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Clinical Reviewer Jobs in Quebec (NOW HIRING)

Reviewing and tracking payment activities and tasks related to ECs/IRBs, investigational sites, and vendors * Assisting with the customization of CDAs, clinical site contracts, and budgets when ...

SPECIFIC FUNCTIONS • Participates to the development, implementation, evaluation and review of ... youth's clinical profile. REQUIREMENTS Education: • Bachelor degree in social work ...

Based out of Montreal, Quebec, the Clinical Study Manager will ensure the efficient and timely ... Developing and reviewing study plans, protocols, and related documents, while overseeing site ...

Clinical Nurse

Montreal, QC · On-site

CA$90/hr

Clinical Nurse (Northern Quebec) Employment conditions: Willing to work in the area mentioned and ideally owns a means of transport. Full-time / Part-time - Variable shift. Salary: Up to $90/contract ...

Performing data review and resolution of queries to maintain high-quality clinical data. * Contributing to the preparation and review of study documentation, including protocols and clinical study ...

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Clinical Reviewer information

What is a clinical reviewer?

Clinical reviewers are professionals who evaluate medical records, clinical data, or healthcare documentation to ensure accuracy, compliance, and quality of care. They may work in settings such as hospitals, insurance companies, or regulatory agencies to review cases for appropriateness of care, adherence to clinical guidelines, or for billing and coding accuracy. Clinical reviewers often have backgrounds in nursing, medicine, or another healthcare field and use their expertise to make informed assessments. Their work is critical for improving patient outcomes, supporting proper reimbursement, and maintaining regulatory standards.

What does a clinical reviewer do?

A clinical reviewer monitors healthcare documents to ensure compliance before submitting to insurance companies. You handle the daily responsibilities of checking medical records for appropriate criteria and providing the proper documentation. You collaborate with providers to ensure all information is accurate. Your duties are also to review requests for services, research and gather further information when necessary, perform an information audit, and evaluate procedures for approval. You also record, analyze, and report data elements that could help improve the quality of care of a patient.

What skills are required for a clinical reviewer?

To thrive as a Clinical Reviewer, you need a strong background in healthcare or life sciences, often supported by a relevant degree and experience in clinical settings. Familiarity with medical terminology, regulatory requirements, and systems such as electronic medical records (EMRs) or clinical trial management software is typical. Attention to detail, analytical thinking, and effective written communication are standout soft skills for this role. These skills ensure accurate evaluation of clinical data, compliance with standards, and clear reporting, which are critical for patient safety and regulatory approval.

What are some common challenges clinical reviewers face when evaluating medical records, and how can they be addressed?

Clinical Reviewers often encounter challenges such as incomplete documentation, inconsistent terminology, and tight deadlines when evaluating medical records. To overcome these issues, it's important to develop strong attention to detail, stay current with medical coding standards, and communicate effectively with healthcare providers to clarify ambiguities. Collaborating closely with clinical teams and leveraging electronic health record (EHR) systems can also help streamline the review process and ensure accuracy.

What is the difference between Clinical Reviewer vs Medical Reviewer?

AspectClinical ReviewerMedical Reviewer
Required CredentialsRN, LPN, or other healthcare licenses; sometimes certifications in case management or clinical reviewMD or DO; medical license; often board-certified in a specialty
Work EnvironmentInsurance companies, healthcare organizations, or government agencies; reviewing medical records and claimsHospitals, clinics, insurance companies; evaluating medical records and providing expert opinions
Employer & Industry UsagePrimarily in insurance and healthcare administrationPrimarily in insurance, healthcare, and legal settings

Both Clinical Reviewers and Medical Reviewers assess medical information, but Clinical Reviewers typically hold nursing or allied health credentials and focus on case management and claims review. Medical Reviewers are licensed physicians who provide expert medical opinions. The roles often overlap in insurance and healthcare industries, but their credentials and scope of practice differ.

What are popular job titles related to Clinical Reviewer jobs in Quebec?

For Clinical Reviewer jobs in Quebec, the most frequently searched job titles are:

What job categories do people searching Clinical Reviewer jobs in Quebec look for?

The top searched job categories for Clinical Reviewer jobs in Quebec are:

Infographic showing various Clinical Reviewer job openings in Quebec as of August 2026, with employment types broken down into 2% As Needed, 58% Full Time, 24% Part Time, and 16% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Clinical Supervisor

BRISTOL HOSPICE LLC

The Woodlands, TX • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago


Bristol Hospice rating

7.5

Company rating: 7.5 out of 10

Based on 38 frontline employees who took The Breakroom Quiz

15th of 47 rated hospices


Job description

Our Clinical Supervisors are responsible for ensuring the care and services are delivered appropriately as well as supervise clinical personnel.

Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visitbristolhospice.comor follow us onLinkedIn.

Our Culture

Our culture is cultivated using the following values:

  • Integrity:We are honest and professional.
  • Trust:We count on each other.
  • Excellence:We strive to always do our best and look for ways to improve and excel.
  • Accountability:We accept responsibility for our actions, attitudes, and mistakes.
  • Mutual Respect:We treat others the way we want to be treated.

On An Average Day You Will:
(Includes, but not limited to)

  • Receive case referrals and review available patient information related to the case, including home visits, to determine hospice/home care needs
  • Assign appropriate hospice personnel to referral case as needed
  • Confer with Medical Director and Attending Physician regarding any questions as to an individual's eligibility for services
  • Review and evaluate each case through a variety of means such as home visits, conferences, records review, and the services provided by clinicians
  • Review patient's medical diagnosis, prognosis, medications, procedures and clinical course
  • Discuss and verify impressions, instruct and guide clinicians to promote more effective performance and delivery of quality home care services
  • Available, during operating hours, to assist clinicians as appropriate
  • Conduct clinical record reviews and communicate findings and recommendations to the Clinical Director and hospice personnel, as defined by the QAPI Program
  • Assist in the screening and interviewing process of new employees and make recommendations for employment of individuals
  • Assist in the orientation of new employees, as needed
  • Assist the Director of Patient Care Services and other supervisory hospice personnel in the planning, implementation and evaluation of in-service and continuing education programs
  • Assist in the formulating, revising, implementing and evaluating organization policies, procedures, goals and objectives - both short- and long-range
  • Comply with accepted professional standards and principles
  • Assess the health needs of the community and assist in the development of plan(s)/program(s) to meet needs
  • Participate in public relation and community activities that promote the organization's role as an effective member of the hospice and health care delivery system
  • Promote customer service orientation to all hospice personnel
  • Participate actively in quality assessment performance improvement teams and activities as directed by the Director of Patient Care Services in accordance with the QAPI Program
  • Perform other duties and activities as delegated by the Director of Patient Care Service
  • Additional duties as assigned


Qualifications:

  • A Registered Nurse license in good standing to practice professional nursing in the state
  • Must have previous experience in a hospice home care setting with two years of management or supervisory experience
  • An enthusiasm for providing the best possible care to patients and their families
  • Understanding of the hospice philosophy and issues of death and dying
  • Excellent observation, verbal, and written communication skills
  • A valid driver's license
  • Current CPR certification

We Got the Perks:

  • Tuition Reimbursement
  • PTO and Paid Holidays
  • Medical, Dental, Vision, Life Insurance, and more
  • HSA & 401(k) available
  • Mileage Reimbursement for applicable positions
  • Advanced training programs
  • Passionate company culture committed to the highest standard of care in the hospice industry

Join a Team that embraces the reverence of life!

EEOC Statement

Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.


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