Per Diem Chart Reviewer

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark’s comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-focused support, behavioral health care, and social resources. Combined with evidence-based health interventions and a hybrid in-person + virtual care model, Daymark is improving the overall cancer experience for patients, providers, and health plans – and setting a new standard in cancer care. Daymark’s groundbreaking approach is led by CEO Dr. Justin Bekelman, a pioneer in transforming cancer care, alongside some of the nation’s foremost leaders in oncology and value-based care. Daymark Health is backed by Maverick Ventures, Yosemite, Oncology Ventures, Healthier Capital, Blue Venture Fund, and Healthcare Foundry. Be cautious of recruitment fraud, and always confirm that communications are coming from an official Daymark Health email. As a Per Diem Chart Reviewer at Daymark, you will be a key member of the Enrollment and Care Teams, supporting accurate program eligibility determinations for patients. You will review medical records, apply established clinical criteria, and ensure documentation supports eligibility for Daymark programs. Your role is essential in maintaining the integrity of our care delivery and supporting patients. WHAT YOU'LL DO In this role, you will conduct thorough reviews of medical records to support program eligibility determinations. On a day-to-day basis, this may include: Chart Review: Conduct retrospective and concurrent reviews of inpatient, outpatient, and ancillary medical records to assess whether clinical documentation supports eligibility for Daymark Health's programs. Criteria Application: Apply established clinical criteria and program-specific guidelines to evaluate medical necessity and eligibility determinations. Clinical Documentation: Accurately abstract and document relevant clinical findings, diagnoses, procedures, and treatment history from the medical record. Escalation & Collaboration: Identify documentation gaps or inconsistencies and escalate cases requiring physician or supervisor review as appropriate. Compliance: Maintain strict confidentiality of all patient health information in accordance with HIPAA regulations and Daymark's policies, procedures, and documentation standards. Quality Assurance: Participate in audits, quality reviews, and process improvement initiatives as requested, and stay current on program eligibility criteria and relevant regulatory updates. What We Are Looking For Experience: An active, unrestricted Registered Nurse (RN) license in good standing is required. A minimum of 5 years of Oncology nursing experience required, with experience in case management strongly preferred. Clinical Knowledge: Working knowledge of medical terminology, and clinical documentation standards. Comfort with Technology: Proficiency with electronic health record (EHR) systems and comfort with tools such as Google Suite, Zoom, and Slack. Analytical Skills: Strong critical thinking and attention to detail, with the ability to review and interpret complex clinical documentation independently. Patient-Centric Approach: A deep commitment to Daymark's mission to support cancer patients with dignity & compassion. Organizational Skills: Ability to manage multiple reviews simultaneously, meet established turnaround times, and maintain meticulous documentation. Adaptability: Comfortable working independently in a dynamic environment with minimal supervision Additional Information This is a per diem, remote role. Availability of a minimum of 10 hours per week is required. Hours and schedule will vary based on organizational need, but typically range 10-20 hours per week. 2-3 hours of availability daily is strongly preferred over fewer, longer time periods. Compensation will range from $40 to $55 per hour, depending on a candidate's location and experience. Per diem employees are not eligible for benefits.