Job description
We’re growing our network of clinical reviewers and are actively seeking Nurse Case Reviewer who are passionate about quality, accountability, and patient outcomes. As a member of our reviewer panel, you'll play a key role in ensuring the appropriateness, necessity, and quality of care delivered to military members and their families.
Responsibilities
- Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care.
Provide evidence-based assessments and written determinations following established clinical guidelines and review criteria.
Support case types including: Utilization review, Appeals and hearings, Quality of care and standard of care concerns
Uphold the highest standard of clinical integrity, neutrality, and objectivity.
Requirements
- Hold an active, unrestricted U.S. license/certification
Registered/Licensed
Minimum of 5 years of clinical experience in your specialty
Currently practicing and seeing patients an average of at least 20 hours per week
Preferred Qualifications: Experience with QIO, peer review, utilization review, or appeals work
Familiarity with military or federal healthcare programs (e.g., TRICARE, Medicare)
Previous experience with legal or regulatory case reviews
Why This Role: Fully remote, contract-based (1099)
Flexible workload – cases assigned based on your availability and specialty
Impactful work that contributes to high-quality care and oversight
Per-case pay ranging from $100–$340 depending on case complexity
Most cases take 1–3 hours to complete; shorter reviews may take less than 1 hour
Strong written communication skills and attention to detail
Ability to review cases objectively and meet turnaround deadlines
Comfortable working independently in a secure, remote environment
About Commence
At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.
With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.
