
This remote Clinical Reviewer Registered Nurse role supports a team focused on evaluating healthcare service requests for adherence to clinical and regulatory standards. The position involves reviewing admission, discharge, and continued stay documentation to issue approvals or denials, while communicating with providers and state workers. Key responsibilities include identifying documentation needs, completing system records, and providing consultation to other reviewers. The role appeals to experienced nurses with expertise in complex disabilities and Home and Community Based Services waivers who value the flexibility of working from a secure home office. The company provides necessary equipment and fosters an environment where clinical judgment directly impacts patient care coordination.


















