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Remote Clinical Reviewer Jobs in Springfield, MA

Epic Denials Management Operator

Hartford, CT ยท Remote

$18.25 - $24.25/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Review hospital account records and payer remittance records, communicate with relevant Client RCM ...

... or clinical * Experience leading validation deliverables for GxP systems, including IQ/OQ/PQ ... Experience supporting periodic review programs for validated systems and associated CAPA triggers

... or clinical * Experience leading validation deliverables for GxP systems, including IQ/OQ/PQ ... Experience supporting periodic review programs for validated systems and associated CAPA triggers

... or clinical * Experience leading validation deliverables for GxP systems, including IQ/OQ/PQ ... Experience supporting periodic review programs for validated systems and associated CAPA triggers

Showing results 41-60

Remote Clinical Reviewer information

See Springfield, MA salary details

$23

$34

$45

How much do remote clinical reviewer jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote clinical reviewer in Springfield, MA is $34.96, according to ZipRecruiter salary data. Most workers in this role earn between $30.43 and $39.33 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.

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.

Licensed Marriage and Family Therapist (LMFT) - Chicopee, MA (REMOTE)

OptiMindHealth

Chicopee, MA โ€ข Remote

$70K - $85K/yr

Full-time, Part-time

Medical, Retirement, PTO

Re-posted 6 days ago


Job description

Licensed Marriage and Family Therapist (LMFT) $70K-85K/yr

Position Requirement: Remote Full-Time and Part-time Positions Available

If you are looking for a new opportunity to grow with a clinician founded and clinician led organization, look no further! As an authentic, unique, and skilled counselor, you have a plethora of options when it comes to work. Hospitals, community clinics, investment bank funded group practice startups, state agencies, and more.

At OptiMindHealth, we continuously strive to provide consistent, high-quality care and expand the reach of mental health care services in our communities. Unfortunately, the need often outpaces the services available to those we serve and only adds to the current mental health crisis in our nation. To combat this crisis and further our mission, we need more compassionate and skilled clinicians to join our cause. We are not interested in the burnt-out clinician that no longer finds meaning in their work and is just going through the motions; we are seeking people with a passion to provide excellent care, and the belief that we, together, can make a difference. If that's you, then you're in the right place!

Our approach with our team is simple, we take care of you, the clinician, so you can take care of patients. How do we do that? By investing in your growth, supporting you financially, holistically, and professionally, while being flexible regarding your personal needs and goals. The work we do with patients is hard enough and over the years we have found that our team often does their best work when the administrative burdens are taken off their plate and they are able to be fully present with their patients. Our administrative support team handles all non-clinical tasks so that you don't have to think about anything except focusing on your patients.

Why bother with the endless administrative burdens and isolation of private practice? Use your highly trained interpersonal skills to change the culture around mental health care, decrease stigma, and help people who need you, while being supported by an experienced multi-disciplinary team of clinicians. Let us take care of the rest!

Want to work part time? No problem. Want to do group therapy? Sure! Want to do long-term psychodynamic psychotherapy with all of your clients? We do it every day. Interested in treating couples? We can make that happen. Basically, what we are saying is that whatever outpatient care you are interested in providing, we can surely accommodate you. We know you have exceptional skills; we want you to be part of our team.

The perfect candidate will share our passion for improving and expanding access to high quality mental health care and will thrive in a culture that emphasizes creativity, authenticity, humor, compassion, acceptance, and determination. Telehealth or onsite, we support your authentic and unique growth trajectory, while being yourself and having some fun!

We prioritize the clinician's experience by offering excellent compensation, benefits, training/supervision, and flexibility. Whether you're working from home or in one of our physical offices, if you're doing it during your scheduled work hours, you're getting paid for it. Our compensation packages include:

  • Starting Salary range: $70,000.00 - $85,000.00 per year.
  • 401K with maximum employee matching.
  • Health care benefits.
  • Generous paid vacation and sick leave time.
  • Paid administrative time for consultation, supervision, and documentation.
  • Full administrative support.

Here are a few extra perks our team loves:

  • Paid supervision, clinical rounds, and administrative time.
  • Customized schedules within available clinic hours.
  • Hybrid work environment if desired: Telehealth and/or in-person (in select locations).
  • Muti-disciplinary team approach to treatment.
  • Incredible administrative support team.
  • Company leadership that understands the practice of mental healthcare.
  • Inclusive, socially responsible, client focused leadership.
  • We are not a franchise or a big investor-backed company.
  • And most importantly, clinician-led and clinician-FOCUSED!

We know what it's like to work in an organization led by businesspeople instead of clinicians. We, on the other hand, have organically grown as a socially responsible company that started as a single provider on a mission to destigmatize and broaden the reach of mental health care, to an integrated and holistic group of exceptional providers with diverse backgrounds working toward that mission. We are fortunate to have significantly increased the reach of mental health care services in our communities, and look forward to continuing to provide consistent, high-quality care to those we serve for many years to come.

We will rely on your expertise to:

  • Evaluate mental health conditions, diagnose, create, and implement a treatment plan, complete ongoing documentation including further diagnosis, treatment plan reviews, and case notes according to company policy.
  • Provide excellent care for clients and collaborate with a dynamic team to further the mission of filling gaps in our community.
  • Utilize creativity in interventions to help clients achieve and exceed goals.
  • Prepare and submit individual documentation for each session per company guidelines and protocol.
  • For Full-Time status, clinicians must maintain at least 32 available hours for patient care per week.
  • Coordinate services with other care providers, families, work personnel, medical personnel, other OptiMindHealth staff, and school staff as needed.
  • Attend and participate in all clinical staff meetings and trainings.

Qualifications and Skill for This Positions:

  • Master's degree in one of the behavioral sciences or related fields from an accredited college/university.
  • Full, current, unrestricted license to practice independently (LMHC, LCSW, LMFT) is required.
  • Experience with electronic health records and completing clinical documentation.
  • Effective written and verbal communication skills.
  • Experience and willingness to work collaboratively and creatively to meet necessary deadlines.
  • Comfort and familiarity working with clients with a diverse range of problems or concerns.
  • Ability to pass a background check in a way that confirms to us you can provide safe care.
  • Demonstrate and model stable and appropriate boundaries with clients.

Additionally Valuable (but not essential) Qualifications for This Position:

  • Experience working in community, group, or private practice mental health.
  • Currently paneled or credentialed with insurance network.
  • Multilingual or bilingual proficiency.
  • Specialty area of practice.

We can't wait to hear your story and look forward to sharing ours!

The specific statements shown in each section of this Job Description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to perform the job successfully. The job's responsibilities/tasks may be modified and/or expanded over time. OMH will inform the employee when changes in the respective job description are made.


OptiMindHealth logo

About OptiMindHealth

Sourced by ZipRecruiter

OptiMindHealth is an esteemed company situated in Boston, MA, US operating within the healthcare sector. The company focuses on providing high-quality mental health services promoting optimal brain health and well-being. Founded by a passionate team of mental health professionals, OptiMindHealth was established with the mission to bring together science and compassion for the treatment of mental health disorders. They believe in relieving suffering, restoring function, and renewing hope for their patients, thereby accelerating the acceptance of mental health.

Industry

Offices of mental health practitioners

Company size

11 - 50 Employees

Headquarters location

Boston, MA, US

Year founded

2008