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Full Time Respiratory Clinical Reviewer Jobs (NOW HIRING)

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UM Clinical Reviewer

Pompano Beach, FL

... for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer ... works within a multidisciplinary team to help identify and manage members who are in need of ...

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How much do full time respiratory clinical reviewer jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for full time respiratory clinical reviewer in the United States is $43.23, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $53.61 per hour, depending on experience, location, and employer.

What is a full time respiratory clinical reviewer?

A Full Time Respiratory Clinical Reviewer is a healthcare professional, often a respiratory therapist or nurse, who evaluates medical records and documentation related to respiratory care to ensure compliance with clinical guidelines and insurance requirements. They review cases such as oxygen therapy, ventilator support, or other respiratory treatments to determine medical necessity and support coverage decisions. This role is typically non-bedside and involves working with healthcare providers, insurance companies, or utilization management organizations. Strong clinical knowledge, attention to detail, and familiarity with medical policies are essential for success in this position.

What are the key skills and qualifications needed to thrive as a full time respiratory clinical reviewer?

To thrive as a Full Time Respiratory Clinical Reviewer, you need a strong clinical background in respiratory therapy or nursing, with relevant licensure such as CRT, RRT, or RN. Familiarity with clinical documentation systems, utilization review software, and electronic medical records is typically required. Excellent analytical thinking, attention to detail, and strong communication skills help reviewers interpret clinical data and collaborate with healthcare teams. These skills ensure accurate clinical assessments, compliance with regulations, and high-quality patient care recommendations.

What are some common challenges faced by full time respiratory clinical reviewers, and how can they be addressed?

Full Time Respiratory Clinical Reviewers often encounter challenges such as staying current with evolving clinical guidelines, managing a high volume of case reviews, and ensuring consistent application of criteria across diverse patient cases. Effective time management, ongoing professional development, and collaboration with interdisciplinary teams can help address these challenges. Many organizations also offer regular training sessions and peer review meetings to support continuous learning and maintain high-quality standards.

What is the difference between Full Time Respiratory Clinical Reviewer vs Respiratory Therapist?

AspectFull Time Respiratory Clinical ReviewerRespiratory Therapist
CredentialsTypically requires a Registered Respiratory Therapist (RRT) credential and clinical experienceRequires an RRT credential and state licensure
Work EnvironmentPrimarily office-based, reviewing patient records and insurance claimsHospital, clinic, or healthcare facility providing direct patient care
Employer & IndustryInsurance companies, healthcare organizations, or government agenciesHospitals, clinics, and respiratory care centers
Job FocusReviewing medical records for insurance claims, ensuring compliance, and supporting reimbursementProviding direct respiratory care, ventilator management, and patient education

While both roles require respiratory credentials, the Full Time Respiratory Clinical Reviewer focuses on administrative review and compliance, working mainly in office settings. In contrast, Respiratory Therapists provide direct patient care in clinical environments. The roles are distinct but share foundational respiratory expertise.

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Cities with the most Full Time Respiratory Clinical Reviewer job openings:

What are the most commonly searched types of Respiratory Clinical Reviewer jobs?

The most popular types of Respiratory Clinical Reviewer jobs are:

What states have the most Full Time Respiratory Clinical Reviewer jobs?

States with the most job openings for Full Time Respiratory Clinical Reviewer jobs include:

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Full Time Respiratory Clinical Reviewer jobs near you
Infographic showing various Full Time Respiratory Clinical Reviewer job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 70% Full Time, 17% Part Time, and 9% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $89,915 per year, or $43.2 per hour.

CLINICAL REVIEWER - MA - FULL TIME

Lakeland, FL • On-site

Watson Clinic LLP
Outpatient Health Care • 1 - 5K employees

6.6

Company rating: 6.6 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

569th of 893 rated healthcare providers

People enjoy working here

Recommended by parents

Respectful managers

Learn more about Watson Clinic LLPexternal

Full-time

Posted 22 days ago

Job description

Job Type
Full-time
Description
Summary/Objective
The Clinical Reviewer uses their medical knowledge to identify and address quality gaps and assist with the coordination of care for the Clinic's patients. This role produces, abstracts, and submits data, and works from portals, spreadsheets, and databases to support quality projects and Value Based Services contracts. Clinical Reviewers are responsible for contacting patients telephonically to schedule needed care or perform monitoring.
Essential Functions
  • Accurately abstracts data from Watson Clinic's EHR and hospital EHR to support quality initiatives and projects with both internal and external entities.
  • Accurately enter clinical data into payer portals, spreadsheets, and/or the database to track status of data abstraction projects and close care gaps.
  • Accurately utilizes Watson Clinic protocols, care coordination guidelines, and patient-specific provider treatment plans to: Ensure patients have access to clinic providers and needed appointments. Educate Watson Clinic patients on managing conditions/diseases. Promote patient self-management. Assist with coordinating health care services and site of care concerns, and communicate with physician-lead Care Teams.
  • Follow program guidelines to assist physicians with documentation of patient interactions in an electronic platform for risk adjustment coding purposes.
  • Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are following proven processes to appropriately increase their quality ratings and HCC risk scores.
  • Maintains excellent communication skills with patients to promote adherence to each patient's specific provider treatment plan

Requirements
Required Education and Experience: High school diploma or GED. Completion of an accredited Medical Assistant program. Medical Assistant Certification must be obtained within 90 days of employment. Ability to use filters, attach documents, and work with a variety of Microsoft applications is required.
Preferred Education and Experience: Coding experience or certification, or some college is preferred. Experience and understanding of quality metrics in an outpatient clinic setting is highly preferred.
Additional Eligibility Qualifications: Ability and initiative to become familiar with industry and individual health plan incentive program quality measurement specifications related to group practices, e.g., National Committee for Quality Assurance (NCQA) Health Effectiveness Data Information Set (HEDIS).

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