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Remote Clinical Reviewer Jobs in Indiana (NOW HIRING)

Ascension

Clinical Documentation Manager

Indianapolis, IN · On-site +1

$33.25 - $44.75/hr

Remote within the US Facility: St. Vincent Indianapolis Department/Specialty: Clinic Integrity ... Standardize clinical review processes to verify that physician documentation accurately supports ...

Roche

Clinical Development Lead

Indianapolis, IN · On-site +1

$100K - $186K/yr

Author, review, and finalize critical clinical study documents, including protocols, Clinical Study ... This position may be based out of Tucson (Arizona, USA) or Indianapolis (Indiana, USA) with remote ...

Becton, Dickinson and Company

... remote). * Actively participate in site feasibility assessments and site selection processes ... Review and report AEs/SAEs and protocol deviations in accordance with regulatory and company ...

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All JobsClinical Reviewer JobsRemote Clinical Reviewer JobsRemote Clinical Reviewer Jobs in Indiana

Remote Clinical Reviewer information

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$23

$34

$44

How much do remote clinical reviewer jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote clinical reviewer in Indiana is $34.18, according to ZipRecruiter salary data. Most workers in this role earn between $29.76 and $38.41 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.

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Remote Clinical Reviewer jobs near you
Infographic showing various Remote Clinical Reviewer job openings in Indiana as of August 2026, with employment types broken down into 2% As Needed, 72% Full Time, 18% Part Time, and 8% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $71,089 per year, or $34.2 per hour.

Clinical Director of Virtual Care Programs

PPGNHI

Merrillville, IN • On-site, Remote

$78K - $106K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Job description

Why Planned Parenthood?
Working at Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky is more than a job. It provides the opportunity to contribute to our powerful mission and perform meaningful work.
In healthcare services, this means a commitment to providing the absolute best in patient care and education. Our exceptional health center staff drives our mission forward by upholding our acclaimed customer service & confidentiality standards, and working to create a safe, judgement-free space for anyone seeking Planned Parenthood services.
About our Clinical Director of Virtual Care Programs position
Provide clinical and operational leadership for centralized follow-up (CFU), the Telehealth service line, and patient navigation and care coordination programs across six affiliate states (Indiana, Kentucky, Idaho, Washington State, Alaska, Hawaii).
What will you be doing!
Serve as the senior advanced practice clinician responsible for clinical oversight, quality, workflows, regulatory compliance, cross-state licensing coordination, staffing, and program development for both licensed and non-licensed remote staff (APC, RN, case managers, patient navigators). Ensure safe, timely, patient-centered follow-up and telehealth care consistent with policies and medical standards.
Key Responsibilities:
  • Clinical leadership & oversight
    • Provide clinical direction, case review, and supervision for CFU APCs, CFU RNs, Telehealth clinicians, and service line managers.
    • Provide oversight of the affiliate's complex/urgent follow-up care using audit and other evaluation tools to ensure compliance with medical standards
    • Work with other clinical leadership to ensure effective communication between service lines.
    • Provide clinical consultation to staff for high-risk or complex cases and support decisions about patient continuity of care.
    • Guide patient navigation and case management work to ensure timely access to care.
  • Program operations & quality
    • Oversee centralized follow-up workflows: initiation of follow up, documentation standards, care path management and resolution, and tracking/reporting.
    • Establish, refine, and standardize Telehealth clinical protocols, care paths and escalation pathways between Telehealth and in-affiliate clinical teams.
    • Lead quality assurance audits, identify gaps, and implement corrective action plans for CFU and Telehealth services.
    • Ensure compliance with affiliate policies, PPFA MS&Gs, state regulations, and telehealth licensure/telemedicine requirements.
  • Staffing, training & supervision
    • Hire, mentor, and manage remote care staff (APCs, RNs, case managers, patient navigators) and oversee training and competency of designees and non-licensed staff involved in follow up and telehealth communication.
    • Coordinate with Clinical Trainers, Operations Leadership, Health Center Managers, and Medical Records/Patient Access teams to support workflows and data integrity.
  • Cross-state licensure & regulatory coordination
    • Support clinician licensing, credentialing, and practice privilege requirements for all six states; ensure all clinicians providing care are appropriately licensed and compliant.
    • Monitor and implement state-specific reporting requirements (e.g., STI mandated reporting) and telehealth regulatory changes.
  • Communication & stakeholder management
    • Serve as primary clinical liaison between CFU, Telehealth, affiliate medical leadership, Prior Authorization Navigators, Gender Affirming Care Navigators, and Medical Records/Patient Access teams.

Minimum Qualifications:
  • Advanced practice clinician: NP, CNM, or PA (active, unrestricted license in at least one U.S. state)
  • Eligible to obtain and maintain licensure in Indiana, Kentucky, Idaho, Washington State, Alaska, and Hawaii upon hire.
  • Minimum 10 years clinical experience as an APC, with at least 5 years in leadership/supervisory roles and demonstrated experience in telehealth, care coordination, or centralized follow up systems.
  • Strong competency with EHRs (experience building/using care paths preferred), telehealth platforms, and remote clinical workflows. EPIC experience is preferred.
  • Knowledge of reproductive health clinical standards, abnormal diagnostic result management, and state reporting requirements preferred.

Preferred Qualifications:
  • Prior experience managing centralized follow up programs, telehealth service lines, or multi-state clinical operations.
  • Experience in quality improvement, policy development, and staff training/education.
  • Familiarity with PPFA medical standards and MS&Gs or similar family planning/sexual and reproductive health organizations.

Core competencies & skills:
  • Clinical judgment and ability to triage and manage urgent/complex cases remotely.
  • Leadership and people management: coaching, performance management, cross-functional collaboration.
  • Excellent written and verbal communication for patient notification standards and staff guidance.
  • Strong organizational skills, comfort with data/reporting, and process improvement mindset.
  • Cultural humility and commitment to equitable, patient-centered care.

Working conditions & travel:
  • Fully remote role with required periodic travel to affiliate sites and in-person leadership meetings as needed.
  • Flexible hours may be required to provide clinical coverage or to collaborate across time zones for WA/AK/HI and IN/KY/ID.
  • Candidates must reside in one of our six states to be considered.

Supervisory responsibility:
  • Direct supervision of CFU APCs, CFU RNs, Telehealth clinicians (as applicable), and oversight responsibilities for non-licensed designees involved in patient navigation and other follow up.

Compensation:
The salary range for this position varies based on the employee's primary work location:
  • Washington: $138,552 - $257,311 annually
  • Alaska: $131,625 - $244,446 annually
  • Hawaii: $124,697 - $231,580 annually
  • Idaho, Indiana, and Kentucky: $117,769 - $218,714 annually

*Actual starting pay will be determined based on factors including, but not limited to, relevant experience, education, internal equity, geographic location, and the budgeted hiring range established for the position.
Position Type:
Full-time - Exempt
Benefits Eligibility:
This position is eligible for PPGNHAIK benefits. As part of our total compensation, we provide a comprehensive benefits plan including medical, dental and vision plans, retirement, paid time off, short and long-term disability and life insurance. For additional information about our benefits program, please send an email to hre.contacts@ppgnhaik.org.
Other Information:
All of our employees must present proof of receiving a current flu shot prior to their first day of employment.
What we expect from you.
• That you adhere to our code of conduct, policies, procedures, and protocols.
• That you always demonstrate a high degree of professionalism.
• That you always support and model our customer service standards.
• That you value continuous learning and seek ongoing training and development.
Our commitment to diversity:
At PPGNHAIK, we've outlined our priorities and goals as we continue to cultivate and promote a diverse, equitable, & inclusive culture that champions dignity, care, and respect, and where employees feel welcomed and motivated to do their best. These priorities reflect our promise to support programs and initiatives that promote continuous learning and organizational development and discussions on DEI topics; provide internal developmental opportunities; and assess what more we can do to nurture a supportive and equitable work environment.
Equal Employment Opportunity
PPGNHAIK is an Equal Opportunity Employer. Equal Opportunity will be provided to all employees and applicants for employment on the basis of their ability and competence without unlawful discrimination on the basis of their race, color, ethnicity, national origin, gender, gender identity, gender expression, sexual orientation, religion, protected veteran status, marital status, age, disability, or any other status protected by applicable state or federal law

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