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Clinical Review Coordinator Jobs (NOW HIRING)

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 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 ...

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Clinical Review Coordinator information

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How much do clinical review coordinator jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for clinical review coordinator in the United States is $28.65, according to ZipRecruiter salary data. Most workers in this role earn between $20.67 and $34.13 per hour, depending on experience, location, and employer.

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.

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Infographic showing various Clinical Review Coordinator job openings in the United States as of September 2026, with employment types broken down into 3% As Needed, 74% Full Time, 15% Part Time, and 8% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $59,597 per year, or $28.7 per hour.

Clinical Review Coordinator, Women & Children's

Rome, GA • On-site

Advocate Health
Hospitals • 10K+ employees

Other

Posted 8 days ago


Advocate Aurora Health rating

7.6

Company rating: 7.6 out of 10

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.

  • 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.

  • 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.

  • Maintain accurate databases, registries, scorecards, dashboards, project trackers, and supporting records to ensure information is available, reliable, retrievable, and aligned with applicable reporting standards.

  • Ensure integrity, accuracy, validity, and completeness of assigned data by applying measure definitions, resolving data conflicts, validating source information, and identifying data integrity concerns.

  • 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.

  • 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.

  • Lead or support multidisciplinary improvement teams, committees, case review processes, and management action plans to implement and sustain evidence-based practices and standard work.

  • Support medical staff quality activities, peer review processes, case reviews, medical record audits, and documentation education consistent with role scope and organizational requirements.

  • 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.

  • Partner with local and enterprise stakeholders to define key performance indicators, develop measurement tools, monitor progress, and evaluate the effectiveness of improvement actions.

  • Provide education, coaching, and consultation to providers and frontline staff regarding clinical data, quality measures, documentation requirements, regulatory expectations, and improvement methods.

  • Stay current on leading practices, evidence-based guidelines, regulatory and accreditation requirements, and enterprise service line priorities relevant to assigned clinical areas.

  • Support accreditation, regulatory readiness, special projects, annual service line/outcomes reporting, and other duties as assigned.

EDUCATION REQUIRED

Graduate of an accredited school of Professional Nursing

EDUCATION PREFERRED

BSN

LICENSURES OR CERTIFICATIONS REQUIRED

None

LICENSURES OR CERTIFICATIONS PREFERRED

CPHQ

EXPERIENCE REQUIRED

At least 5 years clinical experience. Prior Women & Children's experience strongly recommended.


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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