Clinical Care Reviewer

Rula

. Support Rula’s care efficiency pilots as part of the Clinical Quality team .

Posted 11/12/2026full-timeRemote • United StatesMid-LevelSenior💰 $91,000 - $106,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in behavioral health treatment planning and clinical documentation review, with a strong focus on coaching and facilitating education groups for providers. Proficient in utilizing digital tools and EHRs to enhance care efficiency and support clinical quality initiatives.

Highest-signal resume keywords

Master's DegreeActive Clinical License (LCSW, LMFT, LPC)3+ Years Post-Licensure Experience in Behavioral HealthExperience Coaching and Training CliniciansExperience Facilitating Consultation Groups

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Behavioral Health Treatment PlanningClinical Documentation ReviewMedical Necessity Criteria ApplicationUtilization ManagementMeasurement-Informed Care

Soft Skills

Excellent Written CommunicationCoachingSupervisingFeedback Giving

Tools & Technologies

EHRsGoogle WorkspaceSalesforceAI Tools

Certifications & Qualifications

Active Clinical License (LCSW, LMFT, LPC)

Industry Keywords

Behavioral HealthClinical QualityManaged Care OrganizationsValue-Based Care ProgramsHigh-Growth Startup Environment

About the role

Key responsibilities & impact

Support Rula’s care efficiency pilots as part of the Clinical Quality team
Work directly with providers across Rula’s network
Coach providers 1:1
Lead consultation and education groups
Respond to provider questions by email
Support efficient, effective, and clinically appropriate care
Support Continued Care Review work as needed
Review charts and treatment progress to guide next steps in care
Share observations about provider experience to shape and refine Rula’s pilots

Requirements

What you’ll need

Master’s degree
Active, unencumbered clinical license (LCSW, LMFT, LPC, or equivalent)
3+ years of post-licensure experience in behavioral health
Experience reviewing clinical documentation and applying medical necessity criteria
Strong understanding of behavioral health treatment planning, progression, and appropriate episode duration
Experience coaching, training, supervising, or giving feedback to clinicians
Experience facilitating consultation or education groups
Excellent written communication
Comfort working with EHRs and digital tools such as Google Workspace and Salesforce
Must be based in the United States
Must currently be eligible to work in the United States
Must not require visa sponsorship to continue working in the United States
Preferred: experience in utilization management, peer review, or clinical quality roles
Preferred: familiarity with health plans, managed care organizations, or value-based care programs
Preferred: 1+ year experience in a high-growth startup environment
Preferred: experience with measurement-informed care and data
Preferred: experience carrying out new programs, pilots, or initiatives
Preferred: experience using, or openness to using, AI tools
MST and PST time zones preferred

Benefits

Comp & perks

100% remote work environment
Attractive pay and benefits
Medical, dental, vision, life, disability, and FSA/HSA
401(k) plan access
Generous time-off policies, including 2 company-wide shutdown weeks each year
Paid parental leave for birthing, non-birthing, adopting, and fostering parents
Employee Assistance Program (EAP)
Quarterly department stipend for team-building activities or in-person gatherings
Community and employee resource groups
New hire home office stipend
$50 monthly stipend for internet or cell phone expenses
Year-round wellness initiatives
$50/month wellness stipend
Equity
Full-time employees receive benefits