Remote Utilization Review Rn Jobs in Syracuse, NY

Job Type: Contractor
Location: Remote

We are seeking experienced Senior Hospitalist Clinical Reviewers to support a high-impact project focused on inpatient clinical quality, documentation accuracy, and medical review. In this role, you will apply your hospitalist expertise and clinical judgment to evaluate inpatient cases, identify complex or ambiguous clinical scenarios, and provide clear, well-reasoned feedback.

This opportunity is ideal for experienced physicians with a strong background in hospital medicine, inpatient quality, medical auditing, clinical documentation, and quality assurance.

• Review inpatient cases for clinical quality, appropriate care, and documentation accuracy.
• Evaluate clinical decisions and identify potential quality, documentation, or care concerns.
• Apply advanced clinical judgment to complex, unusual, or ambiguous inpatient cases.
• Provide clear and concise explanations supporting clinical review decisions.
• Assess medical records, clinical documentation, and relevant supporting information.
• Identify inconsistencies, gaps, or areas requiring clarification within clinical documentation.
• Apply established clinical standards, guidelines, and quality frameworks when appropriate.
• Contribute to the development and improvement of clinical review guidelines and quality standards.
• Collaborate with project teams to resolve challenging clinical cases and review questions.
• Maintain consistent, accurate, and high-quality review standards across assigned cases.
• Work independently while meeting project timelines and quality expectations.

• MD or DO degree.
• 10+ years of attending-level hospitalist experience.
• Strong experience in inpatient medicine and hospital-based clinical care.
• Demonstrated experience with inpatient quality, clinical documentation review, medical auditing, or quality assurance.
• Excellent clinical judgment and ability to evaluate complex or ambiguous cases.
• Strong written and verbal communication skills.
• Ability to clearly articulate clinical reasoning and support review decisions.
• Strong attention to detail and ability to analyze medical records comprehensively.
• Ability to work independently in a remote environment.

• Experience leading or contributing to hospital quality improvement programs.
• Experience with clinical documentation improvement (CDI).
• Experience with medical coding, utilization review, or physician audit processes.
• Experience developing or reviewing clinical quality standards.
• Familiarity with hospital quality metrics and inpatient quality initiatives.
• Previous experience mentoring physicians or participating in physician peer review.

• Inpatient Quality
• Quality Assurance
• Medical Auditing
• Hospital Medicine / Hospitalist Practice
• Clinical Judgment
• Clinical Documentation Review
• Medical Record Review
• Quality Improvement
• Critical Thinking
• Written and Verbal Communication
• Attention to Detail