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Second Level Reviewer Jobs (NOW HIRING)

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Medical Reviewer III (Medicare/DME)

Performs first and second level of Medical Review in determination of claims payment review * Conducts in-depth claims analysis utilizing ICD-10-CM, CPT-4, and HCPCS Level II coding principles

HORNE

Compliance & Monitoring Supervisor

Tulsa, OK · On-site +1

This role provides second-level compliance review and oversight, ensuring audit-ready program records and adherence to applicable federal regulations. The incumbent reviews and validates data ...

HORNE

Compliance & Monitoring Supervisor

Topeka, KS · On-site

This role provides second-level compliance review and oversight, ensuring audit-ready program records and adherence to applicable federal regulations. The incumbent reviews and validates data ...

TEXASCONNECT INC

Utilization Management LVN (Hybrid)

Dallas, TX · On-site

$27.25 - $36.50/hr

UM LVN is responsible for preparing cases for Physician Advisor for 2nd level review. This position will be hybrid with remote and in-office assignment. SPECIFIC SKILLS NEEDED * Excellent verbal and ...

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Second Level Reviewer information

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$10

$29

$48

How much do second level reviewer jobs pay per hour?

As of Jul 2, 2026, the average hourly pay for second level reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Second Level Reviewer, and why are they important?

To thrive as a Second Level Reviewer, you need a strong understanding of relevant regulations, analytical skills, and prior experience in quality assurance or compliance review. Familiarity with case management systems, document review platforms, and sometimes certifications like CRCM or CFE are important. Attention to detail, critical thinking, and effective communication set strong performers apart in this role. These skills ensure thorough, accurate reviews that uphold organizational and regulatory standards.

How does a Second Level Reviewer typically interact with other team members during the review process?

As a Second Level Reviewer, you’ll collaborate closely with both initial reviewers and quality assurance teams to ensure the accuracy and consistency of work. Communication is key, as you may need to clarify decisions, provide feedback, and resolve discrepancies identified during the first review. Regular meetings and digital communication platforms are commonly used to discuss cases and maintain alignment with project standards. This collaborative environment supports continuous learning and helps maintain high-quality outcomes across the team.

What are Second Level Reviewers?

Second Level Reviewers are professionals who perform a secondary review of documents, applications, or decisions that have already been reviewed at a first level. Their main role is to ensure accuracy, compliance, and consistency, often by catching errors or discrepancies missed in the initial review. They are commonly found in industries such as legal, insurance, finance, and healthcare, where attention to detail and adherence to regulations are critical. Second Level Reviewers may also provide feedback to first-level reviewers and help improve overall review processes.

What is the difference between Second Level Reviewer vs Quality Control Inspector?

AspectSecond Level ReviewerQuality Control Inspector
CredentialsTypically requires a relevant degree or certification in quality assurance or related fieldOften requires certifications like ISO or industry-specific quality standards
Work EnvironmentUsually works in office settings reviewing documentation and reportsPrimarily works on the production floor inspecting products or processes
Employer & Industry UsageCommon in manufacturing, aerospace, and healthcare industries for review rolesUsed across manufacturing, electronics, and consumer goods for inspection roles

The main difference is that a Second Level Reviewer focuses on reviewing and verifying documentation and processes, often in an office setting, while a Quality Control Inspector physically inspects products or processes on the production line. Both roles are essential for maintaining quality standards but serve different functions within the quality assurance process.

More about Second Level Reviewer jobs
What job categories do people searching Second Level Reviewer jobs look for? The top searched job categories for Second Level Reviewer jobs are:
Second Level Reviewer jobs near you

Care Coordinator - RN remote any Florida city

EQ Health

Tampa, FL • On-site, Remote

Full-time

Posted 20 days ago

Job description

  • Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based on contract requirements).
  • Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review.
  • Completes prior authorizations as appropriate in a timely manner.

  • Conducts an initial survey to recommend appropriate (home health assessment) for the recipient, unless this has already been done during the current fiscal year
  • Conducts a home and/or PPEC visit as needed or if contract requirement
  • Schedules and convenes initial face-to-face meeting in the recipient's home and/or PPEC comprised of the recipient (if able) and the parent or legal guardian.
  • Assesses, plans, implements, monitors and evaluates the options and services required to meet the recipient's health care needs.

  • Documents recipient's assessment findings, actions, and outcomes.
  • Documents all communication, interventions and follow up tasks in the Care Coordination System within one (1) business day of each intervention and/or encounter.

  • Identifies patient care issues and makes recommendations on patient care issues.
  • Collaborates with the parent or legal guardian and healthcare team to arrange for identified home care needs.

  • Responsible for maintaining regular monthly contact (telephonically or face-to-face) with the recipient and the recipient's parent or legal guardian.for purpose of updating Plan of Care (POC), resolving issues and identifying additional issues

  • As part of the multidisciplinary team, regularly meets with the team and contributes to the development of a comprehensive plan of care based on the needs of the recipient and recipient's parent or legal guardian.
  • Evaluates and modifies recipient's the plan of care as needed. Regularly communicates changes to the recipient's parent or legal guardian, healthcare team, and other agencies involved in the recipient's care.

  • Monitors assigned caseload eligibility status on a monthly basis, based on their status in MMIS.
  • Completes a Staffing Tool (Freedom of Choice) any time a parent or legal guardian expresses the desire to reconsider a recipient's placement into a Skilled Nursing Facility
  • Follow guidelines for additional required calls and visits for Skilled Nursing Facility (SNF) transitions to community settings for six (6) months.

  • Functions as a resource to the community.

Equal Opportunity Employer
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