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Remote Clinical Reviewer information

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$25

$37

$48

How much do remote clinical reviewer jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for remote clinical reviewer in Colorado is $37.77, according to ZipRecruiter salary data. Most workers in this role earn between $32.84 and $42.45 per hour, depending on experience, location, and employer.

What is a remote clinical reviewer?

Remote Clinical Reviewers are healthcare professionals, often nurses or physicians, who evaluate medical records and treatment plans from a remote location to ensure they meet clinical guidelines and insurance requirements. They assess the necessity, appropriateness, and quality of care provided to patients, often working for insurance companies, healthcare organizations, or third-party review agencies. This role typically involves reviewing documentation, making recommendations, and communicating findings electronically or by phone. The position allows for flexible, home-based work while contributing to healthcare quality and compliance.

What does a remote clinical reviewer do?

A remote clinical reviewer works from home reviewing medical records and claims for inpatient and outpatient services. Your responsibilities include executing a thorough review of patient medical records, submitting documentation to insurance companies, and ensuring accurate, timely, and secure processing of patient information. As a clinical reviewer, your duties span determining coverage for diagnosis and treatment, reviewing appeals, and processing correspondence. You provide remote support and expertise to department care coordinators, interact with teams and department heads as necessary, and request additional information for processing records as necessary.

What are the key skills and qualifications needed to thrive as a remote clinical reviewer, and why are they important?

To thrive as a Remote Clinical Reviewer, you need a healthcare background such as RN, LPN, or other clinical licensure, along with strong knowledge of medical guidelines and utilization review processes. Familiarity with electronic medical record (EMR) systems, medical coding, and utilization management software is typically required. Attention to detail, analytical thinking, and clear written communication are crucial soft skills for reviewing patient cases and collaborating with remote teams. These skills and qualifications ensure accurate and timely clinical assessments, support compliance, and help facilitate appropriate patient care decisions in a virtual environment.

How does a remote clinical reviewer typically collaborate with other healthcare professionals while working offsite?

Remote Clinical Reviewers regularly coordinate with physicians, nurses, and case managers through secure digital platforms, such as video conferencing, email, and electronic health record systems. Despite working remotely, they are integral to interdisciplinary teams and often participate in virtual meetings to discuss patient cases, clarify documentation, and ensure compliance with clinical guidelines. Building strong communication skills and familiarity with collaboration tools is essential for success in this role, as frequent interaction with both internal teams and external providers is a common aspect of daily responsibilities.

What is the difference between Remote Clinical Reviewer vs Remote Medical Reviewer?

AspectRemote Clinical ReviewerRemote Medical Reviewer
Required CredentialsRN, LPN, or other healthcare licenses; clinical experienceMD or DO license; medical degree; clinical experience
Work EnvironmentHome-based, healthcare organizations, insurance companiesHome-based, insurance companies, healthcare organizations
Employer & Industry UsageInsurance, healthcare providers, government programsInsurance, healthcare, legal medical review
Common Search & ComparisonYesYes

Remote Clinical Reviewers typically hold nursing or healthcare licenses and focus on reviewing clinical documentation and patient care. Remote Medical Reviewers usually have medical degrees and perform in-depth medical assessments, often for insurance claims or legal cases. Both roles are home-based and serve similar industries, but the Medical Reviewer requires a medical degree and broader clinical expertise.

More about Remote Clinical Reviewer jobs

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For Remote Clinical Reviewer jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Remote Clinical Reviewer jobs in Colorado look for?

The top searched job categories for Remote Clinical Reviewer jobs in Colorado are:

What cities in Colorado are hiring for Remote Clinical Reviewer jobs?

Cities in Colorado with the most Remote Clinical Reviewer job openings:

Remote Clinical Reviewer jobs near you
Infographic showing various Remote Clinical Reviewer job openings in Colorado as of August 2026, with employment types broken down into 3% As Needed, 73% Full Time, 16% Part Time, 1% Temporary, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $78,556 per year, or $37.8 per hour.

Remote Clinical Social Worker - School-Based Setting

Company Confidential

Longmont, CO • Remote

Full-time

Medical, Dental, Vision, Life

Posted 5 days ago

Job description

Position Overview

Gotham Enterprises Ltd is seeking a dedicated and experienced Remote Licensed Clinical Social Worker (LCSW) who is passionate about fostering mental health awareness and support in a school-based setting. This full-time position allows for flexibility in scheduling, enabling you to maintain a healthy work-life balance while making a meaningful impact in the lives of students and their families. The salary for this role ranges from USD 90,000 to 104,000 annually, reflective of experience and expertise.

About the Organization

Gotham Enterprises Ltd is a progressive mental health clinic located in Longmont, Colorado. We are committed to providing exceptional mental health services that empower individuals and families within our community. Our mission is to enhance the quality of life for our patients by offering personalized care that addresses their unique mental health challenges. We pride ourselves on creating a supportive and thriving environment for our team where professional growth is encouraged and celebrated.

Work Environment

This remote position provides the convenience of working from home while being integral to our school-based initiatives. Our clinic employs advanced telehealth technology, allowing our LCSWs to connect with students and families effectively. You will have the necessary resources and support to deliver high-quality care, including access to training materials and an online platform for collaborative case management. The environment is designed to ensure you can focus on your patients without the burdens of excessive paperwork or administrative tasks.

Key Responsibilities
  • Conduct comprehensive assessments of students' mental health needs, utilizing evidence-based tools to tailor individualized treatment plans.
  • Deliver therapeutic interventions remotely, using solution-focused methodologies that consider each child's unique circumstances and challenges.
  • Maintain detailed and accurate clinical documentation that complies with state regulations and promotes accountability within the clinical practice.
  • Coordinate with teachers, parents, and multidisciplinary teams to ensure holistic support for students, advocating for resources as needed.
  • Participate in regular case consultations and peer review meetings, contributing to collaborative discussions aimed at improving therapeutic outcomes.
  • Offer educational resources and support to students and their families regarding mental health topics, empowering them to advocate for their own needs.
  • Stay abreast of new developments in the field of social work and mental health to ensure the highest standard of care is provided.
Patient Population / Client Focus

The primary focus of this role is to work with a diverse student population, ranging from elementary school to high school. You will engage with students exhibiting a wide variety of mental health concerns, including anxiety, depression, social issues, and behavioral challenges. Partnering with families and schools, you will strive to create a supportive network that promotes emotional well-being and academic success.

Qualifications
  • Possession of a Master’s degree in Social Work from an accredited institution is required.
  • A valid LCSW license in the state of Colorado is mandatory.
  • A minimum of 2 years of direct clinical experience working in a mental health setting, preferably with adolescents and children, is necessary.
  • Proficiency in solution-based therapeutic interventions and methodologies is essential.
  • Excellent interpersonal and communication skills are required for effective collaboration with students, families, and school staff.
  • A commitment to ongoing professional development and staying current with industry best practices.
Preferred Experience
  • Experience in a school setting or with school-aged clients is highly desirable.
  • Familiarity with telehealth platforms and best practices for remote therapy sessions would be an asset.
  • Demonstrated ability to work collaboratively in a multidisciplinary team is preferred.
Compensation and Benefits

In addition to a competitive salary, Gotham Enterprises Ltd offers a comprehensive benefits package that includes:

  • Medical, dental, and vision insurance to support your health and well-being.
  • Life and disability insurance for financial security.
  • Malpractice insurance coverage, ensuring your professional integrity.
  • Access to an employee assistance program that prioritizes mental health.
  • Unlimited referrals for a manageable caseload, fostering a fulfilling work experience.
  • Streamlined administrative processes to minimize bureaucratic burdens, allowing you to focus on patient care.
Career Growth Opportunities

At Gotham Enterprises Ltd, we value professional development and provide numerous opportunities for advancement. As part of our commitment to clinician growth, we offer access to ongoing training, mentorship programs, and a pathway for leadership roles within the organization. You can thrive in an environment that encourages innovation and professional growth.

Why Join Our Team

If you are a motivated LCSW looking to make a positive impact in the mental health field while enjoying the flexibility of remote work, Gotham Enterprises Ltd is the right place for you. Joining our team means becoming part of a supportive community dedicated to transforming mental health care. If you are ready to empower students and their families, we encourage you to apply today!

Application Information

To apply for the Remote Licensed Clinical Social Worker position, please submit your resume and a cover letter detailing your relevant experience and why you believe you would be a great fit for our organization. We look forward to reviewing your application!

Apply