Clinical Documentation Review Nurse

Verse MedicalRemote, Remote
Remote

About The Position

Verse Medical is building the modern software infrastructure to make healthcare coordination more efficient. We are a well-funded Series C company focused on connecting providers, payors, and patients to ensure high-quality care. We are growing rapidly and seeking motivated individuals to join our mission. Our values emphasize transparency, speed of iteration, focused intensity, and customer empathy. This role is part of building a high-performing clinical review operation to support documentation and compliance for durable medical equipment (DME), specifically starting with surgical dressings. The position involves evaluating patient documentation against coverage criteria, identifying gaps, and producing clear review outputs efficiently using our internal software and your clinical expertise. This is not a traditional bedside or case management role; success requires attention to detail, comfort with structured workflows, and efficiency at scale.

Requirements

  • Active RN license (BSN preferred but not required)
  • 2+ years of clinical experience OR prior utilization review / documentation review experience
  • Extremely strong attention to detail
  • Fast learning rate of new concepts
  • Ability to follow structured workflows and apply rules consistently
  • Comfort working in a high-throughput, metrics-driven environment
  • Strong written communication skills
  • All candidates must be authorized to work in the United States.

Nice To Haves

  • DME, Medicare regulations/surgical dressing reviews preferred but not required

Responsibilities

  • Review patient charts and documentation against defined coverage criteria
  • Work with internal AI software that enables review productivity
  • Apply structured processes to determine documentation sufficiency
  • Identify missing or inconsistent documentation and flag appropriately
  • Produce clear, standardized written summaries of review outcomes
  • Meet daily throughput and quality targets (e.g., reviews/day, QA pass rates)
  • Incorporate feedback from QA and continuously improve accuracy and speed
  • Collaborate with product team to refine software over time

Benefits

  • We cover 100% of your health insurance premium
  • Access to high-quality dental and vision insurance plans for you and your dependents
  • 401(k) plan
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