Clinical Reviewer-PRN (RN) (Remote)

Acentra Health; McLean (VA); Remote; USD 60,000 - 80,000; Full time

Job summary

Acentra Health is seeking a Clinical Reviewer to join our growing team. You will apply clinical judgment to review medical records against established criteria and contract requirements, ensuring accuracy and compliance.

The position is remote national scope, with on‑call weekends, holidays and evenings. You will collaborate with cross‑functional teams to support high‑quality health solutions for public sector programs.

Qualifications

• Clinical reviewer with demonstrated expertise in medical records review.
• Experience interpreting medical criteria and contract requirements.

Responsibilities

• Review medical records against program criteria and contract requirements.
• Support remote operations with on-call weekends, holidays and evenings.

Skills

Clinical expertise

Job description

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

At Acentra Health, we embrace emerging technologies, including artificial intelligence and advanced analytics that can be utilized to improve processes, enhance decision‑making, and drive better health outcomes. We value professionals who are curious about new technologies and motivated to use innovative tools to increase efficiency, quality, and impact in their roles.

Job Summary and Responsibilities

Acentra Health is looking for a Clinical Reviewer to join our growing team.

Job Summary:

• The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements.
• *Position is remote*
• *Required Work Hours: On‑call weekends, holidays and evenings*