1:00 PM - 2:00 PM
Senior Product Manager Interview
Sarah Jenkins
Healthcare organizations across the USA are expanding their teams, and 500+ therapy reviewer remote jobs are now open to qualified professionals nationwide. This role offers remote flexibility while contributing to critical patient care through accurate documentation review. Rising demand for clinical oversight means skilled professionals are needed to keep treatment plans compliant and effective.
Successful candidates bring strong clinical knowledge, attention to detail, and familiarity with therapy documentation standards such as SOAP notes and treatment plans. Employers looking to hire a therapy reviewer typically seek backgrounds in physical, occupational, or speech-language pathology, along with the ability to interpret medical records accurately. Strong communication and analytical skills help reviewers collaborate effectively with clinicians and case managers.
Remote work in this field typically involves flexible scheduling, cloud-based documentation systems, and collaboration with multidisciplinary teams across the country. The U.S. healthcare sector shows strong demand for therapy reviewer positions as telehealth and remote case management continue to expand. Many employers now offer fully remote arrangements, reflecting a broader shift toward distributed healthcare administration roles nationwide.
If you are ready to advance your career in clinical review, now is the time to explore therapy reviewer vacancies and find a role that fits your expertise. Global Work AI connects skilled professionals with healthcare employers seeking dedicated specialists. Take the next step and discover how your skills can support better patient care today.

ASTRA BEHAVIORAL HEALTH LLC
Provide comprehensive psychiatric services to patients in outpatient settings or via telehealth. Develop and implement treatment plans, maintain treatment records, and evaluate client progress. Counsel clients individually and in groups, and coordinate with families and other professionals.

CareSource
Process medical necessity reviews for behavioral health services, assist with discharge planning, and coordinate care for members. Engage with medical directors for clinical expertise, maintain knowledge of regulations, and refer quality issues to Quality Improvement.
MedOne, L.C
Support daily operations of MedOne Clinical Services, conduct clinical assessments for medication therapy appropriateness, and communicate clinical review decisions to pharmacies and providers. Maintain quality and productivity standards while meeting turnaround time requirements.

QUINCO MENTAL HEALTH CENTER
Provide individual, group, and family counseling sessions, conducting approximately twenty-five billable sessions weekly. Document services rendered, conduct diagnostic evaluations, and develop individualized treatment plans in collaboration with clients.

Capitol Bridge, LLC.
Review arbitration determination letters against quality standards, document findings, and provide feedback to arbitrators. Perform quality reviews of letters, assess documentation, and ensure compliance with policies. Identify quality trends and participate in calibration reviews.

HJ Staffing
Conduct Peer-to-Peer (P2P) reviews with treating physicians regarding authorization requests. Analyze clinical documentation and evaluate medical necessity and level of care. Apply CMS Medicare Advantage requirements and clinical criteria. Document P2P discussions and maintain HIPAA compliance.

Mindrift
Evaluate clinical EHR vignettes for accuracy and completeness, assess clinical reasoning quality, and score benchmark items based on established criteria. Conduct independent blind reads and participate in physician adjudication to ensure quality and correctness of clinical cases.

Oscar Health
Conduct medical reviews to determine appropriateness of inpatient, outpatient, and pharmacy services. Document decisions in workflow tools, ensuring clarity for members. Engage in peer-to-peer discussions with providers to clarify clinical information and explain review outcomes.
Path Behavioral Healthcare
Provide individual and group therapy to clients of all ages, develop and document treatment plans, and collaborate with care teams. Maintain compliance with HIPAA and document client progress.

BlueCross BlueShield of South Carolina
Perform medical reviews using clinical information and established guidelines. Document decisions and provide support for medical claims and utilization practices. Educate staff on medical reviews and participate in quality control activities.

Dane Street, LLC
Conduct comprehensive reviews of dental records, clinical examinations, diagnostic imaging, and treatment plans. Evaluate medical necessity and appropriateness of dental services, prepare clinical summaries, and respond to client inquiries.

Devoted Health
Perform first-level clinical reviews of dental claims and pre-treatment estimates, ensuring compliance with clinical guidelines. Evaluate radiographs and treatment records, document findings in claims systems, and apply ADA CDT coding.

MICHIGAN PEER REVIEW ORGANIZATION
Conduct objective peer reviews of clinical cases, determining medical necessity and quality of care. Ensure decisions align with current standards of practice and submit reviews using provided IT systems in a timely manner.

Gainwell Technologies LLC
Coordinate and perform appeal-related duties, including analyzing and responding to provider appeals. Review documentation to ensure all aspects of the appeal are addressed accurately. Prepare case files and summaries for hearings, and participate in virtual and on-site hearings.

Acentra Health, LLC
Review medical records against criteria to determine appropriateness, ensuring accuracy and timeliness. Assess and manage daily workload, collaborating with supervisors on quality monitoring and improvement plans. Serve as a liaison for providers and address customer service issues.

MedReview
Lead complex clinical validation reviews and provide final determinations on disputed findings. Manage physician-level appeals and conduct peer-to-peer discussions. Ensure compliance with CMS regulations and support quality assurance activities.

Virginia Information Technologies Agency
Review and develop mortality case summaries for individuals receiving DBHDS services, focusing on medical records and related documents. Analyze sequences of events leading to deaths and identify contributing factors.

Syneos Health
Review clinical data for accuracy and compliance with regulatory standards. Collaborate with cross-functional teams to ensure data integrity and quality. Prepare reports and documentation to support clinical trials and regulatory submissions.
Emperion
Conduct independent, evidence-based file reviews of patient records and related documentation. Provide objective, high-quality reports within specified turnaround timelines while maintaining compliance with URAC, HIPAA, and internal quality standards.

Acentra Health, LLC
Review medical records against criteria to determine appropriateness. Ensure accuracy and timeliness of reviews, manage daily workload, and monitor quality. Serve as a resource for nurse reviewers and liaise with providers for customer service issues.

Envision Unlimited
Conduct mental health assessments and semi-annual treatment planning using the State approved IM/CANS tool. Provide individual therapy and treatment planning for clients aged 18-65 and older, in various settings including telehealth.

ODYSSEY BEHAVIORAL GROUP
Provide individual, family, and group therapy sessions for clients with eating disorders. Assess therapeutic needs, develop treatment plans, and complete required documentation. Collaborate with an interdisciplinary team to coordinate client care and monitor behavioral interventions.

Dane Street, LLC
Evaluate medical records, provide clinical summaries, engage in peer communications, and respond to client inquiries. Conduct thorough reviews of clinical cases in Reproductive Endocrinology/Infertility. Maintain proper credentialing and ensure timely delivery of assessments and reports.

Nourish
Lead clinical excellence for Nourish’s therapists by setting standards of care and developing evidence-based clinical guidance. Manage clinical leaders, driving performance and accountability while improving clinical quality and care delivery.

AltaMed
Review authorization requests from various health plans, approving them per delegation responsibilities. Process denials using standard language and post recommendations in the authorization platform. Identify high-risk populations and refer them to case management programs.

ChenMed
Conduct utilization management reviews for assigned territories, establishing 2-3 cases daily across multiple markets. Attend health plan and local team calls, and participate in weekly PCP and SNF meetings. Advise other physician reviewers and engage in process and quality improvement initiatives.

MRIoA
Conduct independent Utilization Reviews as a Board-Certified Clinical Psychologist. Adhere to HIPAA regulations and company policies regarding patient confidentiality and security. Engage in peer-to-peer conversations during daytime hours as needed.

Rogers Behavioral Health
Lead interdisciplinary team collaboration to develop and facilitate social services interventions. Conduct individual, group, and family therapy sessions, assess patient needs, and create treatment plans. Document patient progress and collaborate with other professionals to coordinate care.

Slingshot AI
Review anonymized conversations with Ash to assess its handling of key moments in mental health support. Provide clinical judgment on what Ash should do, potential pitfalls, and reasoning behind decisions.

Brightli
Provide individual, group, and family therapy services; complete assessments and develop treatment plans; respond to crisis situations; collaborate in clinical staffings; document services accurately; provide clinical supervision and training.

Elsevier
Evaluate AI-generated content on cardiopulmonary anatomy, patient assessment, airway management, and respiratory pharmacology. Review critical care management content for neonatal, pediatric, and adult patients.

Osmosis
Collaborate with multidisciplinary teams to create and curate content on emerging medical technologies. Review and assess the impact of technologies on medical practice and patient care. Provide feedback throughout the content development cycle and ensure content accuracy.

ChenMed
Oversee Utilization Management (UM) cases, establishing 2-3 cases daily across assigned markets. Attend health plan and local calls, and participate in weekly PCP and SNF meetings. Advise other physician reviewers and engage in process and quality improvement initiatives.

AtWork
Serve as a primary clinical reviewer for the ECR process, certifying assigned cases. Review assessments and medical records, develop clinical recommendations, and document rationales. Evaluate complex pediatric and adolescent cases, ensuring timely completion of reviews within 48 hours.

Rainmakers Strategic Solutions
Review sponsor-submitted prior authorization (PA) and step therapy (ST) criteria for compliance with CMS guidance. Evaluate PA criteria fields for consistency with FDA-approved labeling and treatment guidelines.

Dane Street, LLC
Evaluate medical records, provide clinical summaries, engage in peer communications, and respond to client inquiries. Conduct thorough reviews of clinical cases to ensure high-quality healthcare assessments.

COMAGINE HEALTH
Conduct clinical reviews for medical necessity, appropriateness, and quality of healthcare services. Evaluate service requests against established clinical criteria and collaborate with clinical teams and physician consultants.

Dane Street, LLC
Conduct comprehensive reviews of medical records, speech-language evaluations, and treatment plans. Prepare clinical summaries and provide evidence-based advisory opinions on speech, language, communication, cognitive-communication, voice, fluency, and swallowing disorders.

Gainwell Technologies LLC
Perform clinical reviews of medical records to assess medical necessity and appropriateness of care. Document review decisions and rationale, determine approvals, and process consultant decisions.

Dane Street, LLC
Conduct comprehensive reviews of medical records, therapy documentation, and treatment plans. Prepare clinical summaries and provide evidence-based advisory opinions on speech-language pathology services. Evaluate clinical documentation and assess medical necessity and appropriateness of services.
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