Role Description As a Clinical Review Nurse, you won’t just review charts—you’ll write compelling clinical arguments that help hospitals recover millions in lost revenue due to denied insurance claims. You’ll use your nursing knowledge, attention to detail, and love of documentation to make a real difference—without ever setting foot in a courtroom or hospital shift. - Analyze denied insurance claims and complete medical records. - Apply clinical reasoning, national criteria (InterQual/Milliman), and best practices to determine if appeals are justified. - Draft persuasive, medically sound appeal letters that clearly support the need for treatment or services. - Collaborate with our legal team to ensure appeals are compelling and complete. - Stay informed on healthcare regulations, payer trends, and clinical updates. Qualifications - RN License (required) - 5+ years of acute hospital experience (required) - Certification in Case Management, Legal Nurse Consulting, or Coding is a plus. - Possess knowledge and experience with national clinical criteria applied in case management including InterQual and Milliman standards. - Experience and knowledge of managed care contracts, account receivables and revenue cycle functions (preferred). - Experience and success in medical record chart review and appealing managed care denials (preferred). Benefits - 100% Remote: Work from anywhere in the U.S. while making a tangible difference. - Competitive Salary: $65,000–$85,000 per year (commensurate with experience). - Robust Benefits Package: 401(k) with corporate match, comprehensive health, dental, and vision insurance. - Work-Life Balance: Flexible schedule and paid time off. - Career Growth: Access to professional development, mentorship, and upward mobility within a thriving company. - Additional Perks: Life insurance and performance-based bonuses.

Title: PEER REVIEWER - Geriatrician - REMOTE Location: United States Job Description: iMPROve Health is seeking a geriatrician to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc basis. As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality and integrity of health care and your profession. Please note, this is not an employed position and our contracted fee is based on credential and specialty type. BENEFITS: - Make a Difference: Use your clinical knowledge to improve the quality of care patients receive. - Professional Recognition: Join a network of highly respected experts in your specialty. - Competitive Compensation: Receive fair pay for your time and expertise. - Protect Standards of Care: Help uphold the integrity of your profession. - Work Remotely: Review cases from the convenience of your home or office. DUTIES AND RESPONSIBILITIES: - Conduct objective, evidence-based peer reviews of clinical cases. - Make final determinations regarding medical necessity and quality of care. - Ensure decisions are fair, unbiased, and aligned with current standards of practice. - Submit reviews in a timely and professional manner using the IT systems provided. QUALIFICATIONS: - Medical License: Must hold an unrestricted medical license in any U.S. state. - Board Certification: Required (if applicable), through a board recognized by: - The American Board of Medical Specialties (ABMS), - The American Osteopathic Association (AOA), or - Another nationally recognized board granting certification. - Clinical Experience: - Have at least five (5) years full-time equivalent experience providing direct clinical care to patients. - Have experience providing direct clinical care to patients within the past three (3) years. - Knowledgeable of the issue under review, or of the current, evidence-based clinical guidelines and novel treatments for the medical or behavioral health condition, disease, treatment, or procedure under review. - Have the clinical expertise to manage the medical or behavioral health condition or disease under review. - Must be actively engaged in direct or virtual patient care for at least 20 hours per week. Administrative work does not qualify. TECHNOLOGY REQUIREMENTS: - Reliable Wi-Fi access. - Proficiency with Microsoft Word. - Access to a computer compatible with iMPROve Health’s IT systems. OTHER REQUIREMENTS: - Must complete the electronic credentialing application and receive organizational approval prior to performing a case review. - Must complete a conflict of interest attestation upon credentialing and prior to performing a case review. - Active hospital medical staff privileges may be required, as applicable. - Notify the organization in a timely manner of an adverse change in licensure or certification status, including board certification status. - Cannot have current employment or affiliation with any Veterans Affairs (VA) hospital, health care system, or medical center if applying to perform VA-related peer reviews. EOE/VET/Disability

Role Description You’ll help shape AI used by millions every day. As a Digital Ads Quality Analyst, you’ll review online ads and provide real human feedback that makes digital advertising smarter, safer, and more relevant for users in Türkiye and across Europe — all from home, on your own schedule. - Evaluate how well ads match what users in Türkiye and German-speaking markets are searching for - Assess ad quality, language accuracy, and cultural relevance - Provide clear, honest feedback to improve ad performance - Contribute your human perspective to AI training - Work at your own pace, task by task Qualifications - Fluent in German and English (professional level) - Living in Türkiye (local cultural knowledge is essential) - Regular experience using social media and browsing the web - Reliable internet connection and a computer with antivirus - A smartphone (Android 4.1+ or iOS 8+) - Strong attention to detail and good communication skills - An English CV ready to upload Requirements - Language Check — Show your English and German skills - Knowledge Exam — Open-book, with study materials provided - ID Verification — Standard security step Benefits - Support Designed for Remote Work - 24/7 confidential access to emotional, psychological, and practical support - 90-day aftercare after leaving the program - Free Headspace Premium for mindfulness, focus, and better sleep - Fast support with responses within 24 hours - Proactive protection against stressful content - Regular wellbeing resources and training - Join 1M+ human raters improving AI for leading global technology companies - Be part of a diverse international community of digital professionals - See your work influence technology used worldwide - 100% remote — work from anywhere in Türkiye - Fully flexible hours (long-term project) - No previous professional experience required

Role Description Accountable to perform utilization management services for designated patient case load, including: - Prospective, concurrent, retrospective, and denial management reviews by applying clinical protocols and review medical necessity criteria. - Reports quality of care issues identified during the utilization management process to the appropriate manager. - Perform job duties in accordance with the medical center's purpose. Qualifications - Four (4) years RN experience, one (1) year of which must have been in performance improvement, utilization review, or case management. - InterQual experience preferred. Requirements - Valid RN license. - CPUM (certified professional in utilization management), ACM (accredited case manager), or CCM (certified case manager) preferred. - Knowledge of the aspects of utilization review. - Excellent interpersonal verbal and written communication and negotiation skills. - Skills in the use of personal computers and related software applications. - Ability to gather data, compile information, and prepare reports. - Ability to identify process improvements. - Good working knowledge of and understanding of medical procedures and diagnoses, procedure codes, including ICD-10, CPT, and DSM-IV codes. - Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. - Ability to work independently and exercise sound judgement in interactions with physicians, payers, and patients and their families. - Demonstrate commitment to the organization’s mission and the behavioral expectations in all interactions and in performing all job duties. - Ability to use medical necessity guidelines with minimal supervision. - Equipped to work remotely to include hardware with high speed internet via cable and Windows 10. Responsibilities - Performs all aspects of prospective, concurrent, retrospective, and denials review for individual cases. - Assists in the collection and reporting of financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials, and appeals. - Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients. - Collects, analyzes, and addresses variances from the plan of care path with physician and/or other members of the healthcare team. - Uses concurrent variance data to drive practice changes and positively impact outcomes. - Documents key clinical path variances and outcomes which relate to areas of direct responsibility. - Applies approved clinical appropriateness criteria to monitor appropriateness of admissions and continued stays. - Identifies at-risk populations using approved screening tool and follows established reporting procedures. - Communicates with third party payers to facilitate covered day reimbursement certification for assigned patients. - Works collaboratively and maintains active communication with physicians, nursing, and other members of the interdisciplinary care team. - Addresses/resolves system problems impeding diagnostic or treatment progress. - Promotes individual professional growth and development by meeting requirements for mandatory/continuing education. - Actively participates in clinical performance improvement activities. Environmental and Physical Demands - Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold. - Occasional working hours beyond regularly scheduled hours. - Occasional activities subject to significant volume changes of a seasonal/clinical nature. - Occasional lifting/carrying up to 25 pounds. - Frequent sitting, occasional standing, and frequent walking. Time Type Part time FLSA Designation/Job Exempt Yes Pay Class Salary FTE % 100 Work Shift Benefits Eligibility Job Posting Date 06/8/2026