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Remote Clinical Reviewer Jobs in Utah (NOW HIRING)

Intermountain Health

Reviewer, Select Health

Murray, UT · On-site +1

$7.25 - $999.99/hr

This position is responsible for providing physician peer review and clinical direction for Select ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

New

Danaher

Principal Clinical Scientist

Salt Lake City, UT · On-site +1

... remote based (can also be onsite in Chaska, MN). At Danaher Diagnostics, our vision is to be the ... Author and review clinical and regulatory documentation-including study reports, technical files ...

IQVIA

Clinical Trial Psych Rater

American Fork, UT · 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 ...

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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Remote Clinical Reviewer information

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$22

$32

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How much do remote clinical reviewer jobs pay per hour?

As of Aug 28, 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 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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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, 5% Part Time, 5% Temporary, and 10% Contract. Highlights an 100% Remote job distribution, with an average salary of $68,011 per year, or $32.7 per hour.

Reviewer, Select Health

Murray, UT • On-site, Remote

Intermountain Health

7.2

Company rating: 7.2 out of 10

Based on 846 frontline employees who took The Breakroom Quiz

345th of 895 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Intermountain Healthexternal

$7.25 - $999.99/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Job Description:
Select Health is a not-for-profit community health plan serving more than 1 million members in the Intermountain West. Select Health's line of businesses (LOB) includes Medicare, Medicaid, FEHB, Marketplace Qualified Health Plans and fully funded and self-funded Commercial plans. This position is responsible for providing physician peer review and clinical direction for Select Health including utilization management, case management, appeals, criteria and policy development and other projects as needed. This position is responsible for working with all the departments of Select Health, but primarily Utilization Management, Benefits Determination, Quality Improvement, Behavioral Health, Pharmacy Services, other Select Health Departments, and other Intermountain Health division as needed to implement policies and programs for the Office of the Medical Director to manage the provider panel and to maintain high customer satisfaction.
Essential Functions
  • Coverage & Benefits determinations: Act as the first level of reviews and appeals for panel providers or members' concerns regarding coverage/benefits issues or quality of care.
  • Utilization Management: Assist in the development and review of Utilization Management screening criteria & policies used in the preauthorization process. Participate in the yearly guideline review process. Participate in ongoing evaluation of the UM process.
  • Participate in a physician specialty panel to assist in peer review of cases and specified turnaround times by accreditation or licensing bodies.
  • Education: Provide clinical education to members of the UM/CM and HCS staff as necessary to perform their function.
  • Preauthorization and appeals: Review preauthorization requests which fail to pass criteria as applied by staff and document those utilization and case management decisions appropriately in the care management system.
  • Committees: Represent Select Health on committees as assigned by the Medical Director.
  • Delivery Improvement: Serve as a resource for the Select Health Medical Director in recommending ways to improve health services delivery and reduce medical expenses without compromising quality of care. Constantly stress and strive for cost-effectiveness on the part of physicians and ancillary health care providers.
  • Certification Requirements: Assist and support Health Care Services departments as needed in maintaining NCQA, HEDIS, and CAHPS certification, and other contractual requirements such as Medicare, Medicaid, CHIP, exchange plans and FEHB compliance.
  • Medical Policy: In cooperation with Medical Director, writes and updates medical policies.
  • Interacts with the delivery system including clinical programs, individual physicians and clinics to align care process models and clinical practice to evidence based standards.

Skills
  • Leadership
  • Performance Metrics
  • Results-Oriented
  • Communication
  • Problem Solving
  • Taking Initiative
  • Analytical Thinking
  • Accountability
  • Collaboration
  • Professional Etiquette

Minimum Qualifications
  • Medical Doctor or Doctor of Osteopathic Medicine degree with Board Certification in specialty. Degree must be obtained through an accredited institution. Education is verified.
  • Requires current MD or DO licensure within the State of Utah, Idaho, Nevada or Colorado
  • Five years of experience in clinical practice.
  • Experience in a role requiring effective verbal, written, and interpersonal communication skills.

Preferred Qualifications
  • Training in clinical quality improvement.
  • Prior experience with Intermountain Health.
  • Experience working in an integrated healthcare system.
  • Knowledge of managed care products and processes as well as the impact of managed care on the market and cost of health care.
  • Knowledge of the NCQA accreditation standards and process.
  • Understanding of health care delivery system as it relates to government programs and agencies

Physical Requirements
  • Interact with others requiring employee to verbally communicate as well as hear and understand spoken information.
  • Operate computers, telephones, office equipment, and manipulate paper requiring the ability to move fingers and hands.
  • See and read computer monitors and documents.

Location:
Transformation Center
Work City:
Murray
Work State:
Utah
Scheduled Weekly Hours:
20
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$7.25 - $999.99
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here .
By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.

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