Rula Clinical Care Reviewer at Rula supports clinical quality by coaching providers and reviewing clinical documentation. The role involves leading consultation groups and guiding care decisions based on treatment progress.
Responsibilities
We’re seeking a Clinical Care Reviewer to help bring Rula’s care efficiency pilots to life as part of our Clinical Quality team. In this role, you’ll work directly with providers across our network, coaching them 1:1, leading consultation and education groups, and responding to their questions by email, to support efficient, effective, and clinically appropriate care. You’ll also support Continued Care Review work as needed, reviewing charts and treatment progress to guide next steps in care. Because you’re closest to the provider experience, your observations about what’s working and what isn’t will directly shape how Rula’s pilots are refined. This role is ideal for a licensed clinician who enjoys working with other clinicians, communicates clearly in writing, and wants to help improve care at both the individual and population level.
Qualification
Master’s degree and activeExperience coachingExcellent written communicationExperience in utilization managementExperience carrying out new programsExperience usingMST and PST timezones are preferred
Required
Master’s degree and active, unencumbered clinical license (LCSW, LMFT, LPC, or equivalent) and 3+ years of post-licensure experience in behavioral health
Experience reviewing clinical documentation and applying medical necessity criteria, with a strong understanding of behavioral health treatment planning, progression, and appropriate episode duration
Experience coaching, training, supervising, or giving feedback to clinicians, including facilitating consultation or education groups
Excellent written communication, including the ability to respond to clinician emails clearly, respectfully, and efficiently
Comfort working with EHRs and digital tools (e.g., Google Workspace, Salesforce)
Preferred
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
Familiarity working with or for health plans, managed care organizations, or value-based care programs (e.g., Kaiser Permanente)
1+ year experience in high growth startup environment
Experience with measurement-informed care and comfort working with data (e.g., outcome measures, utilization trends) to inform clinical decisions and provider coaching
Experience carrying out new programs, pilots, or initiatives in an evolving environment, and sharing structured feedback to improve them
Experience using, or openness to using, AI tools to improve efficiency and support clinical review and provider communication workflows
