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Senior Medical Scribe creates SOAP notes, H&P documentation, and patient charts for healthcare providers while managing clinical records across multiple systems.
APPLICATION INSTRUCTIONS: If you’ve already completed the 20four7VA Recruiting Process—including the Final Interview—or have previously been contracted by a 20four7VA Client, please make sure to apply via the 20four7VA Team Portal for faster processing. Use any valid email address to log in.
If you’ve just logged in to the Team Portal, please proceed to review the Independent Contractor Opportunity outlined below.
💡 Quick Tip: Upload your resume first—this will automatically populate most of the fields in the application form. Let the magic happen!
If you’re interested in this opportunity, click APPLY TO POSITION to proceed.
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20four7VA is seeking offshore independent contractors to deliver remote services to clients worldwide, with a primary focus on developed markets such as the United States, the United Kingdom, Canada, and Australia.
A Nurse Practitioner serving multiple skilled nursing facilities is seeking a highly detail-oriented Medical Scribe & Clinical Documentation Virtual Assistant to assist with patient charting, SOAP note creation, H&P documentation, and medical record review.
The VA will support the provider by gathering patient information from multiple systems, reviewing prior patient documentation, organizing clinical information, and preparing comprehensive patient notes for provider review.
This role requires strong medical terminology knowledge, familiarity with healthcare documentation, and the ability to understand clinical information well enough to create accurate patient notes and assessments.
The ideal candidate will have prior experience as a Medical Scribe, Nurse VA, Physician Assistant Support VA, Medical Documentation Specialist, or similar healthcare support role.
The objective of each engagement is to assist the client in improving business efficiency, enhancing service delivery, or supporting operational functions through high-quality, task-specific services rendered by a qualified contractor.
Contractors will be required to provide services that align with the following client tasks:
Create and update SOAP notes for follow-up patient visits
Prepare H&P (History & Physical) notes for new patient admissions
Review prior patient documentation and update notes accordingly
Draft assessment and plan sections based on provider documentation and chart review
Ensure documentation is accurate, organized, and clinically appropriate
Access PointClickCare and other EHR systems to gather:
Vital signs
Medication lists
Recent laboratory results
Medical history
Surgical history
Relevant patient information
Organize and incorporate clinical data into patient documentation
Access provider dictation and notes through Doximity
Review provider observations and clinical comments
Translate dictation into professional medical documentation
Incorporate provider findings into completed patient notes
Access shared patient note repositories
Retrieve previous patient notes from shared folders
Copy and update existing documentation templates as appropriate
Maintain organized patient records and documentation workflows
Follow established documentation standards and templates
Ensure consistency across patient records
Assist with identifying missing information and documentation gaps
Support provider review workflows by preparing notes in advance whenever possible
Each engagement is based on a defined scope of work and is governed by an independent contractor agreement. Services must be performed professionally, with adherence to any timelines, guidelines, and deliverables agreed upon in writing.
The Contractor must demonstrate proficiency in the following, depending on the Client’s requirements:
Prior experience as a Medical Scribe, Healthcare VA, Medical Documentation Specialist, Nurse VA, or similar role
Strong understanding of SOAP notes and clinical documentation
Experience creating H&P (History & Physical) notes preferred
Familiarity with PointClickCare strongly preferred
Experience reviewing patient charts and medical records
HIPAA knowledge required
Prior experience supporting Nurse Practitioners strongly preferred
Clinical background
Strong attention to detail and documentation accuracy
PointClickCare (Preferred)
Doximity
Microsoft OneDrive
Microsoft Teams
Electronic Health Record (EHR) Systems
Medical Documentation Platforms
HIPAA compliance required
Must sign confidentiality and healthcare privacy agreements
Must follow all patient privacy and data protection standards
Secure credential management will be provided through 20four7VA’s IT team and Keeper password management system
VA will access medical systems through approved secure access procedures only
Note: The Company will make reasonable efforts to align the Assigned VA’s schedule with the Client’s preferred hours as set forth above. However, availability may vary based on time zones, capacity, and the contracted hours set in this SOW. Any changes must be mutually agreed to in writing through a revised SOW.
Physician collaborates with Nurse Practitioners to provide remote clinical support for Nevada Medicaid and Medicare patients.
Provides telehealth therapy sessions to clients during evening and weekend hours on a fee-for-service basis.
Leads a pharmacovigilance team managing adverse event case processing, oversees workflow distribution, maintains KPIs, and performs case quality control reviews.
Board-certified Nurse Practitioner provides clinical care in urgent care settings with multi-state licensure and expertise in improving healthcare access.
Clinical nurse conducting medical necessity reviews, preparing compliant member/provider communications, and supporting utilization management operations for a health plan.
Opportunity Overview:
The Clinical Review & Correspondence Nurse plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications. In collaboration with Medical Directors and cross-functional partners, this role ensures that clinical decisions are evidence-based, align with regulatory and accreditation standards, and are communicated effectively and timely. Through precise clinical review and documentation, you will help support high-quality care, regulatory compliance, and improved member outcomes.
What you’ll do:
What you’ll need:
Important to know about this role:
Pay & Perks:
💻 Fully remote opportunity with about 5% travel
🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program
📈 401K retirement plan with company match; flexible spending and health savings account
🏝️Up to 184 hours (23 days) of PTO per year + company holidays
👶 Up to 14 weeks of paid parental leave
🐶 Pet insurance
The salary range for this position is $31.00 - $35.00/hour; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.
Interview Process*:
*Subject to change
About Cohere Health:
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.
The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.
We can’t wait to learn more about you and meet you at Cohere Health!
Equal Opportunity Statement:
Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal.
#LI-Remote
#BI-Remote
Clinical review nurse conducts medical necessity reviews, prepares compliant clinical determinations, and manages member/provider communications in utilization management.
Opportunity Overview:
The Clinical Review & Correspondence Nurse plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications. In collaboration with Medical Directors and cross-functional partners, this role ensures that clinical decisions are evidence-based, align with regulatory and accreditation standards, and are communicated effectively and timely. Through precise clinical review and documentation, you will help support high-quality care, regulatory compliance, and improved member outcomes.
What you’ll do:
What you’ll need:
Important to know about this role:
Pay & Perks:
💻 Fully remote opportunity with about 5% travel
🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program
📈 401K retirement plan with company match; flexible spending and health savings account
🏝️Up to 184 hours (23 days) of PTO per year + company holidays
👶 Up to 14 weeks of paid parental leave
🐶 Pet insurance
The salary range for this position is $31.00 - $35.00/hour; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.
Interview Process*:
*Subject to change
About Cohere Health:
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.
The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.
We can’t wait to learn more about you and meet you at Cohere Health!
Equal Opportunity Statement:
Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal.
#LI-Remote
#BI-Remote
Evaluates clinical, biomedical, or pharmaceutical research and assessments as an expert reviewer.
Evaluates clinical, biomedical, or pharmaceutical research and outcomes as an expert assessor.
Evaluates clinical, biomedical, or pharmaceutical research and assessments as a subject matter expert.
Clinical Research Associate oversees study site management, ensures regulatory compliance, and maintains data quality across clinical trial execution.
Precision for Medicine is not your typical CRO. At Precision for Medicine we have brought together new technologies, expertise and operational scale to help the life sciences improve the speed, cost and success rate of bringing life-changing therapies to patients. What sets us apart is the way we integrate clinical trial execution with deep scientific knowledge, laboratory expertise and advanced data sciences. We have a strong focus on Oncology and Rare Disease.
Precision for Medicine is looking for a Senior/Clinical Research Associate.
Position Summary:
The CRA provides overall support to study sites and clinical project teams engaged in clinical research studies. Adheres to applicable protocols, standard operating procedures (SOPs) and all applicable guidelines and regulatory requirements (e.g., International Council for Harmonization (ICH) -Good Clinical Practice (GCP), Good Pharmacoepidemiology Practice (GPP), and country/region-specific regulations). Acts as point of contact for study sites. The CRA is a solid team member who can execute all core responsibilities consistently across several studies using independent judgment and critical thinking. Individual works independently as study team member with minimum support in complex activities.
Essentials functions of the job included but not limited to:
Qualifications:
Minimum Required:
Other required:
Preferred:
Competencies:
We invite you to learn more about our growing organization serving our clients that are researching ground breaking cancer therapies. We strive to ensure employees feel appreciated for the contributions they make every single day. You will provide input and have your ideas valued and nurtured, impacting positive change for the company.
Any data provided as a part of this application will be stored in accordance with our Privacy Policy. For CA applicants, please also refer to our CA Privacy Notice.
Precision Medicine Group is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristics protected by law.
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Precision Medicine Group at QuestionForHR@precisionmedicinegrp.com.
It has come to our attention that some individuals or organizations are reaching out to job seekers and posing as potential employers presenting enticing employment offers. We want to emphasize that these offers are not associated with our company and may be fraudulent in nature. Please note that our organization will not extend a job offer without prior communication with our recruiting team, hiring managers and a formal interview process.
Senior Clinical Research Associate oversees clinical trial site management, ensures regulatory compliance, manages patient safety and data quality, and coordinates with study teams across multiple sites.
Precision for Medicine is not your typical CRO. At Precision for Medicine we have brought together new technologies, expertise and operational scale to help the life sciences improve the speed, cost and success rate of bringing life-changing therapies to patients. What sets us apart is the way we integrate clinical trial execution with deep scientific knowledge, laboratory expertise and advanced data sciences. We have a strong focus on Oncology and Rare Disease.
Precision for Medicine is looking for a Senior/Clinical Research Associate.
Position Summary:
The CRA provides overall support to study sites and clinical project teams engaged in clinical research studies. Adheres to applicable protocols, standard operating procedures (SOPs) and all applicable guidelines and regulatory requirements (e.g., International Council for Harmonization (ICH) -Good Clinical Practice (GCP), Good Pharmacoepidemiology Practice (GPP), and country/region-specific regulations). Acts as point of contact for study sites. The CRA is a solid team member who can execute all core responsibilities consistently across several studies using independent judgment and critical thinking. Individual works independently as study team member with minimum support in complex activities.
Essentials functions of the job included but not limited to:
Qualifications:
Minimum Required:
Other required:
Preferred:
Competencies:
We invite you to learn more about our growing organization serving our clients that are researching ground breaking cancer therapies. We strive to ensure employees feel appreciated for the contributions they make every single day. You will provide input and have your ideas valued and nurtured, impacting positive change for the company.
Any data provided as a part of this application will be stored in accordance with our Privacy Policy. For CA applicants, please also refer to our CA Privacy Notice.
Precision Medicine Group is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristics protected by law.
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Precision Medicine Group at QuestionForHR@precisionmedicinegrp.com.
It has come to our attention that some individuals or organizations are reaching out to job seekers and posing as potential employers presenting enticing employment offers. We want to emphasize that these offers are not associated with our company and may be fraudulent in nature. Please note that our organization will not extend a job offer without prior communication with our recruiting team, hiring managers and a formal interview process.
Provides medical nutrition therapy and dietetic support to patients receiving home infusion services.
Leads and oversees a telehealth physician program, conducting virtual patient visits and providing clinical oversight, training, and quality assurance for a growing clinical team.
Wider Circle is a mission-driven healthcare organization working to improve health outcomes for older adults and complex populations by addressing social and clinical barriers to care. Through trusted relationships and community-based support, we partner with health plans and local organizations to help members navigate healthcare, stay engaged in care, and live healthier lives.
We are launching a permanent clinical program that integrates physicians, care navigators, and community support teams to create a coordinated, human approach to care — and we’re looking for a physician leader to help build it.
We are seeking a multi-state licensed physician to serve as our Telehealth Physician Lead, providing clinical oversight, quality assurance, and hands-on leadership for our growing telehealth care program. Reporting to the VP of Care Delivery, you will own clinical execution and iteration — conducting virtual visits, leading, training and overseeing a team of physicians, and continuously refining workflows to ensure high-quality, coordinated care.
This is a hybrid clinical-leadership role: part practicing telehealth physician, part program builder. You’ll see patients yourself, facilitate community-based appointments, and set the standard for how our clinical team operates. After initial visits, ongoing support is provided by a care team including Community Health Workers and Licensed Clinical Social Workers, allowing clinicians to focus on clinical guidance rather than longitudinal case management.
This role is ideal for physicians interested in innovative care delivery, telehealth, community health, and population health models that extend beyond traditional office-based practice.
As a venture-backed company, Wider Circle offers competitive compensation, including:
This isn’t a traditional panel-based practice, and it isn’t a pure administrative role either. You’ll practice telehealth, oversee other physicians, and help shape a new model of community-based care for vulnerable populations — all while a dedicated support team carries out the ongoing engagement.
If you’re a physician who wants to improve care for vulnerable populations while building something new in a flexible, innovative care model, we’d love to connect.
Board certified forensic pathology physician reviews disability cases and provides expert medical opinions.
Manages nutrition care for critically ill patients, including enteral and parenteral nutrition support in a hospital setting.
Board certified allergy-immunology physician reviews disability cases and medical documentation for peer review.
Medical safety director oversees adverse event review, pharmacovigilance, and regulatory safety documentation for pharmaceutical products in clinical trials and post-market surveillance.
Emergency radiologist provides overnight diagnostic imaging coverage across all modalities for acutely ill and injured patients in a high-volume hospital setting.
Emergency radiologist interprets diagnostic imaging studies (X-ray, CT, MRI) for acutely ill patients on overnight shifts with flexible 8-10 hour shift options.