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Remote Clinical Reviewer Jobs in Rochester, MN (NOW HIRING)

MDS Solutions

REMOTE MDS Coordinator

Rochester, MN · On-site +1

$33.50 - $42.75/hr

The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and ... Review and verify MDS documentation and charting requirements to support the clinical services ...

MDS Solutions

REMOTE MDS Coordinator

Rochester, MN · Remote

$33.50 - $42.75/hr

The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and ... Review and verify MDS documentation and charting requirements to support the clinical services ...

MDS Solutions

REMOTE MDS Coordinator

Rochester, MN · Remote

$33.50 - $42.75/hr

The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and ... Review and verify MDS documentation and charting requirements to support the clinical services ...

Dutch

Virtual Care Veterinarian (Remote)

Rochester, MN · Remote

$50 - $80/hr

... clinical autonomy. What You'll Do * Conduct virtual consultations with pet parents via video and ... Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform

Enara Health

Remote Exercise Specialist

Rochester, MN · On-site +1

$22 - $31/hr

Clinical experience in a related field is highly desirable. * ACSM certification is mandatory, or ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Enara Health

Remote Exercise Specialist

Rochester, MN · Remote

$22 - $31/hr

Clinical experience in a related field is highly desirable. * ACSM certification is mandatory, or ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Enara Health

Remote Exercise Specialist

Rochester, MN · Remote

$22 - $31/hr

Clinical experience in a related field is highly desirable. * ACSM certification is mandatory, or ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Enara Health

Remote Nutrition Specialist

Rochester, MN · Remote

$26 - $36/hr

Knowledge of clinical competencies based on Nutrition Care Standards of the Academy of Nutrition ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Enara Health

Remote Nutrition Specialist

Rochester, MN · Remote

$26 - $36/hr

Knowledge of clinical competencies based on Nutrition Care Standards of the Academy of Nutrition ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Enara Health

Remote Nutrition Specialist

Rochester, MN · On-site +1

$26 - $36/hr

Knowledge of clinical competencies based on Nutrition Care Standards of the Academy of Nutrition ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Scribe-X

Remote Medical Scribe

Rochester, MN · Remote

$14 - $17/hr

Work from home and gain clinical experience! * Receive extensive paid training that will help you ... Review completed charts with the provider between patients or at the completion of shift * Update ...

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Remote Clinical Reviewer information

See Rochester, MN salary details

$23

$35

$45

How much do remote clinical reviewer jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for remote clinical reviewer in Rochester, MN is $35.06, according to ZipRecruiter salary data. Most workers in this role earn between $30.53 and $39.42 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
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What job categories do people searching Remote Clinical Reviewer jobs in Rochester, MN look for? The top searched job categories for Remote Clinical Reviewer jobs in Rochester, MN are:
What cities near Rochester, MN are hiring for Remote Clinical Reviewer jobs? Cities near Rochester, MN with the most Remote Clinical Reviewer job openings:
Remote Clinical Reviewer jobs near you

REMOTE MDS Coordinator

MDS Solutions

Rochester, MN • On-site, Remote

$33.50 - $42.75/hr

Other

Medical, Life, Retirement, PTO

Posted 14 days ago

Job description

Overview
MDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS consulting group. The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and coordinate the completion of the Minimum Data Set (MDS) in accordance with current Federal and State Regulations. If you are looking for something that is flexible and collaborative, come join us! We thrive on Quality Resident Care.
What do we offer you?
  • Creative, fun, and flexible working environment
  • The following benefits:
  • Competitive salaries and bonuses.
  • Comprehensive health and life insurance.
  • 401K with discretionary match
  • Mileage and licensure reimbursements.
  • Flexible Spending Account and HSA
  • Reasonable working hours.
  • CE opportunities.
  • Paid sick, holiday, and vacation leave.
  • Promotion/Transfer/Advancement opportunities.
  • Meaningful work and job satisfaction.

Responsibilities
  • MDS scheduling and coordinating to ensure timeliness of assigned sections of MDS per RAI guidelines, including coordinating care plan development and completion with the interdisciplinary team.
  • Provide Medicare, Medicaid (case mix), and Managed Care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident.
  • Develop an individualized, comprehensive resident care plan in collaboration with the interdisciplinary team to ensure care area triggers are addressed.
  • Ensure care plans are reviewed quarterly and updated as needed to reflect current resident status with individualized problems, goals, and interventions.
  • Review and verify MDS documentation and charting requirements to support the clinical services provided for each resident.
  • Ensure timely submission of all Minimum Data Sets to the state data base and ensures that the necessary follow-up action is taken.
  • Promote highest degree of quality care through QI/QM data with facility team and identify trends to assist facility in advancing facility processes, improve resident outcomes, and optimize reimbursement.

Qualifications
  • Nursing Experience in MDS Assessment: 3+ year
  • RN required
  • RAC-CT preferred
  • Thorough understanding of PDPM requirements
  • Able to negotiate through EMR and possess strong computer skills
  • Promotes and demonstrates excellence in customer service

Apply