Nurse Clinical Annotator - Remote in US

About the role

The Registered Nurse Clinical Annotator supports the development of AI models for prior authorization processes. This role requires clinical expertise to interpret, annotate, and validate medical documentation.

Responsibilities

• Reviews medical records and interprets clinical documentation with accuracy and clinical judgment
• Applies guideline-based criteria to annotate, categorize, and label case data used for AI model training
• Ensures annotations are clinically sound, consistent, and aligned with established utilization management (UM) guidelines
• Contributes to the development of high-quality training datasets that support safe and effective AI model performance
• Identifies gaps, ambiguities, or inconsistencies in documentation and escalates issues as needed
• Participates in refinement and continuous improvement of annotation guidelines, clinical rules, and workflows
• Collaborates with cross-functional teams including data science, clinical operations, and product teams to ensure clinical accuracy and operational relevance of labeled data
• Supports testing, validation, and quality review activities for AI-supported UM tools and workflows
• Maintains detailed documentation of annotation decisions, rationales, and guideline interpretations
• Upholds clinical, ethical, and regulatory standards in all aspects of data handling, patient information, and annotation workflows

Requirements

• Active, unrestricted RN license
• 3+ years of recent clinical experience in acute care, case management, utilization management, or a related clinical specialty
• Solid understanding of clinical documentation, medical terminology, and evidence-based practice
• Experience applying guideline-based criteria (e.g., InterQual, MCG) in clinical review or UM workflows
• Ability to interpret medical records and determine clinical appropriateness using structured criteria
• Proficiency with electronic medical records (EMR) and comfort navigating multiple clinical systems
• Familiarity with HIPAA requirements, data privacy standards, and safe handling of patient information
• Demonstrated experience performing clinical prior authorization reviews across diverse service categories, including medical/surgical procedures, diagnostic imaging, DME and related supplies, specialty therapies/devices, and other utilization management areas aligned to health plan medical policy
• Experience collaborating with cross-functional teams (clinical, data science, operations)
• Experience with data labeling, clinical data annotation, or AI/ML workflows
• High level of accuracy, attention to detail, and commitment to consistent, high-quality annotations
• Solid analytical thinking, clinical reasoning, and ability to identify gaps or inconsistencies in documentation
• Effective written communication skills, with the ability to clearly document annotation decisions and rationales
• Curiosity and willingness to learn emerging technologies, AI-supported workflows, and evolving guidelines

Qualifications

• Bachelor of Science in Nursing (BSN)
• Experience with data labeling, clinical data annotation, or AI/ML workflows
• High level of accuracy, attention to detail, and commitment to consistent, high-quality annotations
• Solid analytical thinking, clinical reasoning, and ability to identify gaps or inconsistencies in documentation
• Effective written communication skills, with the ability to clearly document annotation decisions and rationales
• Curiosity and willingness to learn emerging technologies, AI-supported workflows, and evolving guidelines

Skills

• Strong clinical judgment and interpretation skills
• Proficiency with electronic medical records (EMR)
• Experience with data labeling and annotation
• Understanding of AI/ML workflows
• Attention to detail and accuracy
• Effective written communication skills
• Ability to collaborate with cross-functional teams
• Curiosity and willingness to learn new technologies

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401(k) contribution

Pay

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

Schedule

The role offers the flexibility to work remotely from anywhere within the U.S.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401(k) contribution

Pay Range

The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.