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Remote Clinical Reviewer Jobs in Springfield, MA

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Remote Clinical Reviewer information

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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, MA is $35.79, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $40.24 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, MA?

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

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

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

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

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

Infographic showing various Remote Clinical Reviewer job openings in Springfield, MA as of June 2026, with employment types broken down into 67% Full Time, 22% Part Time, and 11% Contract. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution, with an average salary of $74,446 per year, or $35.8 per hour.

Remote Clinical Social Worker for Community Health Clinic

Anderson behavioral Health

Hartford, CT โ€ข On-site, Remote

$75K - $100K/yr

Full-time

Medical, Retirement, PTO

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Position Overview

Anderson Behavioral Health is seeking a dedicated and empathetic Licensed Clinical Social Worker (LCSW) to join our team in a full-time remote capacity. This role focuses on providing critical support within our community health clinic, where you will work with patients navigating challenges associated with injury, illness, and disability. Your contributions will be vital in promoting emotional well-being and fostering paths toward independence.

About the Organization

At Anderson Behavioral Health, we are committed to empowering individuals through rehabilitation and support services tailored to meet the needs of our diverse patient population. Our clinic is recognized for its evidence-based therapies and commitment to maximizing functional independence. Through the collaboration of physical, occupational, and speech-language therapy experts, we create holistic care pathways that address both physical and psychosocial aspects of recovery.

Work Environment

As a remote role, you will have the flexibility to provide services from your home while being a part of a dedicated team of rehabilitation professionals. Regular supervision and team meetings will ensure you remain engaged and informed about best practices and organizational goals. You will be empowered to access state-of-the-art resources and support as you work with patients from various backgrounds and experiences.

Key Responsibilities
  • Conduct comprehensive psychosocial assessments by performing interviews, observations, and medical record reviews to evaluate factors affecting patient recovery.
  • Provide compassionate counseling to patients and families, addressing emotional well-being, adjustment disorders, and coping strategies as they relate to the recovery process.
  • Collaborate closely with the rehabilitation team to design and implement individualized treatment plans, ensuring the inclusion of psychosocial needs in care delivery.
  • Assist patients in accessing vital community resources, including support groups, vocational rehabilitation services, and housing assistance to enhance their quality of life.
  • Educate families on available community resources and post-rehabilitation options that foster continued growth and support.
  • Engage in proactive discharge planning to ensure smooth transitions for patients returning home or to other care settings, and follow up to assess ongoing needs.
Patient Population / Client Focus

Your primary focus will be supporting individuals who have faced significant health challenges, including those recovering from strokes, spinal injuries, orthopedic conditions, or neurological disorders. Each patient comes with unique emotional and social needs, and your role will be to navigate these complexities with care and professionalism. Through your interventions, you will play a crucial part in their rehabilitation journey, helping them pursue a successful reintegration into the community.

Qualifications
  • A Masterโ€™s degree in Social Work from an accredited program is mandatory.
  • Active and unrestricted state licensure as a Licensed Clinical Social Worker (LCSW).
  • Strong clinical skills and a solid understanding of psychosocial factors impacting recovery, including adjustment issues and grief.
  • Excellent communication skills, both verbal and written, to effectively engage with patients, families, and the interdisciplinary care team.
Preferred Experience
  • Prior experience in a rehabilitation or medical setting is highly desirable.
  • Understanding of therapeutic interventions aligned with person-centered care approaches.
  • Familiarity with community resources and advocacy strategies to aid patients in their recovery journeys.
Compensation and Benefits

We offer a competitive salary ranging from $75,000 to $100,000 annually, commensurate with experience and qualifications. In addition to a base salary, Anderson Behavioral Health provides a sign-on bonus, comprehensive health insurance for employees and their families, retirement plans with employer contributions, and generous paid time off including vacation, sick leave, and holidays.

Career Growth Opportunities

At Anderson Behavioral Health, we encourage continuous learning and professional development. As a member of our team, you will have access to workshops, conferences, and specialized training to enhance your skills and advance your career. Furthermore, you will have the opportunity to play a key role in shaping and improving our community health services.

Why Join Our Team

By joining our team at Anderson Behavioral Health, you will contribute to a dynamic and innovative workplace dedicated to making a difference in the lives of individuals we serve. You will find a culture of collaboration, respect, and support among our staff, along with a steadfast commitment to achieving positive patient outcomes. Together, we will work towards creating lasting impacts in the communities we serve.

Application Information

If you are ready to make a significant impact in the lives of individuals seeking to regain their independence, we invite you to apply today. Please submit your CV and any other relevant documentation to our hiring team for consideration. Become a part of a dedicated community focused on rehabilitation excellence!