Clinical Clearance Specialist (RN)

Charlie Health • Remote, United States, DE

4h • $48 - $52 • Remote

About The Position

Charlie Health is seeking a fully remote 1099 contractor, a Registered Nurse (RN), to serve as a Clinical Clearance Specialist within the Clinical Operations / Admissions function. This role focuses on escalated admissions cases involving eating disorders (ED) and substance use disorders (SUD) that require nursing-level clinical expertise. The specialist will manage the clearance review queue, interpret clinical data, make admission determinations, and act as a liaison between the admissions team and medical leadership.

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.
• Work authorized in the United States.

Nice To Haves

• Familiarity with ASAM criteria preferred.
• Experience in virtual/telehealth behavioral health settings preferred.
• Bilingual (English/Spanish) a plus.

Responsibilities

• 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.

Benefits

• Hourly compensation is commensurate with experience and credentials.
• Total target hourly compensation for this role will be between $48 and $52 per hour at the commencement of engagement.
• Pay will be determined on an individualized basis and will be impacted by location, experience, expertise, and other relevant business considerations.

What This Job Offers

• Career Level: Mid Level