ZipRecruiter

Log In

1

Medical Case Reviewer Jobs (NOW HIRING)

Catholic Charities

Medical Case Manager

Madison, WI

$22.74/hr

The Medical Case Manager is responsible for coordinating and managing appropriate services as they ... Obtains and reviews lists of prescribed medications along with signed medication orders from client ...

company1254

Medical Case Manager

Madison, WI · On-site

$22.74/hr

The Medical Case Manager is responsible for coordinating and managing appropriate services as they ... Obtains and reviews lists of prescribed medications along with signed medication orders from client ...

Key Works

Medical Case Manager

Seattle, WA · On-site

$27 - $30/hr

Review After Visit Summaries (AVS) and Primary Care Provider (PCP) recommendations with Medical Officer and the General Case Manager * Provide telehealth support and assistance to patients as needed ...

Crawford and Company

Medical Case Manager

Orlando, FL · On-site

$53K - $98K/yr

Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual's medical status, identifies needs and obstacles to medical case resolution and RTW by ...

Key Works

Medical Case Manager

Seattle, WA

$27 - $30/hr

Review After Visit Summaries (AVS) and Primary Care Provider (PCP) recommendations with Medical Officer and the General Case Manager * Provide telehealth support and assistance to patients as needed ...

next page

Showing results 1-20

All JobsMedical Case Reviewer Jobs

Medical Case Reviewer information

See salary details

$15

$27

$50

How much do medical case reviewer jobs pay per hour?

As of Jul 23, 2026, the average hourly pay for medical case reviewer in the United States is $27.89, according to ZipRecruiter salary data. Most workers in this role earn between $21.15 and $31.25 per hour, depending on experience, location, and employer.

What are some common challenges faced by Medical Case Reviewers in balancing accuracy with productivity?

Medical Case Reviewers often navigate the challenge of thoroughly evaluating complex clinical documentation while meeting productivity targets. Balancing the need for precise, evidence-based assessments with efficiency requires strong organizational skills and up-to-date knowledge of medical guidelines. Additionally, reviewers may encounter incomplete or ambiguous information, necessitating effective communication with healthcare providers to clarify details. Adapting to varying case types and regulatory requirements also adds complexity, making adaptability and continuous learning essential for success.

What is the difference between Medical Case Reviewer vs Medical Claims Adjuster?

AspectMedical Case ReviewerMedical Claims Adjuster
Required CredentialsMedical degree or nursing license, certifications in case reviewInsurance licensing, sometimes medical background
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, claims departments, remote
Industry UsageHealthcare, insurance, legalInsurance, healthcare
Common Search/ComparisonYesYes

Medical Case Reviewers evaluate medical records to determine coverage and treatment necessity, often requiring medical credentials. Medical Claims Adjusters handle insurance claims, assessing damages and coverage, sometimes with medical knowledge. While both roles involve insurance and healthcare, Medical Case Reviewers focus on clinical review, whereas Claims Adjusters focus on claims processing and settlement.

How to become a medical record reviewer?

To become a medical record reviewer, candidates typically need a background in healthcare, such as a registered nurse, medical coder, or healthcare administrator. Relevant skills include knowledge of medical terminology, coding systems, and familiarity with electronic health records; obtaining certifications like Certified Professional Medical Auditor (CPMA) can also enhance job prospects.

How can I make 2000 a week working from home?

A Medical Case Reviewer can potentially earn $2,000 a week by working full-time hours, often requiring strong attention to detail, medical knowledge, and familiarity with electronic health records. Increasing income may involve taking on multiple cases, working overtime, or gaining specialized certifications to qualify for higher-paying assignments. Flexibility and efficiency in reviewing cases are key to reaching this income level from home.

What are Medical Case Reviewers?

Medical Case Reviewers are healthcare professionals who assess and evaluate medical records, cases, or claims to ensure they meet regulatory, clinical, and organizational standards. They analyze documentation for completeness, accuracy, and compliance with policies and guidelines. Their work is crucial in healthcare settings, insurance companies, or clinical research organizations to support quality assurance and proper adjudication of medical cases. Medical Case Reviewers often have backgrounds in nursing, medicine, or related health fields, and they play a key role in maintaining the integrity of patient care and data.

What does a medical reviewer do?

A medical reviewer evaluates medical records, claims, and documentation to determine the accuracy, completeness, and compliance with healthcare policies and regulations. They often work for insurance companies, healthcare organizations, or government agencies, using clinical knowledge and review tools to make informed decisions about patient care, claims approval, or policy adherence.

What are the key skills and qualifications needed to thrive as a Medical Case Reviewer, and why are they important?

To thrive as a Medical Case Reviewer, you need a solid background in healthcare or life sciences, often supported by a clinical degree and experience in medical record analysis. Familiarity with case management software, regulatory guidelines, and electronic health records (EHRs) is typically required. Attention to detail, critical thinking, and strong written communication are essential soft skills for evaluating cases and preparing comprehensive reports. These competencies are crucial for ensuring accurate case assessments, maintaining compliance, and supporting patient safety.

What jobs pay 4000 a week without a degree?

Medical Case Reviewers typically do not earn $4,000 a week without specialized experience or certifications. High-paying roles that can reach this level without a degree often include skilled trades like commercial pilots, real estate brokers, or sales managers, which may require licenses or extensive experience. Most jobs paying this amount without a degree involve specialized skills, certifications, or significant experience in the field.
More about Medical Case Reviewer jobs
What cities are hiring for Medical Case Reviewer jobs? Cities with the most Medical Case Reviewer job openings:
What states have the most Medical Case Reviewer jobs? States with the most job openings for Medical Case Reviewer jobs include:
Medical Case Reviewer jobs near you
Infographic showing various Medical Case Reviewer job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $58,003 per year, or $27.9 per hour.
Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Broadway Ventures

Washington, DC • Remote

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider—we're your trusted partner in innovation.

Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the Department of Veterans Affairs (VA). This role involves evaluating medical cases to assess quality of care, adherence to standards, and opportunities for improvement.

This is an ideal opportunity for physicians seeking part-time, flexible work that complements their clinical practice.

Position Details:
  • Job Type: Part-time
  • Location: Fully remote (U.S. only)
  • Schedule: Flexible—complete cases at your convenience within 5 calendar days
  • Case Volume: Varies monthly—no fixed predictions by specialty or case type
Key Responsibilities:1. Medical Case Audits & Quality Reviews
  • Conduct objective medical case reviews using standardized assessment criteria
  • Evaluate the timeliness and appropriateness of care provided
  • Identify quality improvement opportunities
2. Performance Improvement & Specialty Case Reviews
  • Review cases initiated for non-standardized performance improvement reasons
  • Assess medical decision-making and compliance with best practices
3. Medical Advisory Opinions
  • Provide expert medical opinions
  • Analyze complex clinical scenarios from an impartial, evidence-based perspective
Qualifications & Requirements:

To be eligible for this role, you must meet the following criteria:

  • Active, unrestricted physician license in any U.S. state or territory
  • Board certification in a specialty recognized by the American Board of Medical Specialties
  • Minimum of 5 years of clinical experience in your specialty
  • Minimum of 2 years of recent clinical practice relevant to case reviews
  • Actively engaged in direct patient care (minimum 20 clinical hours per month)
  • Hospital privileges in your specialty
  • Fluent in English (strong reading and writing skills required)
Open Positions by Specialty:

We are currently hiring physicians who are board certified with the American Board of Medical Specialties in the following specialties:

Cardiology
• Cardiology – Electrophysiology (EP)
• Cardiology – Invasive
• Cardiology – Transplant Qualified
________________________________________
Cardiothoracic & Thoracic Surgery
• Cardio-Thoracic Surgery
• Thoracic Surgery
________________________________________
General & Subspecialty Surgery
• Colo-Rectal Surgery
• Neurosurgery
• Orthopedics – Spine
________________________________________
Radiology & Imaging
• Diagnostic Radiology
• Interventional Radiology
• Nuclear Medicine
________________________________________
Gastroenterology & Hepatology
• Gastroenterology (with ERCP capability)
• Hepatology
• Hepatology – Transplant Qualified
________________________________________
Nephrology
• Nephrology
• Nephrology – Transplant Qualified

Why Join Us?

✔ Fully remote work—complete cases on your own schedule
✔ Flexible hours— ability to complete reviews within 5 days on your own time
✔ No court appearances—your reviews remain confidential
✔ Make a meaningful impact—help improve healthcare standards for veterans

How to Apply:

If you meet the qualifications and are interested in joining our team, apply today!

What to Expect Next:

After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting.

Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.

Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).

The pay range shown is a good-faith estimate of the compensation Broadway Ventures reasonably expects to pay for this position at the time of posting. It is not a guarantee of any particular wage, salary, or total compensation. Actual pay offered depends on job-related factors, which may include skills, experience, education, certifications and licensure, geographic work location, contract funding and budget. For positions covered by the Service Contract Act, pay is also governed by the applicable Department of Labor wage determination, which the government may revise.

Some positions are posted in support of a contract proposal that has not yet been awarded. Where that is the case, the position and its final compensation are contingent upon award of the contract to Broadway Ventures and on the terms of the awarded contract, including any government-approved labor rates and the applicable wage determination.

Broadway Ventures offers a comprehensive benefits package. A general description of benefits is below.

  • 401(k) and company match
  • PTO that grows the longer you stay
  • Health, Vision, Dental
  • Company provided Life Insurance and Voluntary Life Insurance
  • Short Term Disability and Long Term Disability