service line priorities relevant to assigned clinical areas.
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Support accreditation, regulatory readiness, special projects, annual service line/outcomes reporting, and other duties as assigned.
Graduate of an accredited school of Professional Nursing
EDUCATION PREFERREDBSN
LICENSURES OR CERTIFICATIONS REQUIREDNone
LICENSURES OR CERTIFICATIONS PREFERREDCPHQ
EXPERIENCE REQUIREDAt least 5 years clinical experience. Prior Women & Children's experience strongly recommended.
What Advocate Aurora Health employees say
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About Advocate Health
Sourced by ZipRecruiter
Advocate Healthcare, based in Oak Lawn, Illinois, United States, is a leading figure in the health care industry. Accessible via their official website, 'advocatehealth.com', this organization provides a wide variety of medical services and treatment options. Founded in 1995 through a merger of Evangelical Health Systems Corporation and Lutheran General HealthSystem, Advocate Healthcare has grown exponentially over the years. Now, it operates more than 400 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, five Level I trauma centers, and three Level II trauma centers. Upholding their values of equality, compassion, excellence, partnership and stewardship, Advocate Healthcare's mission is centered on building lifelong relationships with patients by delivering the best health outcomes and highest level of service through an integrated approach to care and wellness.
Industry
Hospitals and health care and social assistance
Company size
10,000+ Employees
Headquarters location
Charlotte, NC, US