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Consultant Clinical Reviewer Jobs (NOW HIRING)

Medata Inc.

$80K - $90K/yr

They also provide tele-services, such as physical therapy consultation calls, to patients remotely ... Clinical Review * Initiates review for requested service upon system referral (or referral from non ...

Comagine

Clinical Reviewer

... consulting and quality improvement services for more than 50 years. We are leaders in assisting ... Clinical documentation review expertise, including use of the Oregon Health Plan Prioritized List ...

Comagine Health

Clinical Reviewer DC

Washington, DC · On-site

Consult with physician/practitioner consultants when reviews fail clinical review criteria ... guidelines, and screens. * Refer cases to other clinicians, when indicated. * Provide daily ...

Comagine

Clinical Reviewer DC

Washington, DC · On-site

Consult with physician/practitioner consultants when reviews fail clinical review criteria ... guidelines, and screens. * Refer cases to other clinicians, when indicated. * Provide daily ...

Comagine Health

$75K - $90K/yr

Clinical Reviewer - Portland, Oregon 5 days ago Requisition ID: 1126 Salary Range: $75,000.00 To ... consulting and quality improvement services for more than 50 years. We are leaders in assisting ...

IPRO

Clinical Reviewer (RN)

Jericho, NY · On-site

$38.46 - $43.27/hr

You will utilize your knowledge and expertise of the review program to conduct clinical level review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and ...

Comagine

$75K - $88K/yr

Clinical Reviewer RN - Alabama Alabama, US Salary Range: $75,000.00 To $88,000.00 Annually Why ... Consult and forward to a Physician Advisor/ Consulting Physician all cases for which a medical ...

Comagine

Clinical Reviewer RN - Alabama

Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality ...

Palo Verde Community College District

Position Overview We are seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess ... Consult and forward to a Physician Advisor/ Consulting Physician all cases for which a medical ...

Comagine

Clinical Reviewer (PT or OT-Licensed)

$60K - $81K/yr

Consult with physician/practitioner consultants when reviews fail clinical review criteria ... guidelines, and screens. * Document review decisions in the care management system. * Refer cases ...

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Consultant Clinical Reviewer information

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How much do consultant clinical reviewer jobs pay per year?

As of Sep 12, 2026, the average yearly pay for consultant clinical reviewer in the United States is $96,206.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $114,000.00 per year, depending on experience, location, and employer.

What are popular job titles related to Consultant Clinical Reviewer jobs?

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

Infographic showing various Consultant Clinical Reviewer job openings in the United States as of August 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 $96,206 per year, or $46.3 per hour.

Clinical Reviewer

On-site

Medata Inc.
Software Development • 51 - 200 employees
Learn more about Medata Inc.external

$80K - $90K/yr

Other

Posted 8 days ago

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Clinical Reviewer- PT

Full Time Regular Professional US

3 days ago Requisition ID: 2806

Salary Range: $80,000.00 To $90,000.00 Annually

Job Summary

PT, DPT, MPT licensure required for Consideration

A Clinical Reviewer is responsible for reviewing medical records, patient information, and treatment plans to ensure compliance with clinical guidelines and standards. They also provide tele-services, such as physical therapy consultation calls, to patients remotely. This role requires strong clinical knowledge, excellent communication skills, and the ability to make informed decisions regarding patient care.

Primary Duties & Responsibilities
  • Clinical Review
    • Initiates review for requested service upon system referral (or referral from non-clinical staff)
      • Review types include Utilization Review and Continued Authorization (provide documented recommendations to adjusters and Nurse Case Managers based on use of appropriate guidelines.)
    • Reviews each case, and formulates recommendations through use of established medical criteria and clinical judgment and communicates case recommendations and potential appeal options as appropriate.
      • Reviews initial evaluation and all clinical documentation against APTA standards, applicable state regulations and relevant treatment guidelines.
      • If necessary, contacts the treating practitioner for additional information or clarification.
      • If necessary, consults with the Medical / Clinical Director or other licensed health professional in the same licensure category or with the same clinical education as the ordering provider.
    • As identified, conducts ongoing review(s) of active cases regarding the need for continued services or treatment
    • Submits supportive research relevant to peer review and best evidence practice patterns.
    • Documents all pertinent clinical patient / case file information and actions into case notes.
    • Appropriately refers cases for review by a physician, chiropractor, or other peer reviewer as required, providing case documentation and clinical recommendations.
    • Serves as a clinical resource and provides oversight of non-clinical personnel and identifies training needs and communicates to the appropriate supervisor / manager.
    • Complies with all established policies and procedures
    • Attends meetings and trainings.
    • Meets quality management standards.
    • Performs activities within the scope of professional licensure.
    • Completes other duties and projects as assigned.
  • Tele- services
    • Applies MedRisk's consultation program inclusion guidelines to assigned cases to determine eligibility and appropriateness.
    • Document telerehabilitation consultation in a manner consistent with company policies and department procedures.
    • Perform telephonic outreach to patient, in-clinic provider, payor and physician when needed, or as requested.
    • Document all communications with case stakeholders (adjusters, case managers, in-clinic providers.)
Qualifications
  • Must be an appropriate health professional and possess an active professional relevant license (PT, MPT, DPT)
  • Professional experience in providing direct patient care, strong outpatient and/or worker's compensation experience preferred (8 + years)
  • Experience with FCEs preferred but not required
  • Experience in utilization review, case management, quality improvement and/or managed care is desired
  • Excellent verbal and written communication skills
  • Organizational skills, prioritization, problem-solving and decision-making skills are required
  • Ability to multi-task in a fast paced environment
  • Must be computer literate and be able to use the keyboard accurately. Experience with Microsoft Office and review applications is desired
  • Strong analytical and interpersonal skills are also required
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