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Remote Chiropractic Clinical Reviewer Jobs in Puerto Rico

LifeLink

Remote Administrator on Call PR

Guaynabo, PR · On-site +1

... clinical management, allocation, recovery, and overall coordination of donor-related actions. The ... Engages in review, education, and required organizational meetings to promote best practice sharing ...

OncoHealth

Case Review Specialist - PR

Guaynabo, PR · On-site +1

Process cases and request/maintain clinical documentation and transmit timely determinations via ... Remote/hybrid experience preferred * A minimum of 2-4 years' administrative experience and/or ...

OncoHealth

Case Review Representative

Guaynabo, PR · On-site +1

$13 - $15/hr

Remote/hybrid work experience preferred * A minimum of 2 years of healthcare related administrative ... Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation ...

Deloitte

Epic Denials Management Operator

San Juan, PR · Remote

$17.75 - $23.50/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Review hospital account records and payer remittance records, communicate with relevant Client RCM ...

Bristol Myers Squibb

Advise on applicable transfer mechanisms and review/negotiate DPAs, vendor contracts, and data ... For field-based and remote-by-design roles the ability to physically travel to visit customers ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

All JobsChiropractic Clinical Reviewer JobsRemote Chiropractic Clinical Reviewer JobsRemote Chiropractic Clinical Reviewer Jobs in Puerto Rico

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.

What are popular job titles related to Remote Chiropractic Clinical Reviewer jobs in Puerto Rico?

For Remote Chiropractic Clinical Reviewer jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Remote Chiropractic Clinical Reviewer jobs in Puerto Rico look for?

The top searched job categories for Remote Chiropractic Clinical Reviewer jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Remote Chiropractic Clinical Reviewer jobs?

Cities in Puerto Rico with the most Remote Chiropractic Clinical Reviewer job openings:

Remote Chiropractic Clinical Reviewer jobs near you
Infographic showing various Remote Chiropractic Clinical Reviewer job openings in Puerto Rico as of August 2026, with employment types broken down into 3% As Needed, 74% Full Time, 16% Part Time, and 7% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Remote Administrator on Call PR

LifeLink

Guaynabo, PR • On-site, Remote

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 6 days ago

Job description

As a Remote Administrator on Call, you will directly contribute to LifeLink's life-saving mission. The Remote Administrator-on-Call (Remote AOC) supports recovery services staff by overseeing activities related to donor assessment and recovery. Activities requiring direct oversight include, but are not limited to, identification, evaluation, approach, clinical management, allocation, recovery, and overall coordination of donor-related actions. The Remote Administrator-on-Call (Remote AOC) supports recovery services staff by overseeing activities related to donor assessment and recovery. Activities requiring direct oversight include, but are not limited to, identification, evaluation, approach, clinical management, allocation, recovery, and overall coordination of donor-related actions.
Key Responsibilities:
  • Works closely with the Referral Coordinator (RC) in the utilization of available staff and resources with the goal of providing the highest level of support and customer service to referring hospitals and organizations.
  • Maintains awareness of all active donors and referrals expected to provide the legal-next-of-kin with disclosure of donation status or approach for organ and tissue donation, ensuring use of appropriate resources.
  • Provides real-time direction and guidance to staff for identification, evaluation, authorization, clinical management, organ allocation, and surgical recovery directed towards maximizing every organ donation opportunity.
  • Proactively engages with staff to provide thorough, in-depth guidance utilizing highly developed clinical expertise and advanced knowledge of the organ donation process. Advises staff when working through operational challenges by providing mentoring, talking points, and coaching.
  • Participates in performance improvement initiatives, identifying trends and supporting formal staff education needs including involvement in regular case activity reviews.
  • Engages in review, education, and required organizational meetings to promote best practice sharing and interdepartmental collaboration.
  • Provides regulatory oversight and verification of critical aspects of the donation process such as brain death documentation, hemodilution, additional risk status, infectious disease testing results, allocation variances, and transplant center/surgeon issues.
  • Performs other duties as assigned.

Who You Are
  • Passionate about helping others and making a difference
  • Aligned with LifeLink's core values of Compassion, Excellence, Legacy, People, and Quality
  • Bachelor's degree or equivalent combination of education, management and/or AOC.
  • Minimum of three years' experience as procurement organization clinical coordinator or two years in management and/or AOC.
  • Advanced knowledge of human anatomy and medical terminology, organ perfusion, strong decision- making capabilities, and strong attention to detail.
  • Remain current on all LifeLink and OPTN policies, CMS regulations, and relevant state and federal laws.
  • Excellent verbal and written communication and customer service skills.
  • Ability to work within a high-paced and elevated stress environment due to the nature of work involving death and dying causing emotional and physical stressors.
  • Ability to prioritize remote work (computer and smart phone) to accomplish the goals for all active donors and referrals with the goal of meeting the needs of all stakeholders.
  • A collaborator who thrives in a mission-first environment

Why LifeLink?
  • Be part of an organization with a legacy of saving lives and giving hope
  • Join a passionate and supportive team across Florida, Georgia, and Puerto Rico
  • COMPANY PAID Medical, Dental, Disability & Life Insurance
  • Generous COMPANY PAID Pension Plan for your Retirement
  • Paid Vacation, Sick Days & Holidays
  • Growth opportunities in a mission-driven, high-impact nonprofit
  • Work with purpose, knowing your efforts directly touch lives

Diversity, Equity & Inclusion
LifeLink is proud to be an equal opportunity employer. We celebrate diversity and are committed to building an inclusive environment that reflects the communities we serve.
Ready to Help Change Lives?
Your next career move could be the most meaningful one yet.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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