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

IQVIA

Clinical Trial Rater

Raleigh, NC · Remote

Clinical Trial Rater - Borderline Personality Disorder (BPD) Location: Remote based in the US Hours: Approximately 5h per week Role: Clinical Specialist Start: immediate Contract based About IQVIA

IQVIA

Clinical Trial Rater

Durham, NC · Remote

Clinical Trial Rater - Borderline Personality Disorder (BPD) Location: Remote based in the US Hours: Approximately 5h per week Role: Clinical Specialist Start: immediate Contract based About IQVIA

IQVIA

Associate Director, Medical Reviewer

Durham, NC · Remote

$115K - $322K/yr

Job Level : Associate Director, Medical Review (MLR) Location : Home-based in USA Job Overview: IQVIA Pharma Review provides outsourced medical copy review and approval services and advisory services

IQVIA

Director, Remote Research Clinicians

Durham, NC · Remote

Job Posting Title- Director, Remote Research Clinician/Decentralised Clinical Trials Location: Home-based in the U.S Job Overview The RRC Director of Operations is a senior individual contributor

IQVIA

Director, Remote Research Clinicians

Durham, NC · Remote

Job Posting Title- Director, Remote Research Clinician/Decentralised Clinical Trials Location: Home-based in the U.S Job Overview The RRC Director of Operations is a senior individual contributor

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

Remote Clinical Reviewer information

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$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.

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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.

Licensed Clinical Social Worker (LCSW)

Holly Springs, NC • On-site, Remote

Gotham Enterprises Ltd
Recruiting and Staffing Services • 201 - 500 employees
Learn more about Gotham Enterprises Ltdexternal

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted 5 days ago

Job description

Licensed Clinical Social Worker North Carolina
Full-Time Remote / Telehealth
$115,000-$120,000 annually + Full Benefits
Monday-Friday, 9:00 AM-5:00 PM
Position Summary
We are seeking a Licensed Clinical Social Worker (LCSW) to provide virtual therapy services to clients throughout North Carolina. This position focuses on establishing meaningful therapeutic relationships, assessing client needs, and providing appropriate support throughout the course of care.
The clinician will manage scheduled sessions, complete comprehensive assessments, develop individualized treatment goals, and monitor progress over time. Success in this position requires sound clinical judgment, thorough documentation, and the ability to deliver a professional and supportive experience in a virtual setting.
Clinical Practice
The therapist will work with clients experiencing a range of concerns, including anxiety, depression, grief, trauma, adjustment difficulties, and interpersonal stress. Responsibilities include:
  • Conducting scheduled individual therapy sessions through a secure telehealth platform
  • Completing biopsychosocial assessments and gathering relevant clinical history
  • Establishing treatment goals based on each client's needs and clinical presentation
  • Selecting and applying appropriate therapeutic interventions
  • Reviewing client progress and adjusting goals or treatment approaches when indicated
  • Maintaining accurate progress notes and clinical records within required timelines
  • Identifying situations that may require additional services or a higher level of care
  • Communicating appropriately with clients and internal support teams when coordination is needed
  • Maintaining confidentiality, professional boundaries, and applicable ethical standards

Requirements
  • Master's degree in Social Work from an accredited program
  • Active and unrestricted LCSW license in North Carolina
  • Experience providing therapy or behavioral health services
  • Strong understanding of assessment, diagnosis, and treatment planning
  • Ability to manage a remote caseload with accuracy and professionalism
  • Comfortable using telehealth platforms and electronic health records

Benefits
  • Annual salary of $115,000-$120,000
  • 2 weeks PTO
  • Health Insurance
  • 401K Plan with 3% Company Match

Submit your application today for consideration.
Gotham Enterprises logo

About Gotham Enterprises

Sourced by ZipRecruiter

Gotham Enterprises, Ltd., headquartered in Queens/Fresh Meadows, NY, is a healthcare and mental‑health staffing and job placement platform that connects licensed professionals (psychiatrists, nurse practitioners, therapists, medical assistants, allied health) with in‑person, contract, per‑diem, and permanent assignments across New York State. Working through its job portal and regional offices, Gotham serves outpatient clinics, home‑care agencies, schools, and community health centers, offering roles including Licensed Mental Health Counselors (LMHC), Psychiatric–Mental Health Nurse Practitioners (PMHNP), PAs, and clinic support staff. The company is actively recruiting and retains a distributed workforce with both in‑office and remote recruiters; salaries for PMHNP roles average ~$160,000/year.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Montclair, NJ, US

Year founded

2016

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