Clinical Clearance Specialist (RN)

Why Charlie Health?

Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.

Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we’re expanding access to meaningful care and driving better outcomes from the comfort of home.

As a rapidly growing organization, we're reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we’d love to meet you.

About the Role

The Clinical Clearance Specialist is a fully remote 1099 contractor role within Charlie Health's Clinical Operations / Admissions function. This RN serves as the dedicated clinical reviewer for escalated admissions cases involving eating disorder (ED) and substance use disorder (SUD) presentations — cases that require nursing-level clinical expertise beyond the independent decision-making scope of the CAT team, but that do not require physician review.

You will own the clearance review queue, interpret labs, vitals, and EKGs, issue timely admission determinations, and serve as the primary clinical bridge between the admissions team and medical leadership.

Responsibilities

Receive, triage, and independently review escalated clinical clearance requests submitted by the CAT/CAA team

Apply nursing clinical judgment to determine admission appropriateness for complex ED and SUD presentations

Review and interpret ED medical clearance labs (electrolytes, CBC, prealbumin, phosphorous, liver function) and integrate findings into clearance determinations

Evaluate EKG findings relevant to ED presentations — bradycardia, QTc prolongation, ST/T wave changes — in context of nutritional and electrolyte status

Assess orthostatic vital signs and recognize hemodynamic instability

Issue timely clearance outcomes (clear for admission or refer out for HLOC) and communicate directly to CATs

Serve as clinical liaison between the CAT team and medical leadership; prepare organized case summaries for physician-level escalations

Track and follow up on pending lab results; coordinate with clients and providers to eliminate admission delays

Maintain the clinical clearance queue in Salesforce; ensure all 'Admission Pending — Clinical Clearance' cases are reviewed promptly

Coordinate MAT-related clearances per state/insurance eligibility criteria; escalate to medical leadership as needed

Identify process gaps and recommend updates to decision trees, templates, and SOPs

Contribute to CAT team training on clinical clearance expectations and escalation criteria

Requirements

Active Registered Nurse (RN) license in good standing; unrestricted licensure required

Minimum 2–3 years of nursing experience; behavioral health, medical-surgical, or eating disorder/SUD-adjacent settings strongly preferred

Working knowledge of ED medical stability criteria: %IBW, percent weight change, BMI thresholds, and refeeding syndrome risk