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Remote Clinical Reviewer Jobs in Virginia (NOW HIRING)

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Remote Clinical Reviewer information

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How much do remote clinical reviewer jobs pay per hour?

As of Sep 8, 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.

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

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

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

Remote Clinical Reviewer jobs near you
Infographic showing various Remote Clinical Reviewer job openings in Virginia as of September 2026, with employment types broken down into 2% As Needed, 72% Full Time, 18% Part Time, 7% Contract, and 1% Nights. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $74,066 per year, or $35.6 per hour.

Remote Licensed Clinical Social Worker-Virginia

Roanoke, VA • On-site, Remote

Adjuvant Behavioral Health Inc
See more jobs at Adjuvant Behavioral Health Incexternal

$60 - $62/hr

Contractor

Posted 21 days ago

Job description

It is Adjuvant's vision to be the nation's leading oncological behavioral health provider. Our mission is to inspire hope through advancing mental wellness to cancer patients, their families and caregivers. We are looking for empathetic, experienced mental health professionals to come along side us in this endeavor!
This is a fully remote position.
This role begins as a 1099 contractor position. After 90 days and averaging 25 hours a week, you will have the option to transition into a W2 role.
Through a respectful, constructive and energetic style, guided by the mission of the clinic, a therapist will seek to facilitate hope and change in the lives of their clients who have been affected by cancer. A therapist is responsible for accepting referrals and maintaining a client load (minimum 18 hours per week).
Primary Responsibilities:
  • Counsel clients or patients individually and/or within family sessions, to assist in overcoming dependencies, adjusting to life, or making changes.
  • Make internal referrals to IOP if little to no improvement occurs within 8 weeks of OP therapy.
  • Guide clients in the development of skills or strategies for dealing with their problems.
  • Develop and implement treatment plans based on clinical experience and knowledge, establishing SMART goals with the patient. Treatment plans are to be developed 72 hours after intake and updated / modified every 4 weeks.
  • Fill out and maintain client-related paperwork, including client diagnostic records and progress notes. Progress notes are to be developed 48 hours after every session.
  • Prepare and maintain all required treatment records and reports.
  • Evaluate clients' physical or mental condition, based on review of client information.
  • Collaborate with other staff members to perform clinical assessments or develop treatment plans within 2 days of establishing care with the existing patient.
  • Refer patients, clients, or family members to community resources or to specialists as necessary.
  • Learn about new developments in counseling by reading professional literature, attending courses and seminars, or establishing and maintaining contact with other social service agencies.

Minimum Qualifications:
  • Masters Degree from an accredited college or university
  • Two years of professional level experience in a counselor setting
  • Active Licensed Clinical Social Worker license in Virginia is required
  • Cross-licensure in Texas is required for this role prior to starting

Preferred Qualifications:
  • 2+ years experience in healthcare with oncology
  • 1 year experience in Telehealth Settings

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