Remote RN Clinical Reviewer & Quality Auditor

Brighterway, Inc.; United States; A distancia; USD 120.000 - 160.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive salary and meaningful-equy

Health, dental and vision coverage

Flexible time off

Descripción de la vacante

Brighterway, Inc. is seeking a seasoned clinical professional to serve as the clinical conscience of our AI-native claims platform. You will review AI-generated chronologies and summaries against source records, defining what a clinically correct summary looks like for customers.

You will write clinical review guidelines, flag omissions and causation issues, and support quality reviews from evaluators, contributing to HIPAA-compliant workflows and rigorous accuracy standards.

Formación

• Active RN license and 5+ years of clinical experience.
• Experience in utilization review, nurse case management, medical-legal review or workers' compensation.
• Strong written communication and attention to detail.

Responsabilidades

• Audit medical summaries, timelines and record classifications against the underlying records.
• Write clinical review guidelines and gold-standard examples for the research and engineering teams.
• Flag clinically significant omissions, causation issues and prior-history findings.
• Support customer quality reviews and respond to clinical feedback from evaluators.

Conocimientos

Active RN license

5+ years of clinical experience

Strong written communication

Attention to detail

Descripción del empleo

Brighterway, Inc. is seeking a seasoned clinical professional to serve as the clinical conscience of our AI-native claims platform. You will review AI-generated chronologies and summaries against source records, defining what a clinically correct summary looks like for customers.

You will write clinical review guidelines, flag omissions and causation issues, and support quality reviews from evaluators, contributing to HIPAA-compliant workflows and rigorous accuracy standards.