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Remote Clinical Reviewer Jobs in Michigan (NOW HIRING)

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Remote Clinical Reviewer information

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How much do remote clinical reviewer jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote clinical reviewer in Michigan is $31.30, according to ZipRecruiter salary data. Most workers in this role earn between $27.26 and $35.19 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 Michigan?

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

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

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

Infographic showing various Remote Clinical Reviewer job openings in Michigan as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 18% Part Time, 8% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $65,114 per year, or $31.3 per hour.

Compassionate Licensed Clinical Social Worker (LCSW) - Remote

Company Confidential

Grand Junction, MI โ€ข Remote

Full-time

Medical, Dental, Vision, Life

Posted 4 days ago


Job description

Position Overview

Gotham Enterprises Ltd is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) for a full-time, remote position at our Detox Center in Grand Junction, Michigan. This role provides a unique opportunity to work from home while delivering essential mental health services to individuals seeking a path to recovery. As an LCSW, you will play a pivotal role in promoting mental wellness and enhancing the quality of life for our clients.

About the Organization

At Gotham Enterprises Ltd, our mission is to deliver exceptional support and care to our community through committed professionals and innovative treatment approaches. Our Detox Center is at the forefront of integrated mental health and addiction treatment. We aim to foster a supportive environment that empowers both our clients and employees to achieve their best selves.

Work Environment

This role is fully remote, allowing you to perform your duties from a location of your choice while ensuring that you maintain the highest standards of care through streamlined digital communication with your colleagues and clients. You will collaborate with a multidisciplinary team of professionals who are equally focused on providing quality care and support.

Key Responsibilities

As a Licensed Clinical Social Worker, your daily responsibilities will include:

  • Conducting thorough clinical assessments to derive a detailed understanding of client mental health issues, substance use challenges, and treatment needs.
  • Developing comprehensive and individualized treatment plans in accordance with established best practices and the specific needs of each patient.
  • Employing various therapeutic interventions such as cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT) to provide effective treatment tailored to client preferences.
  • Maintaining meticulous clinical records in compliance with HIPAA regulations and organizational standards, ensuring all documentation is up-to-date and accurate.
  • Collaborating with psychiatrists, psychologists, and other healthcare professionals to ensure a coordinated and holistic treatment approach for our patients.
  • Participating in weekly case consultations and peer review meetings to enhance treatment methods and outcomes.
  • Providing educational resources to patients and their families about mental health, treatment methodologies, and available community resources.
  • Staying informed on the latest research and developments in the mental health field and integrating this knowledge into your practice to benefit clients.
  • Managing a full caseload while ensuring that patient treatment goals are met in a timely and efficient manner, upholding the ethical standards set forth by the National Association of Social Workers (NASW).
Patient Population / Client Focus

You will work with a diverse range of individuals from various backgrounds, primarily focusing on those in recovery from substance use disorders and related mental health issues. This role is critical in facilitating the healing and support necessary for clients to rebuild their lives through adaptive coping strategies and emotional resilience.

Qualifications
  • A Master's degree in Social Work from an accredited institution.
  • A valid license to practice as a Licensed Clinical Social Worker (LCSW) in the state of Michigan.
  • At least three years of relevant clinical experience, emphasizing the delivery of psychotherapy services.
  • Demonstrated knowledge of solution-oriented psychotherapy interventions and techniques.
  • Excellent verbal and written communication skills, enhancing interaction with clients and multidisciplinary teams.
  • Strong analytical and problem-solving capabilities that contribute to effective treatment planning and implementation.
  • Proven ability to thrive in a collaborative team environment.
Preferred Experience
  • Experience working in an addiction treatment setting, particularly within detox or outpatient facilities.
  • Familiarity with electronic health record (EHR) systems and telehealth platforms.
  • Training in specialized therapeutic modalities that enhance engagement and recovery outcomes.
Compensation and Benefits

The compensation for this position ranges from USD 80,000 to 100,000 annually, commensurate with experience and qualifications. Additionally, Gotham Enterprises Ltd offers comprehensive benefits including:

  • Medical, dental, and vision insurance to support your health and well-being.
  • Life and disability insurance to provide security for you and your loved ones.
  • Malpractice insurance coverage, ensuring peace of mind as you provide care to clients.
  • Potential eligibility for a sign-on bonus, incentivizing your commitment to our mission.
  • Flexible scheduling with the autonomy to set your own hours each week.
Career Growth Opportunities

At Gotham Enterprises Ltd, we value professional development and offer various opportunities for growth. You will have access to ongoing training and professional workshops, enabling you to expand your skill set and advance within the organization. Our commitment to employee development fosters a culture of growth and progression.

Why Join Our Team

Gotham Enterprises Ltd is more than just a workplace; itโ€™s a community where passionate professionals come together to make a significant impact. By joining our team, you will contribute to changing lives and help shape a healthier community. With your expertise, dedication, and our supportive environment, together we will achieve remarkable outcomes for our clients.

Application Information

If you are a compassionate Licensed Clinical Social Worker looking to make a difference in the lives of others, we encourage you to apply. To apply, please submit your resume along with a cover letter detailing your relevant experience and passion for mental health care.