Clinical Reviewer

🕒 April 29

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Logo of Comagine Health

Comagine Health

201 - 500 employees

Founded 1973

🤝 Non-profit

🤝 B2B

🔬 Science

Non-profit • B2B • Science

Comagine Health is a national nonprofit health care consulting organization that partners with providers, payers, public agencies, community organizations and consumers to improve health care quality, equity, and outcomes. It offers systemwide quality improvement, care management, data solutions, research and evaluation, and COVID-19 response services, using health information exchange and health IT to inform public health surveillance and program design. Comagine focuses on supporting community health, behavioral health, and patient-centered initiatives through technical assistance, evaluation, and collaborative systems-level work.

📋 Description

• Review clinical documentation to determine medical necessity and appropriateness of services • Complete functional needs assessments that evaluate how mental health symptoms impact daily living • Support service coordination that connects children, youth, and adults to in-home and community-based care • Manage referrals, follow-ups, reviews, and assessments within an electronic medical record system • Apply evidence-based criteria to utilization management reviews • Document clinical determinations • Provide subject matter expertise to stakeholders • Support quality activities and audits • Travel for in-person assessments as needed across your assigned region.

🎯 Requirements

• Current, active, unrestricted clinical licensure as required by the Oregon contract (e.g., RN or behavioral health licensure such as LCSW, LPC, LCPC, LPA, PsyD, PhD) • Master's in physical or occupational therapy OR Master's in psychology, counseling, or social work OR Bachelor's degree in nursing and licensed by the State of Oregon • 3 years of clinical (direct patient care) experience; behavioral health preferred • Candidates must reside in Oregon, have personal transportation, and ability to travel. • Valid Driver License and Proof of Auto Insurance are required.

🏖️ Benefits

• Medical, dental and vision insurance • Paid time off for vacation, illness, and volunteering • Retirement savings plan with employer contribution • Adoption financial assistance • Paid parental leave • And much more!

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