Remote Medical Case & Peer Reviewers (RNs & Certified Healthcare Professionals – 1099)

Remote, USA Full-time
Description At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care. Requirements Are you a licensed healthcare professional seeking flexible, meaningful work that directly supports military families and their beneficiaries? We're looking for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and other certified healthcare professionals to join our growing panel of reviewers for independent case reviews. What You’ll Do: • Conduct remote clinical case reviews with a focus on medical necessity or standard of care. • Summarize clinical facts and provide clear, evidence-based determinations. • Collaborate with our team to ensure accuracy, timeliness, and compliance. • Support the health outcomes of service members, veterans, and their families. Qualifications: • Must be actively practicing and seeing patients at least 20 hours a week on average over 30 days • Must have at least 5 years of experience Preferred Qualifications: • Experience with utilization review, medical necessity reviews, or QIO work • Previous federal health or military healthcare program experience Why This Role: • Fully remote, contract-based (1099) • Flexible workload – cases assigned based on your availability and specialty • Impactful work that contributes to high-quality care and oversight • Per-case pay ranging from $75–$340 depending on case complexity • Most cases take 1–3 hours to complete; shorter reviews may take less than 1 hour • Active, unrestricted U.S. nursing or healthcare license (RN, LPN, or relevant clinical certification) • At least 5 years of clinical experience (required for some case types) • Strong written communication skills and attention to detail • Ability to review cases objectively and meet turnaround deadlines • Comfortable working independently in a secure, remote environment Current High Priority Specialties: • Licensed Vocational Nurse (LVN): Labor & Delivery(L&D) • Other: OR Technician • Other: Radiology Technician • Other: Scrub Technician • Other: Surgical (Operating Room) Technician • Professional Counselor • Professional Counselor: Behavioral Health Counselor • Professional Counselor: Substance Abuse/Licensed Addiction Counselor • RN: Certified Infection Control • Nurse Practitioner: Emergency Department Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or [email protected]. Please note that unless you are requesting accommodation, all applications must be submitted through our online application system. Apply tot his job
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