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Remote Clinical Reviewer Jobs in Utah (NOW HIRING)

MRIoA

Senior Azure Cloud Engineer (Remote)

Salt Lake City, UT · On-site +1

$54 - $72/hr

... clinical reviews, regulatory guidance, and actionable insights to healthcare organizations ... An award-winning remote work environment POSITION OVERVIEW Our Principal Cloud Engineer is a senior ...

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How much do remote clinical reviewer jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for remote clinical reviewer in Utah is $32.70, according to ZipRecruiter salary data. Most workers in this role earn between $28.46 and $36.78 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 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.

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 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.

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.

More about Remote Clinical Reviewer jobs

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

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

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

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

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

Remote Clinical Reviewer jobs near you
Infographic showing various Remote Clinical Reviewer job openings in Utah as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 100% Remote job distribution, with an average salary of $68,011 per year, or $32.7 per hour.

Clinical Pharmacy Coordinator (Remote)

MRIoA

Salt Lake City, UT • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago

Job description

Description
Who We Are - Motivated by Purpose. Powered by Clinical Expertise.
Founded in 1983, we're a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.
Excellence starts with our people.
WE OFFER
  • A competitive compensation package.
  • Benefits include healthcare, vision and dental insurance, a generous 401k match, paid vacation, personal time, and holidays.
  • Growth and training opportunities.
  • A team atmosphere with fun events and prizes scheduled throughout the year.

POSITION OVERVIEW
Our Clinical Pharmacy Coordinator is responsible to carry out day-to-day departmental tasks and complete all processes for screening incoming pharmacy review requests, preparing review information and materials for assignment to appropriate reviewers, entering pharmacy case review data in the online case summary/tracking system, receiving and reviewing Reviewer decisions, completing outreach over the phone to gather additional information for cases, taking inbound phone calls from medical professionals, issuing appropriate, timely and accurate review outcome notifications and completion of pharmacy case review data in the online case summary/tracking system and client system.
Roles:
  • To prepare high quality appropriate pharmacy case review information and materials for submission to the reviewers
  • To finalize the pharmacy case review process and issue review outcome notifications to appropriate parties of the case
  • To serve as a company liaison with clients, reviewers and practitioners/providers/facilities whose services are subject to review

Major Responsibilities or Assigned Duties:
  • Screen incoming pharmacy review requests for completeness of materials required to conduct the review of the case
  • Prepare, organize, distribute and present records, materials and forms required for a complete pharmacy case review by reviewers
  • Identify appropriate reviewers for pharmacy case review assignment including: determine their availability for a review assignment and obtain information for delivery of the case to the Reviewer if applicable
  • Contact clients to resolve questions, obtain information, records and/or materials needed for a pharmacy case review and resolve issues about active cases
  • Respond to reviewers' requests for additional information/materials necessary for a review and notify clients and other internal departments of these needs, as applicable
  • Complete outreach via fax and over the phone to obtain missing information necessary to issue appropriate clinical decisions
  • Receive incoming phone calls from medical professionals checking status on cases and/or providing additional information to decision cases
  • Create and maintain an in-house review file for each active pharmacy case
  • Respond to inquiries from clients, other entities referring pharmacy cases for review and practitioners/providers/facilities
  • Issue oral and written review outcome notifications that comply with standards and requirements for timeliness, content, recipients and accuracy including written notification grammar and spelling as needed
  • Research clients' questions about review processes and/or Reviewer decisions
  • Determine the need for additional information or additional review and notify the client and internal departments of these needs
  • Support all Quality Management initiatives
  • Actively participate in the compliance process and Provider Relations assessment process
  • Support all compliance program activities
  • Participate in all company meetings and committees as requested
  • Adhere to all policies and procedures
  • Take feedback and responsibility for performance
  • Adapt to the differences of clients
  • Maintain a flexible schedule to meet client needs
  • Complete other duties and responsibilities as directed
  • Collaborate with and cross-train on other teams as needed

Requirements
Skills and Experience:
  • Minimum of one year pharmacy experience preferred
  • Minimum of one year in a similar operation preferred (health insurance, healthcare and/or managed care arena) preferred
  • Ability to work in a fast-paced and high-functioning environment and meet deadlines while managing multiple high priorities
  • Ability to work independently with minimal supervision
  • High level of adaptability, evidenced by the ability to thrive in dynamic environments and rapidly adjust to shifting priorities
  • Personal computer literacy and high competency in use of Microsoft Word
  • Strong organizational skills with attention to details
  • Strong oral and written communication skills
  • Well-developed training skills
  • Strong working knowledge of basic anatomy, physiology and medical terminology preferred
  • Strong working knowledge of medical insurance terminology and processes preferred
  • Strong working knowledge of prescription drug terminology preferred
  • Excellent critical thinking capabilities with a strong attention to detail
  • Exceptional customer service skills
  • Thorough understanding and knowledge of Company's clients, products, departments and workflows, and applicable regulatory requirements and accreditation standards.

Education:
  • High school diploma or equivalent

Work Environment:
Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).
Diversity Statement:
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Drug-Free Workplace:
This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
  • Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
  • Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

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