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Charlie Health

Personalized mental health treatment for teens, young adults & families in crisis.

Clinical Clearance Specialist, RN

GeneralGeneralContractRemoteMid LevelTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

1 day ago

Salary

$48 - $52 / hour

Seniority

Mid Level

Professional Certificate2 yrs expEnglishPHP

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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