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Remote Clinical Reviewer Jobs in Remote, OR (NOW HIRING)

Insight Global

Remote Clinical Support Specalist

OR · Remote

$18 - $22/hr

... Remote Clinical Support Specialist for a growing healthcare organization focused on improving ... reviews, care coordination initiatives, and other patient engagement programs. * Manage a high ...

Umpqua Health

Utilization Review Clinician

Roseburg, OR · Remote

$80K - $94K/yr

UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

New

Enterprise Engineering

Be Seen First

Concurrent Utilization Review (UR) Nurse

OR · Remote

$30 - $38/hr

... Remote Opportunity Contract to Hire Must be licenses in California The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical ...

Insight Global

Remote Certified Pharmacy Technician

OR · Remote

$20.50/hr

This role involves receiving and reviewing authorization requests via phone, fax, and electronic systems, gathering and verifying clinical information, documenting interactions, evaluating requests ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... Perform clinical assessments and prior authorizations to determine medical necessity * Escalate ...

Enterprise Engineering

UM Nurse

OR · Remote

UM Nurse (California License) - Must be licensed in California- Remote Opportunity Work Hrs : (8am ... Review cases for medical necessity and apply the appropriate clinical criteria; to include, but not ...

Atos

HEALTH CARE PRACTITIONER

OR · Remote

$96K - $131K/yr

Clinical Documentation Specialist Location: Remote Position Type: Full Time Shift Requirement ... We are looking for someone who has had experience with acute care (inpatient) medical record review ...

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All JobsClinical Reviewer JobsRemote Clinical Reviewer JobsRemote Clinical Reviewer Jobs in Remote, OR

Remote Clinical Reviewer information

See Remote, OR salary details

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$46

How much do remote clinical reviewer jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote clinical reviewer in Remote, OR is $35.88, according to ZipRecruiter salary data. Most workers in this role earn between $31.20 and $40.34 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 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 are popular job titles related to Remote Clinical Reviewer jobs in Remote, OR? For Remote Clinical Reviewer jobs in Remote, OR, the most frequently searched job titles are:
What job categories do people searching Remote Clinical Reviewer jobs in Remote, OR look for? The top searched job categories for Remote Clinical Reviewer jobs in Remote, OR are:
What cities near Remote, OR are hiring for Remote Clinical Reviewer jobs? Cities near Remote, OR with the most Remote Clinical Reviewer job openings:
Remote Clinical Reviewer jobs near you

Remote Clinical Support Specalist

Insight Global

OR • Remote

$18 - $22/hr

Contractor

Medical, Dental, Vision

Posted 6 days ago

Job description

Required Skills & Experience


• Healthcare certification preferred (e.g., Certified Pharmacy Technician, Certified Medical Assistant, Behavioral Health Technician). Candidates with equivalent medical, healthcare, call center, customer service, or patient-facing experience are encouraged to apply

• Bilingual [English/Spanish]

• Knowledge of basic medical terminology and medication names (brand and generic)

• Experience with high-volume (30-45+) outbound calls

• Comfort learning and using new technologies, including clinical software platforms

• Comfort working in a metrics-driven environment where outcomes and quality are tracked


Job Description


Insight Global is seeking a Remote Clinical Support Specialist for a growing healthcare organization focused on improving patient outcomes through proactive outreach, care coordination, and clinical support services. This is a fully remote, patient-facing position that offers the opportunity to make a meaningful impact on patients' healthcare experiences while working alongside pharmacists, healthcare providers, and care teams. This role is ideal for individuals who are passionate about helping others, excel in a fast-paced environment, and are comfortable managing a high volume of phone interactions. The Clinical Support Specialist will serve as a key point of contact for patients, providers, and pharmacies, assisting with care coordination, appointment scheduling, medication-related support, and patient engagement initiatives.


Responsibilities:

• Conduct outbound outreach to patients on behalf of healthcare programs and health plans to support medication adherence, medication reviews, care coordination initiatives, and other patient engagement programs.

• Manage a high volume of inbound and outbound calls while maintaining exceptional customer service and productivity standards.

• Educate patients on available healthcare programs, services, and resources designed to improve health outcomes.

• Gather, verify, and accurately document patient and provider information within company systems.

• Schedule telephonic and virtual appointments with pharmacists and other clinical professionals.

• Coordinate with patients, providers, hospitals, clinics, and pharmacies to help resolve healthcare and medication-related concerns.

• Respond professionally and empathetically to patient, provider, and pharmacy inquiries.

• Escalate clinical concerns, medication issues, and potential health risks to licensed pharmacists when appropriate.

• Assist with obtaining referrals, authorizations, and supporting documentation as needed.