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Clinical Review Analyst Jobs (NOW HIRING)

G-TECH Services

RN-Clinical Review Analyst

Detroit, MI · On-site

$33 - $34/hr

Two (2) to three (3) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc. * Demonstrated clinical knowledge and ...

OI Infusion

Clinical Review Pharmacist

$100K - $130K/yr

Clinical Review Pharmacist About the Company Launched in 2018, OI Infusion aims to improve the ... analysis through appeal or peer-to-peer support. The right candidate does not simply check boxes ...

OI Infusion

Clinical Review Pharmacist

$100K - $130K/yr

Position Summary The Clinical Review Pharmacist is the quality gate that ensures every infusion ... analysis through appeal or peer-to-peer support. The right candidate does not simply check boxes ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · Remote

$65K - $75K/yr

... analytics to help businesses innovate, scale, adapt and build resilience in a world defined by ... Performs clinical reviews according to the policies and procedures of HealthHelp within the ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · On-site +1

$65K - $75K/yr

... analytics to help businesses innovate, scale, adapt and build resilience in a world defined by ... Performs clinical reviews according to the policies and procedures of HealthHelp within the ...

divvyDOSE

IBR Clinical Review RN

$29 - $52/hr

Clinical Review Clinician Optum is a global organization that delivers care, aided by technology ... Complete analysis of billing and departmental guidelines * Participate as needed in the achievement ...

UMR

IBR Clinical Review RN

$29 - $52/hr

Clinical Review Clinician Optum is a global organization that delivers care, aided by technology ... Complete analysis of billing and departmental guidelines * Participate as needed in the achievement ...

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Clinical Review Analyst information

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How much do clinical review analyst jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for clinical review analyst in the United States is $39.80, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $45.67 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a clinical review analyst?

To thrive as a Clinical Review Analyst, you need a strong background in healthcare, medical terminology, and case review, often supported by a clinical degree or relevant certification such as RN, LPN, or coding credentials. Familiarity with utilization management software, electronic health records (EHR), and medical coding systems like ICD-10 and CPT is usually required. Attention to detail, analytical thinking, and effective communication are critical soft skills for accurately assessing medical records and collaborating with providers. These skills ensure quality, compliance, and effective decision-making in the review and authorization of clinical services.

What is a clinical review analyst?

Clinical Review Analysts are healthcare professionals who evaluate medical records, treatment plans, and claims to ensure they meet established guidelines and standards. They work for insurance companies, hospitals, or healthcare organizations, reviewing clinical documentation to determine the necessity and appropriateness of medical services. Their role is crucial in ensuring that patients receive proper care while also managing healthcare costs and compliance. Clinical Review Analysts often collaborate with medical providers and may provide recommendations for care improvement or denial of claims when necessary.

What are some common challenges faced by clinical review analysts, and how can they be effectively managed?

Clinical Review Analysts often encounter challenges such as interpreting complex medical records, keeping up with evolving healthcare regulations, and balancing caseloads with tight deadlines. Effective management of these challenges involves staying current with industry guidelines, leveraging electronic health record (EHR) systems for efficient data retrieval, and collaborating closely with medical professionals to clarify clinical details. Strong organizational skills and ongoing professional development can also help analysts maintain accuracy and compliance in their reviews.
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Clinical Review Analyst jobs near you
Infographic showing various Clinical Review Analyst job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 60% In-person, and 40% Remote job distribution, with an average salary of $82,791 per year, or $39.8 per hour.

RN-Clinical Review Analyst

G-TECH Services

Detroit, MI • On-site

$33 - $34/hr

Contractor

Medical, Dental, Vision, Life, PTO

Re-posted 26 days ago

Job description

Fully remote- Must have state of MI unrestricted RN license.

You will perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members

  • May establish care plans and coordinate care through the health care continuum including member outreach assessments


Important QUALIFICATIONS:

  • Above average computer skills (Microsoft office)
  • Clinical experience in ICU, ER, or medical surgical unit preferred
  • Prefer utilization management experience


Additional Qualifications:

  • Two (2) to three (3) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc.
  • Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes
  • One (1) year health insurance plan experience or managed care environment preferred


Education/Certification:

  • Bachelor’s degree in nursing, allied health, business, or related field preferred
  • Registered Nurse with current unrestricted Michigan Registered Nurse license required

Company Description

Why work at G-Tech?
G-Tech is a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work at G-Tech, not only do you get health and dental benefits, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today!

G-Tech is an Equal Opportunity Employer (EOE), all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
By submitting your application, you acknowledge that recruiting technologies, including AI-assisted tools, may be used to support candidate evaluation, sourcing, matching, and communications.