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Remote Clinical Reviewer Jobs in Virginia (NOW HIRING)

This is a remote opportunity. The Consultant will review WCMSA case submissions in support of the ... Provide written clinical rationales for CA Workers Compensation cases. - Review, organize and ...

$134K - $184K/yr

Post-market clinical follow-up activities and clinical review of promotional materials are also key responsibilities. This is remote role in the US and Canada with less than 25% travel requirements ...

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Remote Clinical Reviewer information

See Virginia salary details

$24

$35

$45

How much do remote clinical reviewer jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote clinical reviewer in Virginia is $35.61, according to ZipRecruiter salary data. Most workers in this role earn between $30.96 and $40.05 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 Virginia?

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

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

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

Infographic showing various Remote Clinical Reviewer job openings in Virginia as of August 2026, with employment types broken down into 3% As Needed, 66% Full Time, 24% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $74,066 per year, or $35.6 per hour.

Remote Clinical Social Worker - Full-Time Opportunity

Company Confidential

Alexandria, VA โ€ข Remote

$80K - $104K/yr

Full-time

Medical, Dental, Vision, Life

Posted 2 days ago

New


Job description

Position Overview

Gotham Enterprises Ltd is seeking a passionate and dedicated Licensed Clinical Social Worker (LCSW) for a full-time remote role. This position allows you to provide essential mental health services to a diverse array of patients while working from the comfort of your home. As an LCSW, you will play a pivotal role in enhancing the psychological well-being of individuals and families, utilizing evidence-based practices to offer tailored support and interventions.

About the Organization

Gotham Enterprises Ltd is a leading provider of mental health services dedicated to improving the lives of those in our community. Our therapist network is composed of skilled professionals who prioritize delivering exceptional care and support. We foster a collaborative environment that empowers clinicians to grow, learn, and make a significant impact in the field of mental health.

Work Environment

The work setting for this position is fully remote, allowing social workers to engage with their clients without the constraints of a physical office. You will leverage telehealth platforms to communicate with clients and conduct assessments, ensuring that you can provide care seamlessly from your home in Alexandria, Virginia or anywhere else that suits you. Our organization actively supports a healthy work-life balance, featuring flexible scheduling to meet your personal and professional needs.

Key Responsibilities
  • Conduct comprehensive clinical assessments of patients through telehealth, employing solution-focused practices to develop individualized treatment plans.
  • Implement therapeutic interventions such as cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT), adapting techniques to meet the unique needs of each client in a remote setting.
  • Maintain accurate clinical records in a secure electronic health record (EHR) system, ensuring compliance with all professional regulations and standards.
  • Collaborate with a multidisciplinary treatment team, including psychiatrists and psychologists, via virtual meetings to discuss patient progress and adjust care strategies as necessary.
  • Engage in regular case consultations and peer review sessions, enhancing care quality through collaborative feedback and shared insights.
  • Educate patients and their families on mental health issues, available treatment options, and community resources using digital communication methods.
  • Stay abreast of the latest research and advancements in mental health through relevant webinars and online resources, integrating this knowledge into your practice.
Patient Population / Client Focus

Your caseload will consist of a varied patient population, including individuals experiencing depression, anxiety, trauma, and other mental health concerns. Working with families and children may also be part of your responsibilities, emphasizing a holistic approach to care. Your ability to foster trust and build rapport with clients from diverse backgrounds will be crucial in supporting their journey towards mental wellness.

Qualifications
  • A Masterโ€™s degree in Social Work from an accredited institution is required.
  • A valid license to practice as a Licensed Clinical Social Worker (LCSW) in Virginia is mandatory.
  • A minimum of 2 years of clinical experience providing psychotherapy and mental health services is essential.
  • Expertise in solution-focused approaches and evidence-based therapy modalities, especially suitable for a remote delivery model.
  • Exemplary communication and interpersonal skills to effectively engage with clients through virtual platforms.
  • Strong analytical and problem-solving abilities to navigate the challenges of remote care.
  • A proactive attitude towards independent work while also being a collaborative team player.
Preferred Experience
  • Experience with telehealth platforms and remote clinical practices will be considered an asset.
  • Familiarity with documentation in electronic health record (EHR) systems is preferred.
Compensation and Benefits
  • Competitive salary range of $80,000 to $104,000 annually, commensurate with experience and qualifications.
  • Comprehensive medical, dental, and vision insurance plans that prioritize your health and well-being.
  • Life and disability insurance to provide financial peace of mind.
  • Malpractice insurance coverage to protect you in your practice.
  • Employee assistance program offering additional mental health support for you and your family.
  • Streamlined administrative processes to minimize paperwork, enabling you to focus on patient care.
  • Unlimited patient referrals to ensure a consistent stream of clients.
Career Growth Opportunities

At Gotham Enterprises Ltd, we value professional development and provide our LCSWs with numerous opportunities for growth within our organization. You will have access to ongoing training, mentorship, and the ability to participate in networking events and seminars to expand your skills and advance your career in the field of mental health.

Why Join Our Team

By becoming part of our organization, you will not only have the opportunity to advance your career but also to make a tangible difference in the lives of individuals and families in need of support. Our commitment to high-quality care blends seamlessly with our dedication to clinician satisfaction, ensuring you can thrive in your mental health practice.

Application Information

If you are ready to embark on a meaningful career in mental health and make a positive impact in the lives of others, we encourage you to apply today. Join Gotham Enterprises Ltd and be part of a supportive and innovative team dedicated to excellence in care. Submit your application now to take the first step toward a rewarding professional journey.