ZipRecruiter

Log In

1

Initial Reviewer Jobs (NOW HIRING)

Level One Personnel

Processor Level 1

Rockville, MD · On-site

$20/hr

Processing Specialist 1 (Initial Reviewer) Location: Rockville, MD. Hours: Full-Time. Pay: $20/hr Type: Long-term Contract, no end date. Industry: Traffic Responsibilities: * Receives and reviews ...

Level One Personnel

Processor Level 1

Rockville, MD

$20/hr

Processing Specialist - 1 (Initial Reviewer) Location: Rockville, MD. Hours: Full-Time. Pay: $20/hr Type: Long-term Contract, no end date. Industry: Traffic Responsibilities: * Receives and reviews ...

BOTG LLC

Medical Coder Reviewer

Columbia, SC · Remote

$15.25 - $20.50/hr

Performs initial review of codes to determine scope of changes. Prepares listings of codes changes to Reference Administration staff and Medicaid Program staff for review and analysis. Conducts ...

Elevance Health

Nurse Reviewer I

Iselin, NJ · On-site

$33.92 - $58.15/hr

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.

Elevance Health

Nurse Reviewer I

Miami, FL · On-site

$33.92 - $58.15/hr

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.

Elevance Health

Nurse Reviewer I

Manhattan, NY · On-site

$33.92 - $58.15/hr

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.

Elevance Health

Nurse Reviewer I

Indianapolis, IN · On-site

$33.92 - $58.15/hr

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.

Elevance Health

Nurse Reviewer I

Woburn, MA · On-site

$33.92 - $58.15/hr

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.

City of Doral, FL

Plans Reviewer (PW)

Doral, FL · On-site

$71.72K - $111.16K/yr

The Plans Reviewer examines and reviews the plans for construction of all elements within the ... the City before an initial introductory period is satisfactorily completed, the initial ...

Elevance Health

Nurse Reviewer I

Woburn, MA · On-site

$33.92 - $58.15/hr

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.

Elevance Health

Nurse Reviewer I

Cincinnati, OH · On-site

$33.92 - $58.15/hr

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.

Elevance Health

Nurse Reviewer I

Las Vegas, NV · On-site

$33.92 - $58.15/hr

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.

Elevance Health

Nurse Reviewer I

Seattle, WA · On-site

$33.92 - $58.15/hr

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.

Elevance Health

Nurse Reviewer I

Hanover, MD · On-site

$33.92 - $58.15/hr

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.

next page

Showing results 1-20

People also search for

All JobsInitial Reviewer Jobs

Initial Reviewer information

See salary details

$10

$29

$48

How much do initial reviewer jobs pay per hour?

As of Jun 4, 2026, the average hourly pay for initial reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Initial Reviewer, and why are they important?

To thrive as an Initial Reviewer, you need strong analytical abilities, attention to detail, and relevant educational qualifications such as a bachelor's degree in a related field. Familiarity with case management systems, document review platforms, and regulatory compliance tools is often required. Excellent written communication, critical thinking, and organizational skills help you stand out in this position. These skills are crucial for accurately assessing and processing cases, ensuring compliance, and supporting efficient workflows.

What are some typical challenges faced by Initial Reviewers, and how can they be effectively managed?

Initial Reviewers often encounter challenges such as handling a high volume of submissions, maintaining consistency in evaluations, and adhering to strict deadlines. To manage these, it's important to develop strong organizational skills, stay updated on the latest guidelines, and communicate proactively with team members or supervisors when clarification is needed. Leveraging checklists and standard operating procedures can also help ensure accuracy and efficiency. Regular training and open feedback channels within the team further support continuous improvement and job satisfaction.

What are Initial Reviewers?

Initial Reviewers are professionals responsible for conducting the first assessment of documents, applications, or cases to ensure they meet specific criteria or guidelines. They play a crucial role in screening submissions by verifying completeness, accuracy, and compliance before forwarding them for further review or processing. Initial Reviewers are employed in various industries such as legal, healthcare, finance, and government, where they help streamline workflow and maintain quality control. Their work often involves attention to detail, adherence to protocols, and effective communication of findings.

What is the difference between Initial Reviewer vs Document Reviewer?

AspectInitial ReviewerDocument Reviewer
Required CredentialsTypically a bachelor's degree, sometimes certifications in quality or complianceSimilar credentials, often with additional training in document management
Work EnvironmentOffice setting, often in healthcare, legal, or regulatory industriesOffice or remote, focusing on reviewing and verifying documents
Employer & Industry UsageUsed in healthcare, legal, finance, and regulatory sectorsCommon in legal, healthcare, and corporate compliance fields
Search & Comparison IntentUnderstanding entry-level review roles, responsibilities, and qualificationsClarifying differences in document review tasks and required skills

The main difference between an Initial Reviewer and a Document Reviewer lies in their specific roles. Initial Reviewers often perform preliminary assessments, while Document Reviewers focus on detailed verification of documents. Both roles require similar credentials and work in comparable environments, but their responsibilities differ based on the review stage and depth of analysis.

More about Initial Reviewer jobs
What are the most commonly searched types of Initial Reviewer jobs? The most popular types of Initial Reviewer jobs are:
What job categories do people searching Initial Reviewer jobs look for? The top searched job categories for Initial Reviewer jobs are:
Initial Reviewer jobs near you

Oncology Certified Nurse Practitioner | Remote | NantHealth

nant

Dallas, TX • Remote

$115.80K - $135K/yr

Other

Posted 3 days ago

Job description

NantHealth is adding an Oncology Certified Nurse Practitioner (NP)to our Eviti clinical team. In this role, you'll assist the medical operations team with the application of oncology-specific medical expertise to complete customized treatment plan reviews as well as clinical trial reviews in our Eviti web based application. You'll partner with the Clinical Support and Case Review Nurses and the Medical Directors to insure that customized treatment plan reviews and clinical trials are accurately reviewed based on published literature and evidenced based guidelines. Time is of the essence in this role; you're responsible to ensure that customized treatment plans and clinical trials submitted to Eviti are reviewed in 72 hours or per client instruction. As an initial reviewer, you conduct initial clinical review and issue a recommendation for certification; however, as an initial reviewer, you never issue a non-certification determination (our physicians are responsible for this aspect). You'll partner with one of our qualified physician reviewer during standard operating hours to assist in initial clinical review. 

This position offers the opportunity to work remotely within the United States and is for our scheduled shift of: 12:00 PM–8:30 PM Eastern /9:00 AM–5:30 PM Pacific

Responsibilities include, but are not limited to:

  • Review of customized treatment plans and clinical trials for compliance with evidence-based medical practice, medical appropriateness, and compliance with health plan language (where applicable)
  • Request Peer to Peer when appropriate based on a review of the case and current evidenced based standards
  • Present complex cases to the Medical Director at tri-weekly team meetings for guidance in decision making as needed
  • Identify potential new standards in care that may be then added to the evidenced based library and notify the Director, Clinical Informatics
  • Recommend approval of certification of cases that meet evidenced based guidelines to standard of care
  • Refer all cases that do not appear to meet evidenced based guidelines or standard of care to a qualified physician for review 

Required Certifications or License 

  • Current Active Unrestricted Registered Licensure as a Nurse Practitioner in a state or territory of the United States 

Education & Experience Requirements:

  • Masters Degree in Nursing or a health related field
  • Minimum 7 years prior experience in Oncology Care
  • Oncology Nursing Certification from the ONCC 

Required Knowledge Skills and Abilities: 

  • Strong knowledge of oncology and insurance industry
  • Ability to communicate with health care providers, client representatives, patients and eviti staff in a peer-to-peer fashion
  • Initiative/independence in problem solving and literature research 

The salary range for applicable US-based applicants to this position is below.  The specific rate will depend on the successful candidate’s qualifications, prior experience as well as geographic location.  

  • $115,800 - $135,000 base salary.

Apply