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Respiratory Clinical Reviewer Jobs (NOW HIRING)

Integrated Home

Clinical Reviewer Nurse

Hollywood, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Respiratory, Home Health, and Home Infusion services. Through our select network of Medicare and ... Concurrent review of patient's clinical information for efficiency * Ongoing review of ...

Inova

Respiratory Clinical Specialist (PEDS)

Fairfax, VA · On-site

  • Medical

  • Dental

  • Vision

  • PTO

Reviews and develops patient standards of practice and protocols to ensure evidence-based practice ... Clinical Specialist; Registered Respiratory Therapist (RRT) Upon Start * Experience - Five years of ...

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Respiratory Clinical Reviewer information

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How much do respiratory clinical reviewer jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for 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 are the key skills and qualifications needed to thrive as a respiratory clinical reviewer?

To thrive as a Respiratory Clinical Reviewer, you need expertise in respiratory therapy or nursing, strong clinical assessment abilities, and a relevant healthcare credential such as an RRT (Registered Respiratory Therapist) or RN license. Familiarity with medical record review systems, knowledge of clinical guidelines, and proficiency in documentation software are often essential. Attention to detail, critical thinking, and effective communication skills set candidates apart in this role. These competencies ensure accurate and comprehensive evaluations of respiratory cases, supporting quality patient care and regulatory compliance.

What are the typical daily responsibilities of a respiratory clinical reviewer?

As a Respiratory Clinical Reviewer, your daily duties typically include reviewing medical records for respiratory cases, evaluating the appropriateness of treatments and interventions, and ensuring documentation meets clinical and regulatory standards. You will often collaborate with physicians, case managers, and other healthcare professionals to clarify case details or recommendations. The role may also involve preparing reports, participating in team meetings, and providing feedback on care quality. This structured yet dynamic environment allows you to contribute to both patient outcomes and the continuous improvement of clinical processes.

What is a respiratory clinical reviewer?

A Respiratory Clinical Reviewer is a healthcare professional who assesses clinical documentation related to respiratory care for accuracy, compliance, and quality. They typically review patient records, insurance claims, and medical necessity for respiratory treatments or equipment. This role helps ensure patients receive appropriate care while meeting regulatory and payer guidelines. Respiratory therapists or nurses with experience in pulmonary care often fill this position.

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Respiratory Clinical Reviewer jobs near you
Infographic showing various Respiratory Clinical Reviewer job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 73% Full Time, 19% Part Time, and 4% Contract. Highlights an 96% In-person, and 4% Hybrid job distribution, with an average salary of $89,915 per year, or $43.2 per hour.

Clinical Reviewer Nurse

Integrated Home

Hollywood, FL • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago

Job description

Who we are:
Integrated Home Care Services (IHCS) provides a comprehensive Integrated Delivery System in the home setting, offering Durable Medical Equipment (DME), Respiratory, Home Health, and Home Infusion services. Through our select network of Medicare and Medicaid Certified and Accredited providers, we are available 24/7 to meet the needs of our patients with compassion, expertise, and excellence.
For more than 30 years, IHCS has been dedicated to improving lives by delivering the highest quality in-home care services. As a trusted market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services, we proudly serve more than 2 million lives across the United States and the Commonwealth of Puerto Rico. Our integrated care model is trusted by leading Managed Care Organizations (MCOs), physicians, and healthcare partners because of our commitment to exceptional patient outcomes and coordinated care.
At IHCS, our patients are at the heart of everything we do. We believe in creating a culture built on compassion, integrity, collaboration, and innovation. Every team member plays a vital role in fulfilling our mission of enhancing the quality of life for those we serve through Exceptional Customer Service, Proven Outcomes, and Seamless Care.
If you are passionate about making a meaningful impact, thrive in a collaborative environment, and are committed to excellence, we invite you to join our growing team. Together, we can continue transforming home healthcare while making a difference in the lives of our patients and the communities we serve.
Join IHCS where our patients are #1, and our people make the difference. Apply today!
Offering a competitive compensation package, including but not limited to;
  • Medical, Vision, Dental, Short- and Long-term insurance
  • 6+ Days of Holidays Pay
  • PTO
  • Employer paid life insurance
  • 401K with employer contribution
  • Wellness program with reward incentives
  • Employee recognition and reward programs
  • Comprehensive paid training program
What will you be doing:
As a Utilization Management Nurse, you will ensure that home health care services are administered with quality, cost efficiency, and within compliance. By continuously reviewing and auditing patient treatment files, the utilization nurse will ensure that patients won’t receive unnecessary procedures, ineffective treatment, or unnecessarily extensive home healthcare.
  • Concurrent review of patient’s clinical information for efficiency
  • Ongoing review of precertification requests for medical necessity
  • Coordinates patient care needs with a multi-disciplinary healthcare team
  • Maintain accurate records of all patient related interactions
  • Ability to stay organized and interact well with others in any situation
  • Provide updates to Manager of Utilization Management for review
What will you need to succeed:
  • State licensure as a LPN or RN
  • Minimum 2 years of prior experience in Utilization Management
  • Strong knowledge of word processing and spreadsheet computer programs
  • Utilization Management or Case Management certification preferred

Join our team as we strive for excellence through teamwork, where our patients are #1!
IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
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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