Personalized mental health treatment for teens, young adults & families in crisis.
Clinical Clearance Specialist, RN
Location
United States
Posted
1 day ago
Salary
$48 - $52 / hour
Seniority
Mid Level
Job Description
Clinical Clearance Specialist, RN
Charlie Health
• Receive, triage, and independently review escalated clinical clearance requests submitted by the CAT/CAA team • Apply nursing clinical judgment to determine admission appropriateness for complex ED and SUD presentations • Review and interpret ED medical clearance labs (electrolytes, CBC, prealbumin, phosphorous, liver function) and integrate findings into clearance determinations • Evaluate EKG findings relevant to ED presentations — bradycardia, QTc prolongation, ST/T wave changes — in context of nutritional and electrolyte status • Assess orthostatic vital signs and recognize hemodynamic instability • Issue timely clearance outcomes (clear for admission or refer out for HLOC) and communicate directly to CATs • Serve as clinical liaison between the CAT team and medical leadership; prepare organized case summaries for physician-level escalations • Track and follow up on pending lab results; coordinate with clients and providers to eliminate admission delays • Maintain the clinical clearance queue in Salesforce; ensure all 'Admission Pending — Clinical Clearance' cases are reviewed promptly • Coordinate MAT-related clearances per state/insurance eligibility criteria; escalate to medical leadership as needed • Identify process gaps and recommend updates to decision trees, templates, and SOPs • Contribute to CAT team training on clinical clearance expectations and escalation criteria
Job Requirements
- Active Registered Nurse (RN) license in good standing; unrestricted licensure required
- Minimum 2–3 years of nursing experience; behavioral health, medical-surgical, or eating disorder/SUD-adjacent settings strongly preferred
- Working knowledge of ED medical stability criteria: %IBW, percent weight change, BMI thresholds, and refeeding syndrome risk
- Ability to review and interpret ED lab panels and identify clinically significant flags: electrolyte abnormalities, CBC deviations, nutritional markers, and liver function
- Comfort reviewing EKGs for ED-relevant findings in the context of electrolyte status and nutritional presentation
- Working knowledge of SUD presentations including withdrawal risk, MAT, and SUD level-of-care criteria
- Strong knowledge of level-of-care frameworks (IOP, PHP, residential, inpatient) and LOCUS criteria
- Excellent written communication; ability to document clinical reasoning clearly and concisely
- Proficiency with or ability to quickly learn Salesforce or similar CRM/admissions platforms
- Familiarity with ASAM criteria preferred; experience in virtual/telehealth behavioral health settings preferred
- Bilingual (English/Spanish) a plus
- Work authorized in the United States.
Benefits
- This is a 1099 independent contractor role. Hourly compensation is commensurate with experience and credentials.
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