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Full Time Remote Clinical Reviewer Jobs (NOW HIRING)

RN Clinical Quality Reviewer

Phoenix, AZ ยท Remote

$40 - $43/hr

Job Summary RN Clinical Quality Reviewer TEEMA Full-time Remote | Phoenix, AZ, United States Overview: We are partnering with a leading organization supporting a large-scale federal healthcare ...

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Full Time Remote Clinical Reviewer information

See salary details

$24

$35

$46

How much do full time remote clinical reviewer jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for full time remote clinical reviewer in the United States is $35.92, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $40.38 per hour, depending on experience, location, and employer.

What is a Full Time Remote Clinical Reviewer?

A Full Time Remote Clinical Reviewer is a healthcare professional, often a nurse or physician, who evaluates medical records and clinical documentation from a remote location. Their primary role is to assess the medical necessity, appropriateness, and quality of healthcare services provided to patients, ensuring compliance with regulatory and insurance guidelines. They typically work for insurance companies, healthcare providers, or third-party review organizations. By working remotely, they can access digital medical records and communicate with other healthcare professionals through secure online systems. This role helps improve patient care, streamline billing processes, and reduce unnecessary medical costs.

How does a Full Time Remote Clinical Reviewer typically collaborate with healthcare providers and team members while working remotely?

As a Full Time Remote Clinical Reviewer, you will regularly collaborate with physicians, nurses, and administrative staff through secure digital platforms such as email, video conferencing, and electronic health record (EHR) systems. Effective communication is essential to clarify case details, obtain additional documentation, and ensure reviews meet compliance and quality standards. Despite working remotely, you will often participate in virtual team meetings, case discussions, and ongoing training sessions to stay updated on protocols and best practices.

What is the difference between Full Time Remote Clinical Reviewer vs Part Time Remote Clinical Reviewer?

AspectFull Time Remote Clinical ReviewerPart Time Remote Clinical Reviewer
Work HoursTypically 40 hours/weekLess than 20 hours/week
CertificationsRequired clinical credentials (e.g., RN, LPN, or relevant license)Same as full-time, but flexible scheduling
Work EnvironmentRemote, home-basedRemote, home-based
Employer UsageCommon in healthcare and insurance companiesSimilar, often for supplemental or flexible roles

Full Time Remote Clinical Reviewers work standard hours and are employed full-time, focusing on comprehensive case reviews. Part Time Remote Clinical Reviewers have flexible schedules with fewer hours, often for supplemental work. Both roles require relevant clinical credentials and are performed remotely within healthcare and insurance industries.

What are the key skills and qualifications needed to thrive as a Full Time Remote Clinical Reviewer, and why are they important?

To thrive as a Full Time Remote Clinical Reviewer, you need a solid background in healthcare, clinical assessment, and medical terminology, typically supported by a valid clinical license such as RN, LPN, or similar. Familiarity with utilization management software, electronic health record (EHR) systems, and relevant certifications like URAC or InterQual is often required. Strong attention to detail, critical thinking, and effective written communication are crucial soft skills for this role. These skills ensure accurate clinical evaluations, regulatory compliance, and clear communication in a remote work environment, directly impacting patient outcomes and organizational efficiency.
More about Full Time Remote Clinical Reviewer jobs
What cities are hiring for Full Time Remote Clinical Reviewer jobs? Cities with the most Full Time Remote Clinical Reviewer job openings:
What are the most commonly searched types of Remote Clinical Reviewer jobs? The most popular types of Remote Clinical Reviewer jobs are:
What states have the most Full Time Remote Clinical Reviewer jobs? States with the most job openings for Full Time Remote Clinical Reviewer jobs include:
Infographic showing various Full Time Remote Clinical Reviewer job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 73% Full Time, 17% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $74,707 per year, or $35.9 per hour.
RN Clinical Reviewer / IDR

RN Clinical Reviewer / IDR

Greenlife Healthcare Staffing

Jericho, NY โ€ข Remote

$50/hr

Full-time

Medical, Retirement, PTO

Posted 27 days ago


Job description

RN Clinical Reviewer / IDR - Remoteย (#25310C)

  • Location:ย Remote
  • Employment Type:ย Full-time
  • Hourly Rate:ย $50/hr

About Greenlife Healthcare Staffing:

Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.

Position Overview:

Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Responsibilities, focusing on conducting comprehensive medical-legal reviews and appeals for a respected non-profit organization.

Whyย Join Us?

  • Work Schedule:ย Full-time
  • Professional Growth:ย Gain valuable experience in medical-legal review and dispute resolution
  • Impactful Work:ย Contribute to fair resolution processes in healthcare disputes

Key Responsibilities:

  • Conduct reviews up to and including the appeal level. This includes chart screen, compiling regulatory guidance, researching insurer requirements, completing electronic worksheets, and preparing final determinations.
  • Act as a resource for the administrative and clinical staff in training, problem-solving, and clarifying determinations. Will provide technical assistance and conduct/participate in staff huddles.
  • Participate in collaborative training
  • Other activities as may be deemed necessary

Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Requirements

Qualifications:

  • Education:ย Baccalaureate degree in Nursing or a graduate of an approved RN program.
  • Licensure:ย Current New York State RN license
  • Experience:ย 
    • Must have at least 3 years of experience in a Med-Legal review setting.
    • Must have 1-3 years of experience in acute care utilization review/ appeals background.
  • Technical Skills:ย Experience with electronic medical records; strong research capabilities
  • Soft Skills:ย Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills

Benefits

  • Competitive Compensation:ย $50/hr.
  • Comprehensive Benefits:
    • 1ย Week of Paid Vacation based on accruals after 3 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment)
    • 6 Major Paid Holidays per year (after 3 months of employment)
    • 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act
    • License Reimbursement after 1 year of employment
    • Health insurance is subject to plan eligibility requirements
    • 401(k) Matching eligibility after 1 year of employment
    • Benefits from Paychex, such as Payactiv
    • GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc.

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About Greenlife Healthcare Staffing

Sourced by ZipRecruiter

Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

New York, NY, US

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