Position Summary
We are seeking a detail-oriented Documentation Writer to support the development, completion, revision, and ongoing maintenance of high-quality clinical and service-planning documentation.
The primary responsibility of this position is to develop individualized, person-centered, clinically appropriate documentation using information obtained from clinical assessments, service authorizations, treatment recommendations, client interviews, care team input, and other supporting records.
This is a fully remote position. No prior documentation writing experience is required—we provide full training and support to help you succeed.
Primary Responsibilities
You will:
• Develop and revise clinical documentation based on individual assessments, diagnoses, strengths, needs, preferences, risks, and goals• Review clinical assessments, diagnostic information, previous documentation, and service recommendations before developing plans• Translate assessment findings into individualized goals, measurable objectives, interventions, and desired outcomes• Write person-centered statements using language that reflects the client’s voice, preferences, and level of understanding• Ensure goals and interventions directly correspond to identified needs and services• Update documentation when an individual’s condition, needs, goals, services, or circumstances change significantly• Obtain required signatures, dates, and supporting documentation• Identify missing, inconsistent, or insufficient information and communicate with team members for clarification• Collaborate with clinical staff and care team members when additional information is required• Complete documentation within established deadlines• Maintain accurate documentation in designated systems• Participate in training, quality improvement activities, and chart reviews as needed• Maintain compliance with confidentiality requirements, agency policies, and regulatory standards
Documentation Standards
All documentation must be:
• Person-centered and individualized (never copied or pasted between clients)• Measurable with observable indicators of progress• Supported by information in assessments and clinical records• Consistent across all applicable documents• Completed on time according to deadlines• Clear and thorough enough to withstand quality reviews
Skills/Background Needed
The successful candidate must demonstrate:
• Excellent writing and communication skills• Strong attention to detail• Ability to identify inconsistencies in documentation• Ability to transform clinical information into clear, person-centered language• Strong organization and time-management skills• Ability to manage multiple deadlines simultaneously• Professional communication with team members• Understanding of confidentiality and privacy requirements• Ability to receive feedback and make timely corrections• Ability to work independently while meeting quality standards
Preferred Experience
The following experience is preferred but not required:
• Previous experience writing service plans or clinical documentation• Knowledge of behavioral health diagnoses and functional impairments• Experience with electronic health record systems• Familiarity with creating measurable goals• Experience in a healthcare, mental health, or social services setting
Contract Length
Part-time, with potential to increase hours based on performance.
Rate
Competitive entry-level pay, details shared upon application.
Location
Fully remote. Open to applicants worldwide.
Why Apply
You will work with a compassionate team dedicated to supporting individuals in their mental health and recovery journey. We provide full training, professional development support, and a collaborative environment where your work directly impacts meaningful client care.
Ready to get started? Submit your application below.