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Remote Clinical Reviewer Jobs in Delaware (NOW HIRING)

The selected virtual swingternist candidate will provide remote clinical management to patients at ... Assesses health status of assigned patients through complete medical history and chart review

... clinical autonomy. What You'll Do * Conduct virtual consultations with pet parents via video and ... Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform

... clinical autonomy. What You'll Do * Conduct virtual consultations with pet parents via video and ... Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform

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Remote Clinical Reviewer information

See Delaware salary details

$24

$35

$46

How much do remote clinical reviewer jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for remote clinical reviewer in Delaware is $35.95, according to ZipRecruiter salary data. Most workers in this role earn between $31.30 and $40.43 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.

What are popular job titles related to Remote Clinical Reviewer jobs in Delaware?

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

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

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

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

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

Infographic showing various Remote Clinical Reviewer job openings in Delaware as of August 2026, with employment types broken down into 3% As Needed, 71% Full Time, 18% Part Time, and 8% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $74,771 per year, or $35.9 per hour.

Licensed Clinical Social Worker (LCSW)

Lewes, DE • Remote

Gotham Enterprises Ltd
Recruiting and Staffing Services • 201 - 500 employees

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted 12 days ago


Job description

Licensed Clinical Social Worker (LCSW)

Delaware | Full-Time | Remote

Salary: $115,000-$120,000 annually with full benefits
Working Hours: Monday-Friday, 9:00 AM-5:00 PM

Job Overview

We are recruiting an experienced LCSW to deliver behavioral health services through secure virtual appointments. This role combines psychotherapy with care coordination, helping clients address both clinical concerns and challenges that may interfere with treatment.

The successful candidate will be organized, clinically confident, and comfortable maintaining meaningful client relationships through telehealth.

Key Accountabilities

  • Conduct comprehensive mental health assessments
  • Diagnose conditions within the scope of licensure
  • Deliver ongoing psychotherapy to adult clients
  • Establish measurable clinical objectives
  • Evaluate risk and create appropriate safety plans

Requirements

  • Graduate degree in social work
  • Valid Delaware LCSW license in good standing
  • Prior experience delivering psychotherapy
  • Understanding of behavioral health and social service resources
  • Ability to manage clinical responsibilities independently

Benefits

  • 2 weeks of paid time off
  • Health insurance
  • 401(k) plan with a 3% company match
  • Full-time remote employment

Bring your clinical and care-coordination experience to a stable virtual position. Connect with our team to begin the review process.


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About Gotham Enterprises

Sourced by ZipRecruiter

Gotham Enterprises, Ltd., headquartered in Queens/Fresh Meadows, NY, is a healthcare and mental‑health staffing and job placement platform that connects licensed professionals (psychiatrists, nurse practitioners, therapists, medical assistants, allied health) with in‑person, contract, per‑diem, and permanent assignments across New York State. Working through its job portal and regional offices, Gotham serves outpatient clinics, home‑care agencies, schools, and community health centers, offering roles including Licensed Mental Health Counselors (LMHC), Psychiatric–Mental Health Nurse Practitioners (PMHNP), PAs, and clinic support staff. The company is actively recruiting and retains a distributed workforce with both in‑office and remote recruiters; salaries for PMHNP roles average ~$160,000/year.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Montclair, NJ, US

Year founded

2016