Clinical Specialist Jobs in Orlando, FL

About The Position

Requirements

• RN or LPN background with strong clinical documentation experience
• Hospital experience (med-surg or ortho preferred)
• Professional writing skills
• Ability to meet strict deadlines

Nice To Haves

• Strong independence and reliability
• Prior quality assurance experience in healthcare settings

Responsibilities

• Perform quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews.
• Validate clear, concise, evidence-based rationales supporting all recommendations and determinations.
• Ensure all client instructions, specifications, and required questions are fully addressed.
• Confirm clinical citations and references are current, reputable, and properly included.
• Maintain high standards for report content, formatting, and professional presentation.
• Verify correct board specialty involvement per client or state requirements.
• Ensure reviewer attestation accuracy and absence of conflict of interest.
• Confirm provider credentials and signatures are properly applied.
• Identify inconsistencies and collaborate with Peer Reviewers for clarification or corrections.
• Support resolution of client complaints and quality assurance issues.
• Ensure compliance with federal ERISA and state mandates.
• Provide feedback to management regarding consultant quality and compliance.
• Participate in training and educational activities as required.
• Perform additional duties as assigned.

Benefits

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)