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Remote Clinical Reviewer Jobs in Racine, WI (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 Aug 22, 2026, the average hourly pay for remote clinical reviewer in Racine, WI is $33.68, according to ZipRecruiter salary data. Most workers in this role earn between $29.28 and $37.88 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 Racine, WI?

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

What job categories do people searching Remote Clinical Reviewer jobs in Racine, WI look for?

The top searched job categories for Remote Clinical Reviewer jobs in Racine, WI are:

What cities near Racine, WI are hiring for Remote Clinical Reviewer jobs?

Cities near Racine, WI with the most Remote Clinical Reviewer job openings:

Infographic showing various Remote Clinical Reviewer job openings in Racine, WI as of July 2026, with employment types broken down into 75% Full Time, and 25% Contract. Highlights an 100% Remote job distribution, with an average salary of $70,051 per year, or $33.7 per hour.

Remote Licensed Clinical Social Worker (LCSW) - Full-Time Opportunity

Company Confidential

Antioch, IL โ€ข Remote

Full-time

Medical, Dental, Vision

Posted 3 days ago

New


Job description

Position Overview

Gotham Enterprises Ltd is seeking fully licensed Licensed Clinical Social Workers (LCSWs) to join our innovative and fully remote mental health clinic. This full-time position offers an exciting opportunity to provide high-quality psychotherapy services to individuals facing various mental health challenges. With a competitive annual salary ranging from USD 80,000 to 104,000, this role is ideal for dedicated professionals looking to make a significant impact on the well-being of their clients.

About the Organization

Gotham Enterprises Ltd operates as an outpatient mental health clinic, seamlessly connecting experienced mental health professionals across the nation to provide top-notch care. Our mission is focused on enhancing community well-being through access to mental health services, irrespective of geographical barriers. Our practitioners are committed to creating an inclusive and supportive workplace that fosters professional growth and employee satisfaction.

Work Environment

This is a remote position, allowing you the flexibility to work from the comfort of your home while connecting with our clients and colleagues across the country. The remote setting promotes a healthy work-life balance, essential in the demanding field of mental health.

Key Responsibilities

In your role as an LCSW, you will undertake a variety of responsibilities that include:

  • Conducting comprehensive clinical assessments to accurately diagnose mental health conditions and develop personalized treatment plans tailored to each clientโ€™s needs.
  • Implementing evidence-based therapeutic interventions, such as cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT), ensuring that each approach aligns with the most effective practices and the clientโ€™s treatment preferences.
  • Maintaining precise and timely clinical documentation that adheres to HIPAA regulations while effectively communicating client progress and treatment outcomes.
  • Collaborating with a multidisciplinary team of mental health professionalsโ€”including psychiatrists and psychologistsโ€”to provide integrated care that addresses the holistic needs of clients.
  • Engaging in regular case consultations and peer review meetings to discuss treatment strategies, providing and receiving feedback to uplift the quality of care delivered.
  • Educating clients and their families about mental health topics, treatment methodologies, and available community resources, thereby empowering them to participate actively in their care.
  • Continuously enhancing your knowledge of the mental health field by staying updated on current research and innovative practices, integrating new findings into your therapeutic methods.
Patient Population / Client Focus

This position allows you to work with a diverse client base, including individuals facing anxiety, depression, trauma, substance abuse, and other mental health concerns. You will have the opportunity to facilitate their personal growth and healing in a supportive, nurturing environment that values their unique experiences and challenges.

Qualifications
  • A Masterโ€™s degree in Social Work from a regionally accredited institution is a requirement for this role.
  • Candidates must hold a valid license to practice as a Licensed Clinical Social Worker (LCSW) in the state of Illinois.
  • A minimum of 2 years of relevant clinical experience in providing psychotherapy services is essential.
  • Demonstrated proficiency in evidence-based and solution-focused psychotherapy interventions is also a key requirement.
  • Exceptional interpersonal and communication skills are necessary to engage effectively with clients and collaborate with team members.
  • Strong problem-solving abilities and critical thinking skills are imperative in addressing complex client needs.
  • The ability to work collaboratively within a multidisciplinary team is crucial for optimal patient outcomes.
Preferred Experience
  • Experience working with diverse populations and an understanding of cultural competency in mental health services.
  • Familiarity with telehealth tools and platforms, which can serve to enhance client engagement and service delivery.
  • Previous experience in case management and knowledge of community mental health resources.
Compensation and Benefits
  • Competitive salary range of USD 80,000 to 104,000 per year, based on experience and qualifications.
  • Comprehensive medical, dental, and vision insurance plans to support your and your familyโ€™s health.
  • Life and disability insurance coverage, ensuring peace of mind for you and your loved ones.
  • Provision of malpractice insurance, setting you up for success with minimized risk.
  • Access to an employee assistance program offering mental health support and counseling services.
  • Minimal administrative workload, allowing you more time to dedicate to client care, enhancing job satisfaction and performance.
  • Unlimited referrals ensuring a steady stream of clients, allowing you to be engaged and busy with fulfilling work.
Career Growth Opportunities

At Gotham Enterprises Ltd, we value our employeesโ€™ professional development. As part of our team, you will have access to ongoing training and mentorship to enhance your clinical skills and broaden your expertise in specialized areas of mental health care. There are opportunities for advancement into leadership roles within the organization as we continue to grow.

Why Join Our Team

If you are passionate about making a difference in the lives of individuals struggling with mental health issues, this is a fantastic opportunity to join a dedicated team committed to excellence. With a flexible work environment, opportunities for professional growth, and a supportive culture, you can thrive while providing meaningful care to those in need.

Application Information

If you are interested in pursuing a rewarding career as a Licensed Clinical Social Worker with Gotham Enterprises Ltd, we invite you to apply for this outstanding opportunity. Together, we can transform the way mental health care is delivered in our communities. Please submit your resume, cover letter, and any relevant qualifications to our hiring team.