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Remote Chiropractic Clinical Reviewer Jobs (NOW HIRING)

Comagine Health

Clinical Reviewer

We go beyond merely providing a remote work option; we support and embrace it. We offer ... Apply clinical review criteria , organizational policies, guidelines, and screening tools ...

Comagine

Clinical Reviewer

This is a remote position based in Oregon and travel is required. Why Comagine Health? Comagine ... Clinical documentation review expertise, including use of the Oregon Health Plan Prioritized List ...

Comagine

Clinical Reviewer

We go beyond merely providing a remote work option; we support and embrace it. We offer ... Position Overview We are seeking a Clinical Utilization Review Nurse (RN) to assess the medical ...

MAXIMUS

Clinical Reviewer, RN/LPN (Remote - TN)

General information Job Posting Title Clinical Reviewer, RN/LPN (Remote - TN) Date Monday, July 6, 2026 City Nashville State TN Country United States Working time Full-time Description & Requirements ...

Comagine

Clinical Reviewer RN - Alabama

Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission ... We go beyond merely providing a remote work option; we support and embrace it. We offer ...

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Remote Chiropractic Clinical Reviewer information

What does a Remote Chiropractic Clinical Reviewer do?

A Remote Chiropractic Clinical Reviewer is a licensed chiropractor who evaluates medical records and treatment plans from a remote location, typically on behalf of insurance companies or healthcare organizations. Their primary responsibility is to assess the medical necessity, appropriateness, and efficiency of chiropractic care submitted for reimbursement or review. They ensure that treatments align with established clinical guidelines and provide recommendations or determinations regarding coverage. This role may also involve communicating with providers to clarify documentation and support quality assurance in healthcare delivery.

How does a Remote Chiropractic Clinical Reviewer typically interact with healthcare providers and insurance teams during a case review?

As a Remote Chiropractic Clinical Reviewer, you will frequently communicate with healthcare providers and insurance personnel through secure digital platforms, emails, and phone calls. Your role involves reviewing medical records and clinical documentation, then providing detailed reports or recommendations regarding the medical necessity of chiropractic treatments. Collaboration is key—while most of your work is independent, you may participate in virtual team meetings, case discussions, and peer reviews to ensure decisions adhere to industry and regulatory standards. This blend of autonomous work and professional interaction creates a dynamic and supportive remote environment.

What are the key skills and qualifications needed to thrive as a Remote Chiropractic Clinical Reviewer, and why are they important?

To thrive as a Remote Chiropractic Clinical Reviewer, you need a Doctor of Chiropractic (DC) degree, a valid chiropractic license, and a strong background in clinical documentation and case review. Familiarity with electronic health record (EHR) systems, utilization management software, and knowledge of insurance coding (ICD-10, CPT) are typically required. Strong attention to detail, analytical thinking, and effective written communication help reviewers clearly evaluate and document clinical cases. These skills and qualifications are vital to ensure accurate, compliant, and timely assessments that support quality patient care and insurance determinations.

What is the difference between Remote Chiropractic Clinical Reviewer vs Remote Chiropractic Claims Specialist?

AspectRemote Chiropractic Clinical ReviewerRemote Chiropractic Claims Specialist
Required CredentialsChiropractic license, clinical review experienceChiropractic knowledge, claims processing experience
Work EnvironmentReviewing patient records, clinical assessmentsProcessing insurance claims, customer service
Employer & Industry UsageHealthcare providers, insurance companies

The Remote Chiropractic Clinical Reviewer primarily evaluates patient records and clinical data to ensure proper care and compliance, requiring a chiropractic license. In contrast, the Remote Chiropractic Claims Specialist focuses on processing insurance claims related to chiropractic services, often without requiring a clinical license. Both roles are remote, serve healthcare and insurance industries, but differ in daily tasks and credential requirements.

More about Remote Chiropractic Clinical Reviewer jobs
What cities are hiring for Remote Chiropractic Clinical Reviewer jobs? Cities with the most Remote Chiropractic Clinical Reviewer job openings:
What are the most commonly searched types of Chiropractic Clinical Reviewer jobs? The most popular types of Chiropractic Clinical Reviewer jobs are:
What states have the most Remote Chiropractic Clinical Reviewer jobs? States with the most job openings for Remote Chiropractic Clinical Reviewer jobs include:
What job categories do people searching Remote Chiropractic Clinical Reviewer jobs look for? The top searched job categories for Remote Chiropractic Clinical Reviewer jobs are:
Remote Chiropractic Clinical Reviewer jobs near you
Infographic showing various Remote Chiropractic Clinical Reviewer job openings in the United States as of July 2026, with employment types broken down into 75% Full Time, and 25% Contract. Highlights an 100% Remote job distribution.
Clinical Reviewer

Clinical Reviewer

Comagine Health

Remote

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 6 days ago

Job description

Why Comagine Health?
Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years.
We are leaders in assisting front-line providers and engaging health care partners to improve care delivery and patient outcomes.
Our talented remote workforce spans the country and plays a vital role in our success. We go beyond merely providing a remote work option; we support and embrace it. We offer opportunities to make a difference from anywhere in the U.S. and enjoy better work-life balance. An annual stipend gives you the freedom to enhance your workspace with options that suit your needs.
We believe in an environment that allows you to thrive both personally and professionally. That's why we offer benefits that include:
  • Medical, dental and vision insurance
  • Paid time off for vacation, illness, and volunteering
  • Retirement savings plan with employer contribution
  • Adoption financial assistance
  • Paid parental leave.
  • And much more!
Position Overview
We are seeking a Clinical Utilization Review Nurse (RN) to assess the medical necessity and quality of healthcare services through prospective, concurrent, and retrospective utilization management reviews. This full-time, remote position supports high-quality, appropriate, and cost-effective care while ensuring compliance with clinical criteria, organizational policies, and contract requirements specific to New Mexico.
Key Responsibilities
  • Conduct prospective, concurrent, and retrospective utilization management reviews
  • Apply clinical review criteria, organizational policies, guidelines, and screening tools (InterQual)
  • Consult with physician/practitioner consultants when services do not meet medical necessity criteria
  • Collaborate with internal teams and refer cases for additional review or escalation as appropriate
  • Refer cases to management when required
  • Provide clinical and utilization review subject matter expertise
  • Respond to provider, customer, and stakeholder questions regarding determinations and processes
  • Conduct outreach to providers, case managers, consultants, and community support coordinators to obtain additional clinical information
  • Maintain accurate documentation and comply with all regulatory and contract standards
Education & Experience
  • BA/BS in Nursing
    • Equivalent combination of education and/or related experience may be considered depending on contract
  • Minimum of 3 years of direct patient care (clinical) experience
Licensure
  • Current, active, unrestricted RN license
    • Must meet New Mexico state and contract-specific requirements
Required Skills & Competencies
  • Experience with InterQual Criteria
  • Strong proficiency in Microsoft Office Suite and familiarity with database systems
  • Excellent written and verbal communication skills
  • Strong organizational, analytical, and problem-solving abilities
  • Ability to manage multiple priorities in a fully remote, team-based environment
Work Environment
  • Full-Time
  • 100% Remote (United States)
  • Reliable, secure internet connection required
  • Must maintain licensure eligibility for assigned state contract

Equal Opportunity Employer
Comagine Health is an equal opportunity employer and is committed to creating a diverse, equitable, and inclusive workplace.
Physical Requirements & Work Environment
This position is primarily remote and performed in a home-based setting, requiring reliable internet access and a workspace free from significant distractions. The role involves frequent use of computers, phones, and virtual communication tools. Employees must be able to sit for extended periods, communicate effectively.
Some positions may require operating a motor vehicle for business purposes; in such cases, employees must maintain a valid driver's license and meet the organization's driving eligibility requirements. Occasional travel may be required for meetings, training, or other work-related events.
Reasonable accommodations will be provided to enable individuals with disabilities to perform essential functions.

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