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Full Time Remote Clinical Reviewer Jobs in Rochester, NY

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Full Time Remote Clinical Reviewer information

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$23

$35

$45

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

As of Sep 4, 2026, the average hourly pay for full time remote clinical reviewer in Rochester, NY is $35.44, according to ZipRecruiter salary data. Most workers in this role earn between $30.82 and $39.86 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.

What are the key skills and qualifications needed to thrive as a full time remote clinical reviewer?

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.

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 popular job titles related to Full Time Remote Clinical Reviewer jobs in Rochester, NY?

For Full Time Remote Clinical Reviewer jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Full Time Remote Clinical Reviewer jobs in Rochester, NY look for?

The top searched job categories for Full Time Remote Clinical Reviewer jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Full Time Remote Clinical Reviewer jobs?

Cities near Rochester, NY with the most Full Time Remote Clinical Reviewer job openings:

Remote Licensed Clinical Social Worker (LCSW or LCSW-R)

Company Confidential

North Chili, NY โ€ข Remote

Full-time

Medical, Dental, Vision

Posted 16 days ago


Job description

Position Overview

Gotham Enterprises Ltd is actively seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW or LCSW-R) for a full-time remote position. This role offers an exceptional opportunity to make a meaningful difference in the lives of diverse patients and families, all while enjoying the flexibility of working from home.

About the Organization

Gotham Enterprises Ltd is committed to providing outstanding mental health care to the communities we serve. Our ethos centers around compassion, respect, and innovation, empowering our team of professionals to deliver high-quality support while prioritizing their well-being. By joining us, you will become part of a dynamic network that values collaboration and the continuous improvement of mental health services.

Work Environment

This remote role allows you to work from the comfort of your home, eliminating daily commutes and allowing for a healthy work-life balance. Our virtual work environment relies on advanced telehealth technologies, enabling our team to connect seamlessly with patients and collaborate effectively with colleagues. This flexible structure fosters an atmosphere where you can thrive personally and professionally.

Key Responsibilities
  • Conduct thorough clinical assessments utilizing telehealth platforms, creating tailored treatment plans that incorporate best practices and solution-focused interventions.

  • Deliver evidence-based therapeutic interventions such as cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT), customizing these approaches to meet the unique needs of clients in a remote setting.

  • Maintain accurate, secure clinical documentation using electronic health record (EHR) systems, ensuring compliance with regulations and standards across all interactions.

  • Effective collaboration with a multidisciplinary treatment teamโ€”including psychiatrists, psychologists, and fellow social workersโ€”will occur through regular virtual meetings, enhancing the overall quality of care provided.

  • Participate in case consultations and peer review sessions using video conferencing tools to maintain high standards of care.

  • Provide education to patients and their families regarding mental health issues, treatment options, and community resources, leveraging digital tools for effective communication.

  • Stay abreast of the latest mental health research and advancements through virtual conferences and online resources, integrating your findings into your clinical practice.

Patient Population / Client Focus

You will engage with a diverse array of patients, each facing unique mental health challenges. Your role will focus on not only diagnosing and treating various psychological conditions but also ensuring that every patient feels heard and supported in their journey toward mental wellness.

Qualifications
  • A Master's degree in Social Work from an accredited institution.

  • A valid state license to practice as a Licensed Clinical Social Worker (LCSW) or Licensed Specialist Clinical Social Worker (LCSW-R).

  • At least 2 years of clinical experience in providing psychotherapy services.

  • Proven expertise in solution-focused interventions and adaptability in remote service delivery.

  • Exceptional communication and interpersonal skills, critical for building trust and rapport with clients via virtual mediums.

  • Strong problem-solving capabilities with the ability to navigate challenges unique to remote work settings.

  • Proficiency in working both independently and collaboratively within a virtual team structure.

Preferred Experience

Experience in a school setting or with school-age populations is advantageous, as it allows for a deeper understanding of the specific mental health needs and pressures faced by young individuals, enabling you to provide tailored support effectively.

Compensation and Benefits
  • Our competitive salary range is USD 80,000 to 104,000 annually, reflecting the value we place on skilled social work professionals.

  • Our comprehensive benefits package includes medical, dental, and vision insurance to support your well-being.

  • We offer life and disability insurance for peace of mind, as well as malpractice insurance to support your telehealth practice.

  • Access to an employee assistance program provides additional mental health support and counseling services.

Career Growth Opportunities

At Gotham Enterprises Ltd, we invest in the professional development of our staff. Opportunities for continued education, such as attending workshops, webinars, and conferences, are readily available, fostering your growth in the mental health field. We encourage our team members to pursue specialized certifications that can enhance their skill sets and career trajectories.

Why Join Our Team

Joining Gotham Enterprises Ltd means becoming part of a team that genuinely cares about making a difference. We prioritize the professional satisfaction and work-life balance of our employees, understanding that well-supported professionals translate to better care for our patients. If you are looking for a fulfilling role within a supportive and innovative environment, we encourage you to apply.

Application Information

If you are ready to take on this rewarding challenge and join our exceptional team, please submit your resume along with a cover letter detailing your qualifications and why you would be a great fit for this remote Licensed Clinical Social Worker position.