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Remote Clinical Reviewer Jobs in Park Ridge, IL (NOW HIRING)

VIVA USA INC

Physician Medical Reviewer

Chicago, IL · On-site +1

Remote Description: Evaluates clinical service requests made by an organization's members and ... Participates in the Physician Review Units' appeal process of service denials. Participates in the ...

VIVA USA INC

Physician Reviewer

Chicago, IL · On-site +1

Evaluates clinical service requests made by an organization's members and providers. Uses clinical ... Notes: Position does not provide direct patient care or medical diagnosis.) Remote 20 - 40 hours ...

Vitalief

Clinical Trials Coverage Analyst

Chicago, IL · Remote

$70K - $85K/yr

... remote capacity, supporting a leading academic clinical research center in Chicago. The ideal ... Review clinical trial protocols, schedules of events, and informed consent forms to ensure billing ...

Brady

Clinical Workflow Specialist

Chicago, IL · Remote

This is a remote role based in the U.S. Integrating Clinical Excellence Throughout the Sales ... Execute post-implementation reviews at the 6- and 12-month marks to track improvements in specimen ...

Moffitt

MGR CLINICAL TRIALS OFFICE

Chicago, IL · On-site +1

Summary This position will be on site/remote This will be for our Lymphoma/Myeloma team. Position ... We are committed to maintaining fair and equitable pay practices and regularly review compensation ...

Moffitt

MGR CLINICAL TRIALS OFFICE

Chicago, IL · On-site +1

Summary This position will be on site/remote This will be for our Hematology/Myeloid team. Position ... We are committed to maintaining fair and equitable pay practices and regularly review compensation ...

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All JobsClinical Reviewer JobsRemote Clinical Reviewer JobsRemote Clinical Reviewer Jobs in Park Ridge, IL

Remote Clinical Reviewer information

See Park Ridge, IL salary details

$23

$35

$45

How much do remote clinical reviewer jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for remote clinical reviewer in Park Ridge, IL is $35.34, according to ZipRecruiter salary data. Most workers in this role earn between $30.77 and $39.76 per hour, depending on experience, location, and employer.

What are Remote Clinical Reviewers?

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
What cities near Park Ridge, IL are hiring for Remote Clinical Reviewer jobs? Cities near Park Ridge, IL with the most Remote Clinical Reviewer job openings:
Remote Clinical Reviewer jobs near you
Infographic showing various Remote Clinical Reviewer job openings in Park Ridge, IL as of July 2026, with employment types broken down into 66% Full Time, 17% Part Time, and 17% Contract. Highlights an 100% Remote job distribution, with an average salary of $73,512 per year, or $35.3 per hour.
Physician Medical Reviewer

Physician Medical Reviewer

VIVA USA INC

Chicago, IL • On-site, Remote

Contractor

Posted 21 days ago

Job description

Remote
Description:
Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member. Participates in the process to evaluate clinical service requests. Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit continuous quality improvement activities. Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases.
Note:
Position does not provide direct patient care or medical diagnosis.
Remote
20 - 40 hours/week and some weekend coverage (in a rotation)
Contract to Hire
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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