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Clinical Reviewer Physical Therapy Remote Jobs (NOW HIRING)

Comagine

Clinical Reviewer

This is a remote position based in Oregon and travel is required. Why Comagine Health? Comagine ... Master's in physical or occupational therapy OR Master's in psychology, counseling, or social work ...

Comagine

Clinical Reviewer (PT or OT-Licensed)

$60K - $81K/yr

Comagine Health is seeking remote Clinical Reviewers (Licensed Physical Therapist or Occupational Therapist) to support workers' compensation therapy reviews, with one full-time opening and one PRN ...

Virtix Health LLC

Clinical Quality Reviewer

Clinical Reviewer The Clinical Reviewer supports the WISeR Prior Authorization Program by ... PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with ...

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Virtix Health LLC

Clinical Quality Reviewer

This position is REMOTE within US Only - Equipment provided Required Schedule: Monday - Friday, 8 ... PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with ...

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Clinical Reviewer Physical Therapy Remote information

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$65.5K

$94.1K

$110.5K

How much do clinical reviewer physical therapy remote jobs pay per year?

As of Aug 24, 2026, the average yearly pay for clinical reviewer physical therapy remote in the United States is $94,138.00, according to ZipRecruiter salary data. Most workers in this role earn between $87,000.00 and $100,500.00 per year, depending on experience, location, and employer.

What is a clinical reviewer in physical therapy (remote)?

A Clinical Reviewer in Physical Therapy (Remote) is a licensed physical therapist who evaluates medical records and treatment plans to ensure they meet clinical guidelines and insurance requirements. They typically work from home, reviewing cases submitted by healthcare providers, and make determinations about the medical necessity and appropriateness of physical therapy services. Clinical reviewers play a key role in managing healthcare costs and ensuring patients receive evidence-based care. They often collaborate with providers, insurance companies, and utilization management teams.

What are the key skills and qualifications needed to thrive as a clinical reviewer in physical therapy (remote)?

To thrive as a Clinical Reviewer in Physical Therapy (Remote), you need a valid physical therapy license, strong clinical assessment skills, and a solid understanding of rehabilitation protocols and medical terminology. Familiarity with electronic health record (EHR) systems, utilization management platforms, and relevant certification such as URAC or CCM is often required. Excellent written communication, critical thinking, and attention to detail are essential soft skills for reviewing clinical documentation and collaborating remotely. These skills ensure accurate, evidence-based review of cases, compliance with regulatory standards, and effective remote teamwork for optimal patient outcomes.

What are some common challenges remote clinical reviewers in physical therapy face, and how can they be addressed?

Remote Clinical Reviewers in Physical Therapy often encounter challenges such as maintaining effective communication with interdisciplinary teams, managing a consistent workflow without in-person oversight, and staying updated on evolving clinical guidelines. To address these, it's important to leverage secure virtual collaboration tools, establish regular check-ins with colleagues, and participate in ongoing professional development. Developing strong self-management skills also helps ensure timely and accurate case reviews while working independently from home.

What is the difference between Clinical Reviewer Physical Therapy Remote vs Physical Therapist?

AspectClinical Reviewer Physical Therapy RemotePhysical Therapist
Required CredentialsLicensure in physical therapy, clinical experience, sometimes certification in case reviewState licensure, Doctor of Physical Therapy (DPT) degree, clinical experience
Work EnvironmentRemote, administrative setting, reviewing cases and documentationClinical settings, hospitals, outpatient clinics, direct patient care
Employer & Industry UsageInsurance companies, healthcare organizations, telehealth servicesHospitals, clinics, private practices, outpatient centers

The main difference is that Clinical Reviewer Physical Therapy Remote focuses on reviewing cases and documentation remotely, often without direct patient contact, while a Physical Therapist provides hands-on patient care in clinical settings. Both roles require licensure and clinical experience, but their work environments and daily tasks differ significantly.

How to become a clinical reviewer physical therapy remote?

To become a remote clinical reviewer in physical therapy, candidates typically need a valid physical therapy license, relevant clinical experience, and strong knowledge of medical documentation and insurance policies. Many roles also require familiarity with electronic health records (EHR) systems and good analytical skills. Certification in case management or related areas can enhance job prospects.
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Cities with the most Clinical Reviewer Physical Therapy Remote job openings:

What states have the most Clinical Reviewer Physical Therapy Remote jobs?

States with the most job openings for Clinical Reviewer Physical Therapy Remote jobs include:

What job categories do people searching Clinical Reviewer Physical Therapy Remote jobs look for?

The top searched job categories for Clinical Reviewer Physical Therapy Remote jobs are:

Clinical Reviewer Physical Therapy Remote jobs near you
Infographic showing various Clinical Reviewer Physical Therapy Remote job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $94,138 per year, or $45.3 per hour.

Medical Reviewer (Physical Therapist) - Remote CA

Gainwell Technologies LLC

West Sacramento, CA • Remote

$85K - $100K/yr

Full-time

Medical, Life, Retirement, PTO

Posted yesterday

New

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 82 frontline employees who took The Breakroom Quiz

139th of 246 rated software companies

Job description

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

Gainwell Technologies is seeking a Medical Reviewer (Physical Therapist) to provide clinical expertise supporting Medical Review Services for California healthcare programs. In this role, you will review therapy-related medical records, claims, Treatment Authorization Requests (TARs), treatment plans, and supporting documentation to help ensure services meet applicable clinical, coverage, and program requirements.

Your role in our mission
  • Review physical therapy-related medical records, claims, Treatment Authorization Requests (TARs), treatment plans, and supporting documentation.
  • Evaluate requested therapy services based on clinical documentation, medical policy, and applicable coverage requirements.
  • Apply professional physical therapy principles and clinical judgment when supporting medical necessity and appropriateness determinations.
  • Review treatment plans and supporting documentation for requested services.
  • Document review findings and clinical rationale accurately and timely.
  • Refer cases requiring additional clinical review to appropriate medical professionals when needed.
  • Collaborate with physicians, nurses, therapists, operations teams, and other healthcare professionals to resolve review questions.
  • Maintain knowledge of applicable physical therapy standards, medical policies, coverage requirements, and regulatory guidelines.
  • Meet established quality, accuracy, productivity, and turnaround-time expectations.
What we're looking for
  • Minimum of three (3) years of experience as a Physical Therapist.
  • Graduation from an accredited school of Physical Therapy.
  • California license to practice Physical Therapy, or eligibility for California licensure.
  • Current professional certification in good standing.
  • Strong clinical judgment and ability to interpret medical records, treatment plans, and therapy-related documentation.
  • Strong written and verbal communication skills.
  • Ability to work independently while collaborating effectively with clinical, operational, and cross-functional teams.
What you should expect in this role
  • Full-time position.
  • Remote work environment.
  • Monday through Friday work schedule.
  • Work primarily from your home office while supporting Medical Review Services for California healthcare programs.
  • Spend the majority of your day reviewing physical therapy-related medical, clinical, claim, authorization, treatment plan, and supporting documentation.
  • Work independently while collaborating with physicians, nurses, therapists, other clinical specialists, operations teams, and business partners.
  • Navigate multiple computer systems and applications to complete reviews, document findings, and support timely determinations.
  • Maintain all professional licenses, certifications, and credentials required for the position in active and good-standing status, as applicable.
  • Maintain knowledge of applicable medical policies, coverage requirements, physical therapy standards, and regulatory guidelines.
  • Meet established quality, accuracy, productivity, and turnaround-time expectations.
  • Receive ongoing training and support related to program requirements, systems, policies, and medical review processes.
  • Travel requirement: 0-10%.

This position is being posted for pipeline purposes, and we welcome applications on an ongoing basis.

#LI-REMOTE

#LI-MA1

The pay range for this position is $85,000 - $100,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

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About Gainwell Technologies

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With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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