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Remote Clinical Reviewer Jobs in Ohio (NOW HIRING)

Clinical Director

Cincinnati, OH ยท On-site +1

$76K - $104K/yr

This is a remote, field-based role: the Clinical Director travels to assigned facility locations as ... Coordinate and collaborate with the contracted billing company and any internal utilization review ...

Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...

Clinical Data Coder

Cincinnati, OH ยท On-site +1

$18 - $22.75/hr

... our Clinical Coding & Support team in Cincinnati, OH. This position will work on a team to ... Produce coding reports for team review and utilization *Stable schedule with no weekends, no work ...

Clinical Trial Psych Rater

Cleveland, OH ยท Remote

$62K - $156K/yr

Remote/Virtual Hours: Estimated 10-16 hours per month Role: Clinical Specialist About IQVIA IQVIA ... This position involves reviewing scales administered by raters to confirm standardized assessment ...

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Showing results 1-20

Remote Clinical Reviewer information

See Ohio salary details

$23

$34

$44

How much do remote clinical reviewer jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote clinical reviewer in Ohio is $34.15, according to ZipRecruiter salary data. Most workers in this role earn between $29.71 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.

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

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

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

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

Infographic showing various Remote Clinical Reviewer job openings in Ohio as of August 2026, with employment types broken down into 85% Full Time, and 15% Part Time. Highlights an 100% Remote job distribution, with an average salary of $71,024 per year, or $34.1 per hour.

Pharmacy Student Clinical Support Specialist - Ohio

Waymark

Cleveland, OH โ€ข Remote

$54.50 - $60.75/hr

Full-time

Posted 14 days ago


Job description

About Waymark

Waymark is a mission-driven team of healthcare providers, technologists, and builders working to transform care for people with Medicaid benefits. We partner with communities to deliver technology-enabled, human-centered support that helps patients stay healthy and thrive. We're designing tools and systems that bring care directly to those who need it most-removing barriers and reimagining what's possible in Medicaid healthcare delivery.

Our Values

At Waymark, our values are the foundation of how we work, grow, and support one another:

  • Bold Builders: We tackle the toughest challenges in care delivery by harnessing the power of community and technology.
  • Humble Learners: We seek feedback, embrace diverse perspectives, and welcome challenges to our assumptions.
  • Experiment to Improve: We use data to inform decisions and continuously assess our performance.
  • Focused Urgency: Our mission drives us to act swiftly and relentlessly in pursuit of meaningful results.

If this resonates with you, we invite you to bring your creativity, energy, and curiosity to Waymark.

About this role

The Pharmacy Student Clinical Support Specialist is a unique, remote clinical position designed for Ohio-based pharmacy students pursuing careers in ambulatory pharmacy practice. It presents an opportunity for students to sharpen their clinical knowledge and familiarity with management strategies for common ambulatory care conditions within a human-centered, population-conscious primary care-supporting organization. In this role, you will serve as the "front door" for an interdisciplinary care team, initiating deep-dive chart reviews to help inform interdisciplinary care for rising risk patients. Reviews will support the actions of Waymark community health worker (CHW), therapist and pharmacy teams in supporting Medicaid patients.ย 

Working under the oversight and mentorship of the market Ambulatory Clinical Pharmacist lead, you will organize and summarize Electronic Health Record (EHR) information to support the clinical pharmacist's development of care recommendations for an interdisciplinary care team. You will be responsible for synthesizing complex medical histories into concise summaries that guide care team priorities. The role is remote and offers flexibility, with the ability to complete work during evenings or weekends, making it an ideal opportunity to complement formal pharmacy education during the academic school year. The expected duration of the role is 6-8 months. Time spent in the role does not qualify as internship hours needed to satisfy pharmacy licensure requirements in Ohio. The role requires a regular weekly commitment of at least 12 hours, with potential opportunities for increased work hours and responsibilities with the approval of Waymark's pharmacist (max work opportunity of 19 hours per week). In addition to the routine work responsibilities outlined above, individuals will have the opportunity to develop and deliver clinical trainings for non-licensed team members as part of their professional development.

Key Responsibilities

  • Medication Record Review: review patient medical records to summarize currently prescribed medications and accurate fill histories.ย  This review is limited to data gathering and summarizing; the student does not perform clinical assessments, make therapeutic recommendations, or interact with patients.ย 
  • Care Team Mapping: Identify and document the patient's active ambulatory care providers and specialists to ensure seamless communication.
  • ADT Event Tracking: Summarize recent Admission, Discharge, and Transfer (ADT) events to identify transitions of care needs.
  • Clinical Synthesis: Extract and identify patient's chronic conditions and key provider recommendations.
  • Preliminary Screening: Flag medical conditions or social determinants of health that may be effectively impacted by the interdisciplinary team for pharmacist review and prioritization.
  • Clinical Documentation: Provide clear, concise written summaries of findings to be utilized by the clinical pharmacist and licensed clinical managers to direct patient care.

Minimum Qualifications

  • Education: Completion of at least 2 years (P2) of an ACPE-accredited Doctor of Pharmacy (PharmD) program or equivalent.
  • Medication Knowledge: Familiarity with most commonly prescribed medications (i.e. top 200 drugs)
  • Clinical Knowledge: Familiarity with the traditional management and pharmacological treatment of common chronic conditions (e.g., Diabetes, Hypertension, COPD).
  • Technical Skills: Proficiency in navigating complex database structures and maintaining HIPAA compliance in a remote work environment.
  • Communication: Strong clinical writing skills with the ability to summarize complex data for a multi-professional audience.
  • Commitment: Ability to commit to 12 hours per week throughout the academic year.
  • EHR Experience: Prior experience navigating Epic Electronic Health Record systems.
  • Must reside in Ohio.

Preferred Qualifications

  • Education: Completion of 3 years (P3) of an ACPE-accredited Doctor of Pharmacy (PharmD) program or equivalent
  • Detail Oriented: Proven ability to spot discrepancies in medication lists and transition-of-care documentation.
  • Medication Reconciliation Experience: History of experience with medication histories
  • Population Experience: Experience serving vulnerable populations with a skill set including motivational interviewing and/or harm reduction

Hiring Range

$22.38/hr - $25.42/hr

Offer of employment is contingent upon successful completion of a background check. Employment history and advance degree verification (when applicable) are included as part of the standard background check process.ย 

Don't check off every box in the requirements listed above? Please apply anyway! Studies have shown that some of us may be less likely to apply to jobs unless we meet every single qualification. Waymark is dedicated to building a supportive, equal opportunity, and accessible workplace that fosters a sense of belonging - so if you're excited about this role but your past experience doesn't align perfectly with every preferred qualification in the job description, we encourage you to still consider submitting an application. You may be just the right candidate for this role or another one of our openings!

This role does not involve the practice of pharmacy as defined under Ohio Revised Code 4729.01. The student does not dispense medications, counsel patients, interpret prescriptions, or make independent clinical decisions.