Clinical Review RN (Oncology AI)

TL;DR

Clinical Review RN (Oncology AI): Supporting the clinical validation and audit of AI-driven workflows for oncology reimbursement with an accent on interpreting complex patient records and payer policies. Focus on collaborating with data science and engineering teams to refine clinical decision logic and improve the accuracy of AI-assisted review systems.

Location: Must be based in the US

Salary: $82,400 - $103,000 USD

Company

hirify.global is a global leader in cell-free DNA testing, dedicated to oncology, women’s health, and organ health through personalized genetic diagnostics.

What you will do

• Review complex oncology patient records to determine clinical and payer policy compliance.
• Audit AI-generated clinical determinations and identify trends for automation improvement.
• Serve as an escalation point for cases that cannot be accurately classified by AI workflows.
• Partner with Product, Engineering, and Data Science teams to define clinical decision logic.
• Document findings and recommendations within internal systems like Salesforce and LIMS.
• Participate in validation activities for new AI models and clinical review processes.

Requirements

• Active RN license (state or compact) required.
• 5+ years of oncology nursing experience in clinical, utilization review, or case management settings.
• Strong understanding of cancer biology, treatment pathways, and disease staging.
• Experience reviewing and interpreting medical records and clinical documentation.
• Comfortable working extensively within technology platforms and digital workflows.
• Must be authorized to work in the US.

Nice to have

• Oncology Certified Nurse (OCN) credential.
• Experience with payer policies, prior authorization, or medical necessity review.
• Experience supporting AI, automation, or clinical decision support systems.
• Familiarity with molecular diagnostics, precision medicine, or MRD testing.
• Experience using Salesforce, Epic, or LIMS.

Culture & Benefits

• Comprehensive medical, dental, and vision insurance plans.
• Fertility care benefits and free genetic testing for employees and immediate families.
• Generous pregnancy and baby bonding leave.
• 401k retirement benefits and commuter assistance.
• Collaborative environment working with elite industry professionals in genetic disease management.