ZipRecruiter

Log In

2

Remote Clinical Reviewer Jobs in Raleigh, NC (NOW HIRING)

Centene

Psychologist Reviewer

Durham, NC · On-site +1

$87K - $157K/yr

Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ... Be part of a collaborative, supportive team committed to clinical excellence Position Purpose:

Adecco

Clinical Trials Manager- Remote

Chapel Hill, NC · Remote

$62 - $64.73/hr

Clinical Trials Manager (CTM) Location: Remote Schedule: Full-Time | Eastern Time Zone Hours Pay ... Review monitoring reports, oversee CRF collection and query resolution, and implement recovery ...

Danaher

Principal Clinical Scientist

Raleigh, NC · 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 ...

next page

Showing results 1-20

All JobsClinical Reviewer JobsRemote Clinical Reviewer JobsRemote Clinical Reviewer Jobs in Raleigh, NC

Remote Clinical Reviewer information

See Raleigh, NC salary details

$23

$34

$45

How much do remote clinical reviewer jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for remote clinical reviewer in Raleigh, NC is $34.91, according to ZipRecruiter salary data. Most workers in this role earn between $30.38 and $39.23 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.

More about Remote Clinical Reviewer jobs

What are popular job titles related to Remote Clinical Reviewer jobs in Raleigh, NC?

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

What job categories do people searching Remote Clinical Reviewer jobs in Raleigh, NC look for?

The top searched job categories for Remote Clinical Reviewer jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Clinical Reviewer jobs?

Cities near Raleigh, NC with the most Remote Clinical Reviewer job openings:

Remote Clinical Reviewer jobs near you
Infographic showing various Remote Clinical Reviewer job openings in Raleigh, NC as of August 2026, with employment types broken down into 3% As Needed, 72% Full Time, 17% Part Time, and 8% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $72,617 per year, or $34.9 per hour.

RN Clinical Support Specialist- Home Health

Raleigh, NC • Remote

BAYADA Home Health Care
Health Care and Social Assistance • 10K+ employees
Learn more about BAYADA Home Health Careexternal

Full-time

Medical, Dental, Vision

Posted 10 days ago

Bayada Home Health Care rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

Job description

REMOTE OPPORTUNITY!

BAYADA Home Health Care is seeking a remote Clinical Support Specialist (RN required) for our Home Health Senior Care team. The ideal candidate will be a Registered Nurse in North Carolina.

Do you want to be part of providing care with the highest professional, ethical, and safety standards? Do you want to use your skills to make a difference in people’s lives? We’re BAYADA Home Health Care—a leading home health care company—and we believe that our clients and their families deserve home health care delivered with compassion, excellence, and reliability. Your important work will help ensure that our clients come first and that our BAYADA caregivers have the support they need to be successful. In this growing and dynamic environment, we offer exciting career paths for nurses like you.

Responsibilities for a Clinical Support Specialist:

  • Review Oasis and Homecare Homebase 485 documentation
  • Applies knowledge and experience with implementation of standardized QI surveys and mentoring, orienting and educating Clinical Managers/Leaders.
  • Serves as a general clinical resource to expand into mentoring, identifying and recommending changes in agency policies and practices, and assisting in development and/or implementation of new policies, procedures, programs and services.

Qualifications for a Clinical Support Specialist:

  • Registered Nurse (RN) with 2 or more years of experience as an RN in North Carolina.
  • Experience using Oasis required.

Why you'll love BAYADA:

  • Award- Winning Workplace- Proud to be recognized by Newsweek as a Best Place to Work for Diversity, reflecting our commitment to creating an inclusive, supportive environment.
  • Impactful Work- Make a meaningful impact in the North Carolina
  • Weekly Pay- Consistent weekly paychecks to keep your finances on track.
  • Comprehensive Benefits- Medical, dental, vision, and more-- we've got you covered
  • Work- Life Balance- Enjoy a Monday-Friday, 8:30 AM- 5:00 PM schedule.
  • Career Growth- Advancement opportunities to help you grow in your career.
  • Nonprofit Organization- As a mission-driven nonprofit, BAYADA offers eligibility for the Pubic Service Loan Forgiveness (PSLF) Program to help reduce student loan debt.

Join BAYADA and be a part of a team dedicated to providing exceptional home health care to our clients.

#LIRX
#JoinBayada-RX

#BAYADA-RN-RX

As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.

BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

What Bayada Home Health Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Bayada Home Healthcare logo

About Bayada Home Healthcare

Sourced by ZipRecruiter

BAYADA has a special purpose: to help people of all ages have a safe home life with comfort, independence, and dignity. We believe our clients and their families deserve the highest quality home health care delivered with compassion, excellence, and reliability - our core values, affording them the opportunity to remain at home and receive the medical care required.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Moorestown, NJ, US

Year founded

1975

View All Bayada Home Healthcare Jobs

Apply