We are building a high-performing clinical review operation to support documentation and compliance for durable medical equipment (DME), starting with surgical dressings.
This role sits at the intersection of clinical judgment and operations. You will utilize our internal software and your clinical background to evaluate patient documentation against structured coverage criteria, identify gaps, and produce clear, standardized review outputs at high throughput.
This is not a traditional bedside or case management role. Success in this role requires attention to detail, comfort with structured workflows, and the ability to operate efficiently at scale.
What You’ll Do
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
What You’ll Bring: The Skills and Experience You’ll Leverage
Required:
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
DME, Medicare regulations/surgical dressing reviews preferred but not required
The Rewards & Reality: Compensation, Benefits & Logistics
Meaningful Compensation: $70,000-$90,000 base salary
Comprehensive Health & Wellness: We cover 100% of your health insurance premium and provide access to high-quality dental and vision insurance plans for you and your dependents.
Plan for the Future: We offer a 401(k) plan to help you save for your future. At this time, the company does not offer a 401(k) match.
Career Growth: You’ll have opportunities for rapid career advancement in a company that’s at a major inflection point. We want you to grow with us.
Work Environment & Location:
This is a remote position.
Please note that at this time, we are not able to provide visa sponsorship for this position. All candidates must be authorized to work in the United States.
Our Pledge for an Equitable Future
At Verse Medical, our mission is to deliver equitable, hospital-quality care to everyone, regardless of their background or where they live. We can only achieve this if our own team reflects the diversity of the patients we serve. We are committed to building a workplace where everyone feels a sense of belonging, where their contributions are valued, and where they can do their best work. We embrace diversity of all kinds: race, gender, age, religion, identity, experience. We are actively working to build a more inclusive and equitable world, starting from within our own walls. We are an equal opportunity employer.
We are also committed to providing a positive and accessible interview experience. If you require any accommodations to participate in our process, please contact us at recruiting@versemedical.com.
SPECIALTIES:
Utilization Review & Management (UR/UM)
