Clinical Care Reviewer (Remote)

Posted 3 Hours Ago
Be an Early Applicant
Hiring Remotely in United States
Remote
90K-101K Annually
Mid level
Healthtech • Other • Social Impact • Software • Telehealth
Our mission is to make mental healthcare work for everyone.
The Role
The Clinical Care Reviewer reviews clinical documentation and treatment paths, ensuring they meet medical necessity standards and providing data-driven feedback for quality mental healthcare.
Summary Generated by Built In

We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms.

We aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being. 

We believe that by providing quality care that is both evidence-based and compassionate, we can empower individuals to take charge of their mental health and achieve their full potential. We are passionate about making a positive impact on the lives of those struggling with mental health issues and we strive to be a force for positive change in the field of mental healthcare.

Rula is a remote-first company. We currently hire in most U.S. states, with the exception of Hawaii.

About the Role

We are seeking a Clinical Care Reviewer to support Rula’s Clinical Quality team by reviewing clinical documentation and treatment trajectory to ensure care meets medical necessity standards. In this role, you will synthesize clinical documentation, medical record information, and outcomes data to make recommendations on next steps in care and provide data-driven feedback to providers. You will partner cross-functionally to support high-quality, clinically appropriate care across our network. This role is ideal for a licensed clinician who enjoys applying their expertise to improve care at both the individual patient and population level.

Required Qualifications

  • Master’s degree and active, unencumbered clinical license (LCSW, LMFT, LPC, or equivalent)

  • 3+ years of post-licensure experience in behavioral health

  • Expertise reviewing clinical documentation and applying medical necessity criteria

  • Strong knowledge of behavioral health treatment planning, progression, and appropriate care episode duration

  • Excellent written communication and ability to clearly convey clinical findings and recommendations to clinical and non-clinical audiences

  • Proficiency working with EHRs and digital tools (e.g., Google Workspace, Salesforce)

Preferred Qualifications

While having the preferred qualifications enhances your candidacy, having all of them is not mandatory. We encourage all interested applicants to apply, even those who may not meet every preferred requirement.

  • Experience in utilization management, peer review, or clinical quality roles

  • Experience working with or for health plans or managed care organizations (e.g., Kaiser Permanente)

  • 1+ years of experience in a high-growth and/or start-up environment

  • Hands on proficiency working with data (e.g., outcomes measures, utilization trends) to inform clinical decisions

  • Deep experience with process improvement and building scalable clinical workflows

  • Comfort using or openness to using AI tools to improve operational efficiency and support clinical review workflows at scale

We're serious about your well-being! As part of our team, full-time employees receive:

  • 100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii)

  • Attractive pay and benefits: Full transparency of pay ranges regardless of where you live in the United States

  • Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA

  • 401(k) plan access: Start saving for your future

  • Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)

  • Paid parental leave: Available for all parents, including birthing, non-birthing, adopting, and fostering

  • Employee Assistance Program (EAP): Support for your mental and physical health

  • New hire home office stipend: Set up your workspace for success

  • Quarterly department stipend: Fun team-building activities or in-person gatherings

  • Wellness events and lunch & learns: Explore a variety of engaging topics

  • Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all

Our team

We believe that diversity, equity, and inclusion are fundamental to our mission of making mental healthcare work for everyone.  We are dedicated to having a culture of inclusion that will support our employees in feeling safe, seen, heard, and valued.

Skills Required

  • Master's degree and active clinical license (LCSW, LMFT, LPC, or equivalent)
  • 3+ years of post-licensure experience in behavioral health
  • Expertise reviewing clinical documentation and applying medical necessity criteria
  • Strong knowledge of behavioral health treatment planning and appropriate care episode duration
  • Excellent written communication skills for conveying clinical findings
  • Proficiency working with EHRs and digital tools (e.g., Google Workspace, Salesforce)

What the Team is Saying

Colleen
William
Natalie
Jordan
Michelle
Devonie

Rula Compensation & Benefits Highlights

  • Leave & Time Off Breadth The package includes two company‑wide self‑care shutdown weeks each year alongside standard PTO, indicating strong time‑off support. Paid parental leave is also part of the core coverage.
  • Retirement Support A 401(k) program is included for employees, with mentions of an employer contribution. This signals structured retirement support within the overall package.
  • Wellbeing & Lifestyle Benefits Work is remote‑first across most of the U.S., with home‑office equipment provided. EAP access and wellness‑oriented practices reinforce everyday wellbeing support.

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The Company
595 Employees
Year Founded: 2019

What We Do

We believe that when access to quality mental healthcare improves, patients, providers, and payers all benefit. And that’s why we’re on a mission to make mental healthcare work for everyone. We remove barriers and strengthen connection points between patients, providers, and payers to improve mental health outcomes. With Rula, it’s easy for patients to find a high-quality therapist or psychiatric practitioner who meets their unique needs, accepts insurance, and is taking new patients. For providers, Rula offers the flexibility of private practice, while also filling caseloads and offering the necessary behind-the-scenes support. Rula handles the marketing, credentialing, billing, and admin tasks so providers can focus on what they do best: providing care to those in need. Rula is a remote-first company with teams who specialize in the areas of Clinical, Partnerships, Operations, Marketing, Engineering, Product, and more. We’re committed to reimagining how mental health is treated.

Why Work With Us

As a remote company, we're intentional about the culture we're building. We write things down, we communicate clearly, we follow-up, and we follow-through. We have high expectations for our team, and empower individuals with a high degree of trust and autonomy. In turn, we expect that individuals operate with a sense of ownership in everything.

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Rula Offices

Remote Workspace

Employees work remotely.

We're a 100% remote company.

Typical time on-site: None
United States

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