Clinical and Health Specialist

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🇺🇸 United States – Remote

💵 $25 - $130 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Donato Technologies, Inc.

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2012

💼 Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Donato Technologies, Inc. is a Dallas-based IT services firm that delivers advanced technology solutions, strategic direction, and staffing to businesses. The company provides project-based and ongoing services such as job order and crew maintenance, billing and financing systems, customer data management, quality control, and dispatch & logging solutions. Donato Technologies focuses on helping organizations modernize IT processes and implement practical technology strategies to drive operational efficiency and growth.

📋 Description

• Author and evaluate high-fidelity clinical tasks, long-chart scenarios, workplace simulations, and benchmark evaluation rubrics • Develop high-difficulty clinical tasks, realistic workplace cases, gold-standard answers, and evaluation criteria within the assigned discipline • Evaluate fragmented, multi-encounter records and identify clinically meaningful trends, contradictions, omissions, risks, and required actions • Assess outputs for clinical accuracy, practicality, evidence alignment, patient safety, and appropriateness for the relevant care setting • Apply evaluation criteria to assess clinical reasoning, terminology, documentation quality, regulatory alignment, payer accuracy, and patient-safety implications • Review specialty tasks involving rehabilitation, swallow and diet-texture recommendations, medical necessity, prior authorization, claims and denials, nutrition support, diabetes management, psychosocial safety, infection prevention, coding and CDI, medication safety, addiction treatment, emergency decision-making, or EMS handoffs • Review and calibrate pod members’ work, resolve edge-case ambiguities, identify rubric inconsistencies, and maintain day-to-day quality standards on the Senior Track • Evaluate cross-functional tasks requiring coordination across physicians, nurses, therapists, pharmacists, social workers, dietitians, coders, case managers, payers, laboratory professionals, or emergency personnel • Incorporate calibration feedback, revise task content and solutions, and participate in multiple critique cycles • Escalate clinical, regulatory, or rubric ambiguities to the Functional SME Lead and support consistent decision-making on the Senior Track • Maintain quality across a designated Clinical & Health pod and support rubric development as a Senior Specialist / Functional Lead

🎯 Requirements

• Approximately 3 to 15+ years of demonstrable professional experience in one or more relevant Clinical & Health disciplines • Current or recent practice within the last three years in the applicable clinical, hospital, payer, laboratory, behavioral-health, revenue-cycle, or quality setting • Active professional licensure, board certification, or recognized credential appropriate to the discipline • Strong clinical reasoning, chart-review, documentation, and written communication skills • Ability to interpret fragmented medical records, reconcile conflicting information, identify missing or unsafe actions, and produce clinically defensible conclusions • High attention to detail regarding patient safety, clinical terminology, medical necessity, coding accuracy, payer requirements, regulatory standards, and documentation gaps • Ability to work within structured review cycles, standardized rubrics, and fast-paced calibration environments • Familiarity with US clinical guidelines, payer policies, regulatory requirements, and healthcare workflows is preferred • Bachelor’s degree, graduate degree, professional degree, or equivalent practical experience in a relevant healthcare discipline • Active professional license, board certification, or recognized industry credential where applicable • Experience in clinical practice, healthcare operations, medical review, AI evaluation, data annotation, content review, quality assurance, clinical documentation, or a related analytical role is preferred • Prior experience reviewing expert work, creating clinical education content, developing assessment materials, or participating in quality-improvement programs is advantageous • 4 hours of PST overlap required • Relevant discipline-specific qualifications may include PT, OT, SLP, RN, RD/RDN, LCSW, PharmD, MD, DO, or other applicable professional license • Relevant specialist credentials may include BCPS, BCCCP, CIC, CPHQ, CPPS, CCS, CPC, CDIP, CCDS, CDCES, ABEM, ABPN, ABPM, or equivalent

🏖️ Benefits

• Flexible Spending Account with pre-tax benefit for Medical and Dependent care • Paperless pay statement with online paycheck management • Monthly pay for contract employees • Full-time or part-time commitment options: 40h or 20h per week • Remote work

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