Clinical Reviewer

Clinical Reviewer Resume Keywords and Skills (Hard Skills)

Here are the keywords and skills that appear most frequently on recent Clinical Reviewer job postings. In other words, these are the most sought after skills by recruiters and hiring managers. Go to Sample Templates ↓ below to see how to include them on your resume.

Remember that every job is different. Instead of including all keywords on your resume, identify those that are most relevant to the job you're applying to. Use the free Targeted Resume tool to help with this.

Choose a category
  • Clinical Research
  • Healthcare
  • Nursing
  • Hospitals
  • Electronic Medical Record (EMR)
  • Healthcare Management
  • Inpatient Care
  • Patient Safety
  • U.S. Health Insurance Portability and Accountability Act (HIPAA)
  • Utilization Management
  • Quality Improvement
  • Healthcare Information Technology (HIT)
  • Medicine
  • Case Management
  • Medical Terminology
  • Medicare
  • Wellness
  • Clinical Trials
  • Basic Life Support (BLS)
  •   Show full list

Resume Skills: Audit Software

  • TeamMate
  • AuditBoard
  • ACL
  • MKinsight
  • MetricStream

Resume Skills: Techniques

  • Risk-based Auditing
  • Financial Auditing
  • Internal Controls
  • Compliance
  • Regulatory Audits

Resume Skills: Others

  • Medical Coding
  • Clinical Data Analysis
  • Healthcare Regulations
  • HIPAA Compliance

Resume Skills: Reporting

  • Report Writing
  • Analytics
  • MS Office Suite (Word, Excel, PowerPoint, Access)

Resume Skills: Clinical

  • Clinical Research
  • Complex Decision Making
  • Medical Record Review
  • Critical Care
  • Health Care Reforms

Resume Skills: Administrative

  • Data Entry
  • Policy Development
  • Staff Supervision
  • Compliance
  • Billing

Resume Skills: Technical

  • Microsoft Office
  • Electronic Health Records (Epic, Meditech)
  • HIPAA Compliance
  • Database Management
  • Microsoft Office Suite
  • Electronic Health Records (EHR)
  • InterQual Criteria
  • Nurse Triage
  • Medical Coding (ICD-10 & CPT)

Resume Skills: Nursing

  • Patient Advocacy
  • Pain Management
  • Acute Care
  • Clinical Tasks
  • Medication Administration
  • Health Education

Resume Skills: Regulatory & Compliance

  • HIPAA Compliance
  • Risk Management
  • URAC Accreditation
  • JCAHO Standards
  • Patient Confidentiality
  • Health Insurance Portability and Accountability Act (HIPAA)

Resume Skills: Languages

  • English
  • Spanish
  Does your resume contain all the right skills? Paste in your resume in the AI Resume Scan ↓ section below and get an instant score.

Compare Your Resume To These Clinical Reviewer Skills (ATS Scan)

Paste your resume below and our AI will identify which keywords are missing from your resume from the list above (and what you need to include). Including the right keywords will help you get past Applicant Tracking Systems (i.e. resume screeners) which may scan your resume for keywords to see if you're a match for the job.

Sample Clinical Reviewer Resume Examples: How To Include These Skills

Add keywords directly into your resume's work experiences, education or Skills section, like we've shown in the examples below. Use the examples below as inspiration.

Choose a template
Your Name
Clinical Reviewer
City, Country  •  (123) 456-789  •  [email protected]  •  linkedin.com/in/your-profile
EXPERIENCE
United Healthcare Services Inc. January 2023 - Present
Senior Clinical Reviewer
Led a multidisciplinary team in conducting clinical reviews, improving efficiency by 30%.
Initiated quality improvement protocols in line with HIPAA guidelines, achieving a 15% reduction in clinical errors.
Integrated latest Healthcare Information Technology (HIT) trends in review processes, increasing case resolution by 60%.
Played a pivotal part in designing and implementing EMR training programs, accelerating staff adaptability by 50%.
Adopted advanced Inpatient Care practices ensuring improved Case Management, reducing patient recovery time by 40%.
Resume Worded May 2019 - December 2022
Clinical Reviewer
Managed utilization review processes, enhancing care provision efficiency by 25%.
Spearheaded Medicare and wellness programs leading to a 20% increase in patient satisfaction.
Conducted well-structured clinical trials that confirmed the safety and effectiveness of new treatments, reducing time to market by 30%.
Coached.com April 2016 - April 2019
Clinical Review Assistant
Assisted in maintaining patient safety measures that decreased incidents by 35%.
Led EMR system transition, ensuring seamless data integration.
Relayed essential medical terminology during team briefings for better communication.
EDUCATION
Resume Worded Institute May 2015
Master of Public Health (MPH) - Health Administration
High Distinction Honors
Master thesis on implementing efficient clinical reviews
Resume Worded University June 2012
Bachelor of Nursing
Final Project on Patient-Centered Care
Graduated Magna Cum Laude
SKILLS
Clinical Skills: Clinical Research, Complex Decision Making, Medical Record Review, Critical Care, Health Care Reforms
Administrative: Data Entry, Policy Development, Staff Supervision, Compliance, Billing
Technical Skills: Microsoft Office (Expert), Electronic Health Records (Epic, Meditech), HIPAA Compliance, Database Management
OTHER
Certifications: Certified Clinical Research Professional (CCRP - 2021), Registered Nurse (RN - 2012)
Awards: United Healthcare Excellence Awards (2024), Resume Worded Employee of the Year (2020)
Leadership & Volunteering: American Nurses Association (Member), Volunteered in local healthcare camps
Continuing Education: Continued Medical Education (CME) - 50+ hours annually, Health Care Quality and Patient Safety
Your Name
Utilization Review Nurse
City, Country  •  (123) 456-789  •  [email protected]  •  linkedin.com/in/your-profile
EXPERIENCE
Aetna Inc. January 2023 - Present
Senior Utilization Review Nurse
Streamlined the clinical review process, decreasing review time by 25%.
Led a nursing team to implement evidence-based practice guidelines, improving patient outcomes by 30%.
Integrated the EMR system into care plans, enhancing records accuracy by 20%.
Increased the hospital's Medicare rating by diligently reviewing patient services.
Implemented Patient Safety measures that reduced healthcare-associated infections by 40%.
Resume Worded June 2019 - Dec 2022
Utilization Review Nurse
Guaranteed compliance with healthcare management protocols, enhancing service quality by 35%.
Boosted HIPAA adherence, maintaining zero breaches for two consecutive years.
Contributed to a team managing Inpatient Care, reducing resource expenditure by 20%.
Coached.com January 2015 - May 2019
Registered Nurse
Led Basic Life Support (BLS) training, increasing team readiness in emergency scenarios.
Provided vital clinical research data improving study accuracy.
Maintained patient records with clear medical terminology, reducing misunderstandings.
EDUCATION
Resume Worded Institute February 2023
Certified Case Manager (CCM)
Part-time certification acquired while working at Aetna Inc.
Resume Worded University December 2014
Bachelor of Science - Nursing (BSN)
Focus on Integrative Health and Wellness
Awards: Resume Worded Merit Scholarship (Full-ride), Student Nurse of the Year 2014
SKILLS
Technical Skills: Microsoft Office Suite, Electronic Health Records (EHR), InterQual Criteria, Nurse Triage, Medical Coding (ICD-10 & CPT)
Nursing Skills: Patient Advocacy, Pain Management, Acute Care, Clinical Tasks, Medication Administration, Health Education
Regulatory & Compliance: HIPAA Compliance, Risk Management, URAC Accreditation, JCAHO Standards, Patient Confidentiality, Health Insurance Portability and Accountability Act (HIPAA)
Languages: English (Native), Spanish (Conversational)
OTHER
Certifications: Basic Life Support (BLS) Certification, American Heart Association (2023), Advanced Cardiac Life Support (2021)
Awards & Recognition: Nurse of the Year, Aetna Inc., (2024), Excellence in Nursing Practise Award, Resume Worded, (2021)
Professional Affiliations: Member, American Association of Managed Care Nurses (AAMCN), American Nurses Association (ANA)
Volunteer Experience: Medical Volunteer, Local Community Health Camp (2018-present), Volunteer, American Red Cross (2015-2022)
Your Name
Clinical Auditor
City, Country  •  (123) 456-789  •  [email protected]  •  linkedin.com/in/your-profile
EXPERIENCE
Cigna Corporation February 2023 - Present
Senior Clinical Auditor
Corrected clinical coding errors lowering costs by 20%.
Streamlined Quality Improvement process, reducing wastage by 30%.
Trained staff in utilizing Healthcare IT, ensuring 100% compliance.
Led an initiative in Utilization Management that cut unnecessary procedures by 25%.
Designed audits aligning with Medicare regulations, securing a 98% compliance rate.
Resume Worded July 2018 - January 2023
Clinical Auditor
Conducted a detailed audit of clinical trials ensuring procedural accuracy.
Facilitated HIPAA ready security measures maintaining confidentiality of medical records.
Promoted patient wellbeing by proposing data-driven wellness programs.
Coached.com May 2015 - June 2018
Clinical Audit Assistant
Contributed to quality improvement of healthcare services after audit findings.
Improved communication by erecting a medical terminology glossary.
Assisted in maintaining electronic medical records, ensuring data integrity.
EDUCATION
Resume Worded University July 2016
Master's in Healthcare Management
Graduated with Honors, GPA: 3.8/4.0
Resume Worded Academic Center April 2015
Certified Professional in Healthcare Quality (CPHQ)
Completed in addition to full-time role at Coached.com
SKILLS
Audit Software: TeamMate, AuditBoard, ACL, MKinsight, MetricStream
Techniques: Risk-based Auditing, Financial Auditing, Internal Controls, Compliance, Regulatory Audits
Others: Medical Coding, Clinical Data Analysis, Healthcare Regulations, HIPAA Compliance
Reporting: Report Writing, Analytics, MS Office Suite (Word, Excel, PowerPoint, Access)
OTHER
Certifications: Certified Internal Auditor (CIA), Certification in Risk Management Assurance (CRMA)
Leadership & Volunteering: Leader, Local Healthcare Audit Network (2 years), Volunteer, Red Cross (4 years)
Projects: Implemented new auditing software at Cigna Corporation resulting in 20% increased efficiency in audit processes

How do I add skills to a Clinical Reviewer resume?

1
Review the job posting closely.

Go through the Clinical Reviewer posting you're applying to, and identify hard skills the company is looking for. For example, skills like Hospitals, Healthcare and Healthcare Management are possible skills. These are skills you should try to include on your resume.

2
Add industry skills like Clinical Research and Patient Safety.

Add other common skills from your industry - such as Electronic Medical Record (EMR), Inpatient Care and Nursing - into your resume if they're relevant.

3
Add skills into your work experience.

Incorporate skills - like Quality Improvement, Medicare and Case Management - into your work experience too. This shows hiring managers that you have practical experience with these tools, techniques and skills.

4
Use the exact job title.

Try to add the exact job title, Clinical Reviewer, somewhere into your resume to get past resume screeners. See the infographic for how to do this.

Word Cloud for Clinical Reviewer Skills & Keywords

The following word cloud highlights the most popular keywords that appear on Clinical Reviewer job descriptions. The bigger the word, the more frequently it shows up on employer's job postings. If you have experience with these keywords, include them on your resume.

Top Clinical Reviewer Skills and Keywords to Include On Your Resume

Get your Resume Instantly Checked, For Free

Upload your resume and we'll spot the issues in it before an actual Clinical Reviewer recruiter sees it. For free.

Clinical Reviewer Resume Templates

Here are examples of proven resumes in related jobs and industries, approved by experienced hiring managers. Use them as inspiration when you're writing your own resume. You can even download and edit the resume template in Google Docs.

Resume Example
Professional


Resume Example
Highlights (Free)


Resume Example
Modern Two-Column


Resume Example
Clean Modern


Resume Example
Entry-Level (Free)


Resume Example
Concise


Browse Skills from Similar Jobs

Frequently Asked Questions

What skills should you put on a Clinical Reviewer resume?

The most common skills and keywords we found on Clinical Reviewer resumes and job postings were Clinical Research, Healthcare, Nursing, Hospitals, Electronic Medical Record (EMR), Healthcare Management, Inpatient Care and Patient Safety.

Skills like Clinical Trials, Case Management, Quality Improvement, Healthcare Information Technology (HIT) and Medicare also appeared on related job postings.

Target your Resume to a Job Description

While the keywords above are a good indication of what skills you need on your resume, you should try to find additional keywords that are specific to the job. To do this, use the free Targeted Resume tool. It analyzes the job you are applying to and finds the most important keywords you need on your resume.

It is personalized to your resume, and is the best way to ensure your resume will pass the automated resume filters.

Start targeting your resume

© 2024 Resume Worded. All rights reserved.