Review clinical information and direct provider attention to residents with the greatest needs ... This is a fully remote, Work-From-Home position with the flexibility to manage your own schedule ...
Quick apply
Review clinical information and direct provider attention to residents with the greatest needs ... This is a fully remote, Work-From-Home position with the flexibility to manage your own schedule ...
Quick apply
Review clinical information and direct provider attention to residents with the greatest needs ... This is a fully remote, Work-From-Home position with the flexibility to manage your own schedule ...
Woonsocket, RI ยท On-site +1
$113K - $135K/yr
Fully remote (never coming onsite) Description: Position Summary As a Clinical Pharmacist Advisor ... You will be responsible for ensuring cases are accurately set up for our members, review clinical ...
Woonsocket, RI ยท On-site +1
$113K - $135K/yr
Fully remote (never coming onsite) Description: Position Summary As a Clinical Pharmacist Advisor ... You will be responsible for ensuring cases are accurately set up for our members, review clinical ...
Woonsocket, RI ยท On-site +1
$26.25 - $35.50/hr
Review criteria-based prior authorizations following policy and procedure Provide internal nurse ... You will work with pharmacists, other clinical colleagues, healthcare professionals and members.
Woonsocket, RI ยท On-site +1
$26.25 - $35.50/hr
Review criteria-based prior authorizations following policy and procedure Provide internal nurse ... You will work with pharmacists, other clinical colleagues, healthcare professionals and members.
Woonsocket, RI ยท On-site +1
$113K - $135K/yr
Fully remote Position Summary As a Clinical Pharmacist Advisor Medicare you will be directly ... You will be responsible for ensuring cases are accurately set up for our members, review clinical ...
Woonsocket, RI ยท On-site +1
$113K - $135K/yr
Fully remote Position Summary As a Clinical Pharmacist Advisor Medicare you will be directly ... You will be responsible for ensuring cases are accurately set up for our members, review clinical ...
Providence, RI ยท On-site +1
$119K - $142K/yr
It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid ... Review prescriptions issued by physician or other authorized prescriber to ensure appropriateness ...
Providence, RI ยท On-site +1
$119K - $142K/yr
It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid ... Review prescriptions issued by physician or other authorized prescriber to ensure appropriateness ...
Our ideal candidate will possess the following experience: - Four years of recent clinical ... remote in SC. Our ideal candidate must reside in South Carolina and may be required to report on ...
Our ideal candidate will possess the following experience: - Four years of recent clinical ... remote in SC. Our ideal candidate must reside in South Carolina and may be required to report on ...
Woonsocket, RI ยท On-site +1
$55.75 - $67/hr
Fully remote (never coming onsite) Position Summary The Pharmacist/Clinician is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior ...
Woonsocket, RI ยท On-site +1
$55.75 - $67/hr
Fully remote (never coming onsite) Position Summary The Pharmacist/Clinician is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior ...
Providence, RI ยท On-site +1
$116K - $187K/yr
It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid ... Review prescriptions issued by physician or other authorized prescriber to ensure appropriateness ...
Providence, RI ยท On-site +1
$116K - $187K/yr
It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid ... Review prescriptions issued by physician or other authorized prescriber to ensure appropriateness ...
Providence, RI ยท On-site +1
$119K - $142K/yr
It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid ... Review prescriptions issued by physician or other authorized prescriber to ensure appropriateness ...
Providence, RI ยท On-site +1
$119K - $142K/yr
It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid ... Review prescriptions issued by physician or other authorized prescriber to ensure appropriateness ...
Through ongoing, clinically-led career resources and support, were meeting the needs and creating ... An extensive virtual library of peer-reviewed studies and online assessments, including online ...
Quick apply
Through ongoing, clinically-led career resources and support, were meeting the needs and creating ... An extensive virtual library of peer-reviewed studies and online assessments, including online ...
Warwick, RI ยท Remote
$50 - $80/hr
... 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
Warwick, RI ยท Remote
$50 - $80/hr
... 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
Woonsocket, RI ยท Remote
$50 - $80/hr
... 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
Woonsocket, RI ยท Remote
$50 - $80/hr
... 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
Providence, RI ยท Remote
$50 - $80/hr
... 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
Providence, RI ยท Remote
$50 - $80/hr
... 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
Providence, RI ยท Remote
$50 - $80/hr
Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...
Providence, RI ยท Remote
$50 - $80/hr
Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...
Carolina, RI ยท On-site +1
Provides thorough clinical review or benefit analysis to determine if the requested services meet ... This is a full-time position (40 hours per week), working Monday through Friday in a fully remote ...
Carolina, RI ยท On-site +1
Provides thorough clinical review or benefit analysis to determine if the requested services meet ... This is a full-time position (40 hours per week), working Monday through Friday in a fully remote ...
Carolina, RI ยท Remote
Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ... A minimum of two (2) years of clinical experience - preferably in pain management * Hands-on ...
Carolina, RI ยท Remote
Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ... A minimum of two (2) years of clinical experience - preferably in pain management * Hands-on ...
Providence, RI ยท Remote
$70 - $80/hr
Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...
Providence, RI ยท Remote
$70 - $80/hr
Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...
Carolina, RI ยท Remote
$10/hr
EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Attend regularly scheduled meetings (i.e., Monthly Clinical Update Meeting, monthly 1:1 with ...
Carolina, RI ยท Remote
$10/hr
EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Attend regularly scheduled meetings (i.e., Monthly Clinical Update Meeting, monthly 1:1 with ...
Carolina, RI ยท Remote
$10/hr
EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Attend regularly scheduled meetings (i.e., Monthly Clinical Update Meeting, monthly 1:1 with ...
Carolina, RI ยท Remote
$10/hr
EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Attend regularly scheduled meetings (i.e., Monthly Clinical Update Meeting, monthly 1:1 with ...
North Kingstown, RI ยท Remote
$115K - $120K/yr
As a remote LMHC, you will provide structured care from the first assessment through ongoing therapy and progress review. This position is best suited to a clinician who communicates clearly, keeps ...
North Kingstown, RI ยท Remote
$115K - $120K/yr
As a remote LMHC, you will provide structured care from the first assessment through ongoing therapy and progress review. This position is best suited to a clinician who communicates clearly, keeps ...
$23.78 - $25.75
6% of jobs
$25.75 - $27.71
7% of jobs
$27.71 - $29.68
5% of jobs
$30.82 is the 25th percentile. Wages below this are outliers.
$29.68 - $31.65
11% of jobs
$31.65 - $33.62
11% of jobs
The median wage is $34.31 / hr.
$33.62 - $35.59
28% of jobs
$35.59 - $37.56
3% of jobs
$38.63 is the 75th percentile. Wages above this are outliers.
$37.56 - $39.53
6% of jobs
$39.53 - $41.50
13% of jobs
$41.50 - $43.47
6% of jobs
$43.47 - $45.43
3% of jobs
$23
$35
$45
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.
| Aspect | Remote Clinical Reviewer | Remote Medical Reviewer |
|---|---|---|
| Required Credentials | RN, LPN, or other healthcare licenses; clinical experience | MD or DO license; medical degree; clinical experience |
| Work Environment | Home-based, healthcare organizations, insurance companies | Home-based, insurance companies, healthcare organizations |
| Employer & Industry Usage | Insurance, healthcare providers, government programs | Insurance, healthcare, legal medical review |
| Common Search & Comparison | Yes | Yes |
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.
For Remote Clinical Reviewer jobs in Rhode Island, the most frequently searched job titles are:
The top searched job categories for Remote Clinical Reviewer jobs in Rhode Island are:
Cities in Rhode Island with the most Remote Clinical Reviewer job openings:

Full-time
Posted 5 days ago
Overview
We are seeking a highly skilled RN or LPN to serve as the remote support hub for our in-house Nurse Practitioners (NPs) practicing in Skilled Nursing Facilities (SNFs) as a Remote Clinical Support Nurse.
The Clinical Support Nurse coordinates care for high-risk residents in SNF and ALF settings. This role partners with physicians, nurse practitioners, nursing leaders, residents, families, specialists, pharmacies, and community providers to prioritize clinical needs, close communication gaps, and support safe transitions of care.
Role Scope
Primary Objectives
Why You'll Love This Role
HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence.
Responsibilities
Clinical Review and Provider Readiness
Consultations and Clinical Follow-Through
MDS/PDPM Coordination
Team Alignment and Documentation
Discharge and Community Transition
Medication and Laboratory Safety
Resident and Family Communication
Advance Care Planning Support
Qualifications
Sourced by ZipRecruiter
Health care and social assistance
51 - 200 Employees
Wellesley, MA, US
1989