Care Review Clinician
Troy, MI · On-site
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Troy, MI · On-site
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Troy, MI · On-site
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Fort Lauderdale, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Fort Lauderdale, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Miami Gardens, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Miami Gardens, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Orlando, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Orlando, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Tampa, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Tampa, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Saint Petersburg, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Saint Petersburg, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Saint Petersburg, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Saint Petersburg, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Miami Gardens, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Miami Gardens, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Chicago, IL · Remote
$40 - $42/hr
Position Purpose: Care Review Clinician works with the Utilization Management team primarily ... Verify member benefits and eligibility and Process prior authorization determinations within ...
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Chicago, IL · Remote
$40 - $42/hr
Position Purpose: Care Review Clinician works with the Utilization Management team primarily ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Miami Gardens, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Miami Gardens, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Orlando, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Orlando, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Tampa, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Tampa, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Orlando, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Orlando, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Jacksonville, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Jacksonville, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Saint Petersburg, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Saint Petersburg, FL · On-site
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Saint Petersburg, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Saint Petersburg, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
$8.89 - $10.45
6% of jobs
$10.45 - $12
6% of jobs
$13.34 is the 25th percentile. Wages below this are outliers.
$12 - $13.55
14% of jobs
$13.55 - $15.10
19% of jobs
The median wage is $15.49 / hr.
$15.10 - $16.65
15% of jobs
$16.65 - $18.20
13% of jobs
$18.35 is the 75th percentile. Wages above this are outliers.
$18.20 - $19.76
9% of jobs
$19.76 - $21.31
5% of jobs
$21.31 - $22.86
5% of jobs
$22.86 - $24.41
3% of jobs
$24.41 - $25.96
3% of jobs
$8
$16
$25
| Aspect | Freelance Care Review Processor | Freelance Medical Claims Reviewer |
|---|---|---|
| Credentials | Typically requires healthcare knowledge, certification in medical coding or review | Requires medical billing/coding certification, healthcare background |
| Work Environment | Remote, flexible hours, project-based | Remote, often part-time or freelance, industry-specific |
| Employer & Industry | Healthcare companies, insurance firms, telehealth services | Insurance companies, healthcare providers, third-party administrators |
| Search & Comparison Intent | Understanding review roles in healthcare, freelance review jobs | Comparing medical claims review roles, freelance healthcare jobs |
Both roles involve healthcare review tasks and require relevant certifications. The main difference lies in their focus: Care Review Processors evaluate patient care plans, while Medical Claims Reviewers assess insurance claims for accuracy and compliance. Both jobs are remote, flexible, and industry-specific, catering to healthcare professionals seeking freelance opportunities.
Cities with the most Freelance Care Review Processor job openings:
The most popular types of Care Review Processor jobs are:
States with the most job openings for Freelance Care Review Processor jobs include:
The top searched job categories for Freelance Care Review Processor jobs are:

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
Location: Troy, MI
Shift: M-F 8:30 am to 5 pm
Duties:
Will be an inpatient UM, get cases from hospitals, review info about patient, enter info into computer system (interqual, or MCG) determine if it meets criteria, work with medical director for approval, notify Hospital of approval. Follow members from admission process all the way through to discharge, find discharge plan and where patient is being discharged to.
Top 3 Skills:
Strong Communication both verbal and written
Attention to detail
Computer skills
Must Haves:
UM experience
Computer skills
Licensed RN in the state of Michigan.
Nice to Have:
Familiar with interqual or MCG software
Kind Regards,
Kavita Kumari
Clinical Recruiter
Integrated Resources, Inc.
IT Life Sciences Allied Healthcare CRO
DIRECT # - 732-844-8726
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Recruiting and staffing services
51 - 200 Employees
Edison, NJ, US
1996