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Remote Clinical Reviewer Jobs in Springfield, IL

Care Review Clinician

Springfield, IL ยท Remote

$40 - $42/hr

This is a fully remote role but candidates must have a valid RN license in Illinois*** Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for ...

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Remote Clinical Reviewer information

See Springfield, IL salary details

$24

$35

$45

How much do remote clinical reviewer jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for remote clinical reviewer in Springfield, IL is $35.60, according to ZipRecruiter salary data. Most workers in this role earn between $30.96 and $40.05 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 Springfield, IL?

For Remote Clinical Reviewer jobs in Springfield, IL, the most frequently searched job titles are:

What job categories do people searching Remote Clinical Reviewer jobs in Springfield, IL look for?

The top searched job categories for Remote Clinical Reviewer jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Remote Clinical Reviewer jobs?

Cities near Springfield, IL with the most Remote Clinical Reviewer job openings:

Infographic showing various Remote Clinical Reviewer job openings in Springfield, IL as of August 2026, with employment types broken down into 83% Full Time, 11% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $74,043 per year, or $35.6 per hour.

Remote Licensed Clinical Social Worker (LCSW) - Hospice Care Specialist

Happy Habits Psychological Services

Springfield, IL โ€ข Remote

$80K - $104K/yr

Full-time

Medical, Dental, Vision, Life

This job post hasย expired 3 days ago.ย Applications are no longer accepted.


Job description

Position Overview

Happy Habits Psychological Services is seeking a compassionate and dedicated Licensed Clinical Social Worker (LCSW) to join our innovative team in a fully remote capacity. This role offers you the unrivaled opportunity to positively impact the mental health and well-being of patients and their families within a hospice care setting. With a competitive salary range of USD 80,000 to 104,000 annually, this position allows you to thrive both professionally and personally.

About the Organization

Happy Habits Psychological Services is dedicated to enhancing the quality of life for our community through exceptional mental health care. Our mission is to provide holistic support tailored to our patientsโ€™ individual needs. We prioritize service excellence and embrace a patient-centered approach, ensuring that every individual receives care that respects their dignity and unique challenges.

Work Environment

As a remote organization, we value flexibility and work-life balance. Our online infrastructure is designed to support seamless collaboration and communication among team members and clients alike. You will be equipped with advanced telehealth platforms allowing you to conduct assessments, therapy sessions, and consultations without the constraints of a traditional office setting. Join us in a workspace that prioritizes your comfort while enhancing your ability to provide care from the convenience of your home.

Key Responsibilities
  • Conduct thorough clinical assessments to understand patient needs, creating personalized treatment plans that incorporate evidence-based therapies and interventions suitable for hospice care.
  • Utilize teletherapy to provide cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and other therapeutic modalities, ensuring that remote sessions are engaging and beneficial.
  • Maintain meticulous clinical records to support compliance with relevant healthcare regulations, leveraging secure electronic health record (EHR) systems to safeguard patient information.
  • Engage in meaningful collaboration with a multidisciplinary team of mental health professionals, sharing insights and strategies via virtual consultations to enhance the overall quality of patient care.
  • Participate actively in case consultations and peer review meetings to uphold high clinical standards while using video conferencing technology for dynamic discussions.
  • Educate patients and their families about mental health concerns, treatment pathways, and community resources, utilizing a range of digital communication tools to facilitate understanding.
  • Stay abreast of the latest advancements in psychotherapy techniques and interventions through online resources, contributing to your professional growth and better patient outcomes.
Patient Population / Client Focus

You will primarily work with individuals facing terminal illnesses and their families, providing essential psychological support during a profoundly sensitive time. Your expertise will guide them through emotional challenges, grief, and adjustment to changing life circumstances. By offering compassionate care tailored to individual needs, you are essential in improving their quality of life and overall mental health during this pivotal journey.

Qualifications
  • A Master's degree in Social Work from an accredited institution, ensuring a foundational knowledge in psychology and social service.
  • A valid license to practice as a Licensed Clinical Social Worker (LCSW) in the state of Illinois, affirming your capability to provide professional mental health services.
  • A minimum of two years of clinical experience in psychotherapy, indicating your familiarity with effective therapeutic practices.
  • Proficiency in solution-focused and evidence-based interventions applicable to remote healthcare, ensuring effective treatment even when not physically present with patients.
  • Exceptional communication and interpersonal skills, facilitating the establishment of trust and rapport using virtual platforms.
  • Strong problem-solving abilities and critical thinking skills, essential for navigating the complexities of remote patient care.
  • Ability to work both independently and collaboratively in a virtual team, contributing positively to group initiatives while maintaining your individual caseload.
Preferred Experience

Preferred candidates may have specific experience working within hospice or palliative care environments, highlighting understanding of the complexities that accompany end-of-life issues. Familiarity with remote clinical practices, including the use of telehealth platforms, is advantageous and aligns with our institutionโ€™s commitment to accessible mental health support.

Compensation and Benefits
  • Competitive annual salary ranging from $80,000 to $104,000, reflecting your expertise and commitment to quality care.
  • Comprehensive medical, dental, and vision insurance plans, ensuring your health needs are prioritized as you support others.
  • Life insurance and disability coverage, adding a layer of financial security for you and your family.
  • Professional liability and malpractice insurance, providing peace of mind as you navigate remote therapy sessions.
  • Access to an employee assistance program for psychological support and counseling services for you and your family.
  • Unlimited patient referrals, reducing your administrative burden and allowing you to focus on delivering exceptional care.
  • Streamlined administrative tasks, allowing for less time with paperwork and more time with clients.
Career Growth Opportunities

At Happy Habits Psychological Services, we are committed to your professional development. Opportunities for continued education through virtual workshops and conferences allow you to stay informed of the latest practices in mental health care. Mentoring programs and collaborative environments foster skills enhancement and support career advancement within the organization.

Why Join Our Team

By joining our exceptional team, you will be at the forefront of meaningful mental health care delivery in a supportive and flexible work environment. Our organization nurtures a culture of continuous improvement, innovation, and compassion, ensuring that your contributions have a lasting impact on our patientsโ€™ lives while promoting your personal and professional satisfaction.

Application Information

If you are ready to embark on a rewarding journey as a Licensed Clinical Social Worker within a remote hospice care context, we encourage you to apply today. Seize the chance to join a passionate team dedicated to making a difference in the lives of individuals and families facing the challenges of life-limiting illnesses. Your future as a vital mental health care provider starts here!