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Clinical Reviewer 1099 Jobs (NOW HIRING)

Independent Health

Clinical Reviewer

Buffalo, NY · On-site

$38 - $41/hr

The Clinical Reviewer will investigate quality complaints/grievances and appeals, document research of initial coverage determinations, and lead coordination of clinical review with appropriate ...

Independent Health Association

$38 - $41/hr

The Clinical Reviewer will investigate quality complaints/grievances and appeals, document research of initial coverage determinations, and lead coordination of clinical review with appropriate ...

Comagine

Clinical Reviewer

In this role, you will review clinical documentation to determine medical necessity and appropriateness of services, complete functional needs assessments that evaluate how mental health symptoms ...

Astyra Corporation

Clinical Reviewer

Denver, CO

$35 - $40/hr

Job Summary As a Nurse Reviewer, you will evaluate clinical documentation to ensure services meet criteria and regulatory standards. You will conduct utilization reviews across diverse service ...

Comagine Health

Clinical Reviewer DC

Washington, DC · On-site

The Clinical Reviewer position supports utilization management activities by assessing the medical necessity and quality of healthcare services through prospective, concurrent, and retrospective ...

Comagine

Clinical Reviewer DC

Washington, DC · On-site

Clinical Reviewer Position Are you passionate about using your clinical expertise to support quality healthcare outcomes and ensure members receive medically appropriate services? Do you enjoy ...

mycenters

UM Clinical Reviewer

Pompano Beach, FL · On-site

The Utilization Management Clinical Reviewer works within a multidisciplinary team to help identify and manage members who are in need of additional care or support in their home to improve their ...

TriWest Healthcare

ABA Clinical Reviewer

Phoenix, AZ · On-site

Prepares and presents more complex cases for Medical Director review. Advises non-clinical staff on clinical coding questions. This position reports to the Director, Case Management Programs.

Acentra Health

Clinical Reviewer-SCA

Mclean, VA · On-site

Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer to join our growing team. Job Responsibilities: * Assures accuracy and timeliness of all applicable review type ...

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Clinical Reviewer 1099 information

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How much do clinical reviewer 1099 jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for clinical reviewer 1099 in the United States is $35.92, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $40.38 per hour, depending on experience, location, and employer.

What is a clinical reviewer 1099?

A Clinical Reviewer 1099 is an independent contractor, often a licensed healthcare professional, hired to review medical records, claims, or clinical documentation for accuracy, compliance, and quality. Unlike full-time employees, 1099 Clinical Reviewers work on a contract basis and are responsible for their own taxes and benefits. They may work with insurance companies, healthcare organizations, or third-party review firms to ensure that clinical information meets regulatory standards and supports appropriate patient care. This role requires strong analytical skills, clinical experience, and a good understanding of healthcare regulations.

What are the key skills and qualifications needed to thrive as a clinical reviewer 1099?

To thrive as a Clinical Reviewer (1099), you need a solid background in healthcare or clinical sciences, typically supported by a relevant degree and professional licensure or certification such as RN, MD, or similar. Familiarity with medical review software, utilization management platforms, and secure electronic documentation systems is often required. Strong analytical thinking, attention to detail, and effective written communication distinguish top performers in this independent role. These skills ensure accurate, compliant reviews of clinical documentation, supporting quality patient care and efficient healthcare operations.

What is the difference between Clinical Reviewer 1099 vs Clinical Reviewer?

AspectClinical Reviewer 1099Clinical Reviewer
Employment TypeIndependent contractor (1099)Employee (W-2)
Work EnvironmentRemote or flexible settings, contracted basisTypically in-office or healthcare facility
CertificationsOften requires clinical licensure and experienceSimilar certification requirements, may include additional credentials
Industry UsageUsed in healthcare, insurance, and consulting sectorsCommon in healthcare organizations and hospitals

The main difference between a Clinical Reviewer 1099 and a Clinical Reviewer lies in employment status and work setup. The Clinical Reviewer 1099 works as an independent contractor, often with flexible hours and remote options, while the Clinical Reviewer is typically a full-time employee working on-site or in healthcare facilities. Both roles require similar credentials and industry experience, but their employment arrangements differ significantly.

What are some common challenges faced by clinical reviewers 1099, and how can they be managed?

As a Clinical Reviewer working on a 1099 basis, you may encounter challenges such as managing variable workloads, ensuring consistent communication with multiple clients, and maintaining up-to-date clinical knowledge independently. Since you are not a W-2 employee, benefits and resources may not be provided, so it's important to proactively organize your schedule, set clear expectations with clients, and invest in continuing education. Building a strong professional network and utilizing industry tools can also help manage workflow and stay connected to best practices.
More about Clinical Reviewer 1099 jobs
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Clinical Reviewer 1099 jobs near you
Infographic showing various Clinical Reviewer 1099 job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 71% Full Time, 18% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $74,707 per year, or $35.9 per hour.

Nurse Practitioner Clinical Reviewer 1099

Tapestryhealth

Remote

$60/hr

Full-time

Re-posted 19 hours ago

Job description

POSITION SUMMARY:
This is a 1099 contractor position. We are seeking a Nurse Practitioner who can provide a minimum of 20 hours per week of consulting services. Work schedule is at your discretion and completely remote.
We require at least 5 state licenses at this time. Do not apply if you have less than 5 state licenses.
Please include all states in which you are licensed in as an NP, either in your CV or in a cover letter.
In this role, you will be responsible for reviewing pertinent patient data, developing care plans, recommending modifications to current treatments, tracking progress to goals, and signing off on the treatment plans once the review is completed. The output of your reviews will be used by onsite or telehealth providers to activate care plans and identify patients at risk for declining health status. Specifically, you will review records to enable Remote Patient Monitoring services (RPM), Behavioral Health (BHI), and Chronic Care Management (CCM) services.
PRIMARY RESPONSIBILITIES
  • Review all curated patient data reports received for accuracy of clinical and demographic information; Review output of clinical care algorithms for accuracy and appropriateness in the context of each patients' medical history, care plan goals, and medications.
  • Based on patient medical history and health status, develop care plans for the treating providers to implement
  • Review progress to care plans; identify patients at risk for a decline in health without greater adherence to care plans
  • Support Data Quality Reviewers, LPN Reviewers and RN Reviewers in building their clinical knowledge and clinical decision making to enhance the quality of the initial reviews
  • Coach APP new hires to help them in building their understanding of the role, tools, and technology
  • As needed, support initial clinical and demographic data review generated by the system to prepare and finalize final care plan sign off and billing.
  • Identify discrepancies in data and/or algorithm output; escalate through defined channels for correction.
  • Identify potential gaps in care to complete the review.
  • Communicate with Director of Clinical Review on issues regarding quality, system capacity, and resource requirements, facility and/ or provider feedback.
  • Meet established standards for productivity, quality, timeliness, and customer satisfaction
  • Performs all duties and responsibilities and adheres to the Nurse Practice Act.
  • Protects patient information and adheres to standard of confidentiality with all patient information
  • All other duties as assigned.

MINIMUM REQUIREMENTS
  • Advanced Practice Nurse Practitioner (Adult or Family) education and certification.
  • Licensed as an Nurse Practitioner in at least 5 states
  • Active and non-restricted license
  • Knowledge and Skill in chronic care management and remote patient monitoring management preferred.
  • Proficient with Adobe, Microsoft Word, Excel, and video conferencing platforms and Dashboard type platforms.
  • Strong verbal/written communication and presentation skills
  • Experience in working with team members to promote ideas, issues, and initiatives within a constructive group framework
  • Must always represent the organization in a positive and professional manner
  • Ability to organize and prioritize tasks
  • Ability to work independently, be attentive to detail and maintain a positive attitude.

We kindly request that candidates refrain from contacting the company or HR directly regarding the status of their application. Our team will reach out to qualified candidates directly should there be a fit for the position. We appreciate your interest!
Pay Range: $60 per hour

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