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Clinical Review Coordinator Remote Jobs (NOW HIRING)

Actalent

Clinical Review Nurse - Remote

$34 - $40/hr

Clinical Review Nurse (Remote) We are seeking a detail-oriented and clinically skilled Clinical Review Nurse to join our team in a fully remote role. The Clinical Review Nurse is responsible for ...

New

DirectMeds

Clinical Care Coordinator - Remote

$30 - $36/hr

Clinical Care Coordinator - Remote Position: Clinical Care Coordinator - Remote Hourly Pay Range: $30-$36 per hour Note: The hourly pay range listed above represents a good-faith estimate of the ...

Miamioh

Application Review Coordinator

Oxford, OH · On-site +1

Job Title Application Review Coordinator Department Admissions Application Review Worker Type ... Remote work is not a right, but a working arrangement that can be modified or revoked by Miami ...

Miami University

Job Title Application Review Coordinator Department Admissions Application Review Worker Type ... Remote work is not a right, but a working arrangement that can be modified or revoked by Miami ...

Corrohealth

PRN Clinical Review Nurse (RN)

This is a remote position. ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and ... Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ...

CorroHealth

PRN Clinical Review Nurse (RN)

This is a remote position. ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and ... Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ...

HealthHelp

Nurse - Clinical Review

$65K - $75K/yr

Nurse - Clinical Review Performs utilization review of cases to determine if the request meets ... Remote Benefits - Medical, Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

New

WNS

Nurse - Clinical Review

$65K - $75K/yr

Nurse - Clinical Review Performs utilization review of cases to determine if the request meets ... Remote Benefits - Medical, Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · On-site +1

$65K - $75K/yr

... Performs clinical reviews according to the policies and procedures of HealthHelp within the ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

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Clinical Review Coordinator Remote information

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How much do clinical review coordinator remote jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for clinical review coordinator remote in the United States is $28.65, according to ZipRecruiter salary data. Most workers in this role earn between $20.67 and $34.13 per hour, depending on experience, location, and employer.

What does a clinical review coordinator do when working remotely?

A Clinical Review Coordinator working remotely is responsible for reviewing medical records, insurance claims, and clinical documentation to ensure that healthcare services meet established guidelines and regulatory requirements. They typically collaborate with healthcare providers, insurance companies, and patients to verify the necessity and appropriateness of medical treatments. Remote coordinators use secure systems to access records, make determinations based on clinical criteria, and document their findings efficiently. The role requires a strong understanding of medical terminology, regulatory standards, and excellent communication skills.

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

To thrive as a Clinical Review Coordinator (Remote), you generally need a background in nursing or healthcare, clinical review experience, and relevant licensure such as an RN or LPN/LVN. Familiarity with utilization management software, electronic medical records (EMRs), and knowledge of regulatory guidelines like Medicare and Medicaid are typically required. Strong organizational skills, attention to detail, and effective communication are vital soft skills for this role. These abilities ensure accurate case evaluations, compliance with healthcare standards, and effective remote collaboration with healthcare teams.

What are the typical challenges faced by a clinical review coordinator remote, and how can they be addressed?

As a remote Clinical Review Coordinator, common challenges include maintaining effective communication with healthcare teams, managing time efficiently across multiple case reviews, and ensuring secure access to sensitive patient information. Overcoming these challenges often involves utilizing secure collaboration tools, establishing regular virtual check-ins with colleagues, and staying organized with digital workflow management systems. Building strong relationships with both clinical and administrative staff remotely can also help ensure smooth coordination and timely case resolution.

What is the difference between Clinical Review Coordinator Remote vs Clinical Reviewer?

AspectClinical Review Coordinator RemoteClinical Reviewer
CertificationsTypically requires healthcare-related certifications (e.g., RN, LPN)Often requires similar healthcare credentials, such as RN or medical license
Work EnvironmentRemote, home-based settingCan be remote or onsite, depending on employer
Industry UsageUsed in insurance, healthcare, and managed care companiesCommon in healthcare facilities, insurance, and clinical research
Job FocusCoordinating clinical reviews, managing case documentationPerforming clinical assessments, reviewing patient data

While both roles involve clinical review tasks and healthcare credentials, the Clinical Review Coordinator Remote primarily focuses on coordinating and managing review processes remotely, whereas the Clinical Reviewer often performs direct clinical assessments, which may be onsite or remote. The choice depends on the specific job responsibilities and work environment preferences.

More about Clinical Review Coordinator Remote jobs

What cities are hiring for Clinical Review Coordinator Remote jobs?

Cities with the most Clinical Review Coordinator Remote job openings:

What states have the most Clinical Review Coordinator Remote jobs?

States with the most job openings for Clinical Review Coordinator Remote jobs include:

What job categories do people searching Clinical Review Coordinator Remote jobs look for?

The top searched job categories for Clinical Review Coordinator Remote jobs are:

Clinical Review Coordinator Remote jobs near you
Infographic showing various Clinical Review Coordinator Remote job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $59,597 per year, or $28.7 per hour.

Clinical Review Nurse - Remote

Actalent

Remote

$34 - $40/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

New

Job description

Clinical Review Nurse (Remote)

We are seeking a detail-oriented and clinically skilled Clinical Review Nurse to join our team in a fully remote role. The Clinical Review Nurse is responsible for conducting medical necessity reviews, evaluating clinical documentation, assessing healthcare services, and ensuring compliance with established clinical guidelines, regulatory requirements, and organizational policies.

Key Responsibilities:

  • Perform clinical reviews to determine medical necessity, appropriateness of care, and level of service.
  • Review medical records, provider documentation, treatment plans, and related clinical information.
  • Apply evidence-based guidelines, regulatory standards, and company policies during the review process.
  • Collaborate with physicians, healthcare providers, case managers, and other interdisciplinary teams.
  • Document review findings thoroughly and accurately within designated systems.
  • Identify opportunities to improve quality of care, member outcomes, and cost-effective healthcare delivery.
  • Ensure compliance with federal, state, and accreditation requirements.
  • Participate in audits, quality improvement initiatives, and process enhancements.
  • Maintain productivity, quality, and turnaround-time standards.
  • Stay current on clinical best practices, healthcare regulations, and review criteria.

Required Qualifications:

  • Active, unrestricted compact Registered Nurse (RN) license in good standing.
  • Associate's or Bachelor's degree in Nursing.
  • 2+ years of experience in Utilization Management
  • Experience with Medicare, Medicaid, Commercial Health Plans, or Managed Care programs.
  • Knowledge of InterQual, MCG, or other clinical decision-support guidelines.

Job Type & Location:

This is a Contract to Hire position based out of St. Louis, MO.

Pay and Benefits:

The pay range for this position is $34.00 - $40.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type:

This is a fully remote position.

Application Deadline:

This position is anticipated to close on Aug 31, 2026.

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About Actalent

Sourced by ZipRecruiter

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We're supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.

Company size

5,001 - 10,000 Employees

Headquarters location

Hanover, MD, US

Year founded

1983

Social media

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