Apply clinical review criteria , organizational policies, guidelines, and screening tools ( InterQual ) * Consult with physician/practitioner consultants when services do not meet medical necessity ...
Apply clinical review criteria , organizational policies, guidelines, and screening tools ( InterQual ) * Consult with physician/practitioner consultants when services do not meet medical necessity ...
Apply clinical review criteria, organizational policies, guidelines, and screening tools (InterQual) * Consult with physician/practitioner consultants when services do not meet medical necessity ...
Apply clinical review criteria, organizational policies, guidelines, and screening tools (InterQual) * Consult with physician/practitioner consultants when services do not meet medical necessity ...
Medical Reviewer/Safety Reviewer
North Chicago, IL · On-site
$40 - $48/hr
... Apply Position Details: Client Industry: Pharmaceutical Job Title: Medical Reviewer / Safety ... Reviewer III Location: North Chicago, IL 60064, USA / Remote Duration: 6 Months Contract ...
Posted today
Medical Reviewer/Safety Reviewer
North Chicago, IL · On-site
$40 - $48/hr
... Apply Position Details: Client Industry: Pharmaceutical Job Title: Medical Reviewer / Safety ... Reviewer III Location: North Chicago, IL 60064, USA / Remote Duration: 6 Months Contract ...
Posted today
Aspiring photographers are also encouraged to apply because visual reports enrich our live coverage. If you are interested in becoming a part of the concert reviewer team, please email a resume, a ...
Aspiring photographers are also encouraged to apply because visual reports enrich our live coverage. If you are interested in becoming a part of the concert reviewer team, please email a resume, a ...
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring ... Apply clinical reasoning to determine the suitable evidence-based guidelines. * Foster efficient ...
New
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring ... Apply clinical reasoning to determine the suitable evidence-based guidelines. * Foster efficient ...
New
Medical Reviewer/Safety Reviewer III
Chicago, IL · On-site
$45 - $51/hr
Eligibility requirements apply to some benefits and may depend on your job classification and ... reviewed using AI tools.
Medical Reviewer/Safety Reviewer III
Chicago, IL · On-site
$45 - $51/hr
Eligibility requirements apply to some benefits and may depend on your job classification and ... reviewed using AI tools.
Medical Reviewer/Safety Reviewer III
$45 - $51/hr
Eligibility requirements apply to some benefits and may depend on your job classification and ... reviewed using AI tools.
Medical Reviewer/Safety Reviewer III
$45 - $51/hr
Eligibility requirements apply to some benefits and may depend on your job classification and ... reviewed using AI tools.
Plan Reviewer
Branson, MO · On-site
$26.43/hr
Bring your building inspection and plan review experience to a role that helps ensure safe ... Interpret and apply ICC codes, ordinances, and technical standards to real-world projects.
Quick apply
Plan Reviewer
Branson, MO · On-site
$26.43/hr
Bring your building inspection and plan review experience to a role that helps ensure safe ... Interpret and apply ICC codes, ordinances, and technical standards to real-world projects.
Be Seen First
Architectural Plan Reviewer / Construction Document Reviewer (Hybrid)
Harrisburg, PA · On-site
$60K - $64K/yr
Architectural Plan Reviewer / Construction Document Reviewer (Hybrid) If you're looking to apply ... Apply today to learn more! Job Type: Full-time Pay: $60,000-$65,000 per year Benefits: * Health ...
Quick apply
Veteran-friendly
Be Seen First
Architectural Plan Reviewer / Construction Document Reviewer (Hybrid)
Harrisburg, PA · On-site
$60K - $64K/yr
Architectural Plan Reviewer / Construction Document Reviewer (Hybrid) If you're looking to apply ... Apply today to learn more! Job Type: Full-time Pay: $60,000-$65,000 per year Benefits: * Health ...
Veteran-friendly
Flex-Schedule Vacancy Review Reviewer
Battle Creek, MI · On-site
$25 - $35/hr
Apply HERE Only FAR Inspections is actively seeking a reliable independent contractor to perform residential mortgage inspections in Calhoun County, Michigan and surrounding communities. If you live ...
Flex-Schedule Vacancy Review Reviewer
Battle Creek, MI · On-site
$25 - $35/hr
Apply HERE Only FAR Inspections is actively seeking a reliable independent contractor to perform residential mortgage inspections in Calhoun County, Michigan and surrounding communities. If you live ...
You will manage referrals, follow-ups, reviews, and assessments within an electronic medical record system; apply evidence-based criteria to utilization management reviews; document clinical ...
You will manage referrals, follow-ups, reviews, and assessments within an electronic medical record system; apply evidence-based criteria to utilization management reviews; document clinical ...
Apply today to join our Physician Review Panel and start earning on your schedule.
Apply today to join our Physician Review Panel and start earning on your schedule.
Vacancy Review Reviewer
Aiken, SC · On-site
$25 - $35/hr
Apply HERE Only FAR Inspections is actively seeking a reliable independent contractor to perform residential mortgage inspections in Aiken County, South Carolina and surrounding communities. If you ...
Vacancy Review Reviewer
Aiken, SC · On-site
$25 - $35/hr
Apply HERE Only FAR Inspections is actively seeking a reliable independent contractor to perform residential mortgage inspections in Aiken County, South Carolina and surrounding communities. If you ...
Apply today to join our Physician Review Panel and start earning on your schedule.
Quick apply
Apply today to join our Physician Review Panel and start earning on your schedule.
HUD AEC Plan Reviewer
Richmond, VA · On-site
$70K - $80K/yr
Ability to apply conflict resolution skills when discussing code issues discovered in the review process with design professionals, contractors, and owners. * Strong written and verbal communication ...
HUD AEC Plan Reviewer
Richmond, VA · On-site
$70K - $80K/yr
Ability to apply conflict resolution skills when discussing code issues discovered in the review process with design professionals, contractors, and owners. * Strong written and verbal communication ...
Flex-Schedule Vacancy Review Reviewer
Battle Creek, MI · On-site
$25 - $35/hr
Apply HERE Only FAR Inspections is actively seeking a reliable independent contractor to perform residential mortgage inspections in Calhoun County, Michigan and surrounding communities. If you live ...
Flex-Schedule Vacancy Review Reviewer
Battle Creek, MI · On-site
$25 - $35/hr
Apply HERE Only FAR Inspections is actively seeking a reliable independent contractor to perform residential mortgage inspections in Calhoun County, Michigan and surrounding communities. If you live ...
Apply today to join our Physician Review Panel and start earning on your schedule.
Apply today to join our Physician Review Panel and start earning on your schedule.
Device History Record Reviewer
Austin, TX · On-site
If you are excited about a role but don't meet every bullet point, we encourage you to apply and join us to create the extraordinary. Job Summary Summary: The Device History Record Reviewer will be ...
Device History Record Reviewer
Austin, TX · On-site
If you are excited about a role but don't meet every bullet point, we encourage you to apply and join us to create the extraordinary. Job Summary Summary: The Device History Record Reviewer will be ...
Device History Record Reviewer
Austin, TX · On-site
If you are excited about a role but don't meet every bullet point, we encourage you to apply and ... Perform comprehensive review of Device History Records (DHRs) to ensure completeness, accuracy, and ...
Device History Record Reviewer
Austin, TX · On-site
If you are excited about a role but don't meet every bullet point, we encourage you to apply and ... Perform comprehensive review of Device History Records (DHRs) to ensure completeness, accuracy, and ...
1099 Occupancy Review Reviewer
Lancaster, SC · On-site
$25 - $35/hr
Apply HERE Only FAR Inspections is actively seeking a reliable independent contractor to perform residential mortgage inspections in Lancaster County, South Carolina and surrounding communities. If ...
1099 Occupancy Review Reviewer
Lancaster, SC · On-site
$25 - $35/hr
Apply HERE Only FAR Inspections is actively seeking a reliable independent contractor to perform residential mortgage inspections in Lancaster County, South Carolina and surrounding communities. If ...
Reviewer Apply information
See salary details
$10.58 - $14.03
1% of jobs
$14.03 - $17.48
13% of jobs
$17.48 - $20.94
4% of jobs
$22.31 is the 25th percentile. Wages below this are outliers.
$20.94 - $24.39
18% of jobs
$24.39 - $27.84
14% of jobs
The median wage is $27.95 / hr.
$27.84 - $31.29
17% of jobs
$31.29 - $34.75
7% of jobs
$35.14 is the 75th percentile. Wages above this are outliers.
$34.75 - $38.20
12% of jobs
$38.20 - $41.65
8% of jobs
$41.65 - $45.10
5% of jobs
$45.10 - $48.56
1% of jobs
$10
$29
$48
How much do reviewer apply jobs pay per hour?
What is the difference between Reviewer Apply vs Content Moderator?
| Aspect | Reviewer Apply | Content Moderator |
|---|---|---|
| Required Credentials | High school diploma or equivalent; training provided | High school diploma or equivalent; training provided |
| Work Environment | Online platforms, remote or office-based | Online platforms, remote or office-based |
| Industry Usage | Used across e-commerce, social media, and review sites | Primarily in social media, online forums, and content platforms |
| Common Search Intent | Compare roles, responsibilities, and qualifications | Compare roles, responsibilities, and qualifications |
Both Reviewer Apply and Content Moderator roles involve evaluating online content, often requiring similar credentials and work environments. While Reviewer Apply may focus more on assessing reviews or submissions, Content Moderators primarily monitor and manage user-generated content to ensure compliance with platform policies. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

Other
Medical, Dental, Vision, Retirement, PTO
Re-posted 8 days ago
Job description
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!
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
- 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
- Current, active, unrestricted RN license
- Must meet New Mexico state and contract-specific requirements
- 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
- 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.
About Comagine Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Seattle, WA, US
Year founded
2018