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Remote Clinical Reviewer Jobs (NOW HIRING)

Corrohealth

Clinical Review Specialist

OR · Remote

This is a REMOTE position within US ONLY Required: Active, unrestricted RN license (compact preferred) Required Schedule: Monday - Friday, 8:00 - 5:00 PM Position Summary The Clinical Review ...

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TEEMA

RN Clinical Quality Reviewer

Phoenix, AZ · Remote

$40 - $43/hr

Job Summary RN Clinical Quality Reviewer TEEMA Full-time Remote | Phoenix, AZ, United States Overview: We are partnering with a leading organization supporting a large-scale federal healthcare ...

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How much do remote clinical reviewer jobs pay per hour?

As of Jun 7, 2026, the average hourly pay for remote clinical reviewer in the United States is $35.92, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $40.38 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
What cities are hiring for Remote Clinical Reviewer jobs? Cities with the most Remote Clinical Reviewer job openings:
What states have the most Remote Clinical Reviewer jobs? States with the most job openings for Remote Clinical Reviewer jobs include:
What job categories do people searching Remote Clinical Reviewer jobs look for? The top searched job categories for Remote Clinical Reviewer jobs are:
Remote Clinical Reviewer jobs near you
Infographic showing various Remote Clinical Reviewer job openings in the United States as of May 2026, with employment types broken down into 73% Full Time, 17% Part Time, 1% Temporary, and 9% Contract. Highlights an 70% Physical, 3% Hybrid, and 27% Remote job distribution, with an average salary of $74,707 per year, or $35.9 per hour.
Registered Nurse Clinical Reviewer / AIMS

Registered Nurse Clinical Reviewer / AIMS

Greenlife Healthcare Staffing

Bronx, NY • Remote

$50/hr

Full-time

Medical, Retirement, PTO

Posted 19 days ago

Job description

Registered Nurse Clinical Reviewer / AIMS - Remote (#25299A)
Location: Remote.
Employment Type: Full-time.
Hourly Rate: $50/hr.
Position Overview:

We are seeking an experienced Registered Nurse Clinical Reviewer to join a Non-profit organization located in New York. This fully remote position involves conducting utilization reviews and quality study data collection, ensuring compliance and accuracy in healthcare documentation for a respected non-profit organization.
Why Join Us?
  • Competitive Compensation: Earn $50 per hour.
  • Comprehensive Benefits:
    • 1 Week of Paid Vacation based on accruals after 3 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment).
    • 6 Major Paid Holidays per year.
    • 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act.
    • License Reimbursement after 1 year of employment.
    • Health insurance is subject to plan eligibility requirements.
    • 401k Matching eligibility after 1 year of employment.
    • Benefits from Paychex, such as Payactiv.
    • GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc.
  • Work Schedule: Full-time, Remote. Sunday to Thursday schedule.
  • Professional Growth: Gain valuable experience in utilization review and clinical data analysis.
  • Impactful Work: Contribute to healthcare quality improvement and accurate data collection.

Qualifications:
  • Education: Graduate of an accredited nursing program.
  • Licensure: Active New York State RN license.
  • Experience: Must have 1-3 years of experience in acute care utilization review/appeals background.
  • Technical Skills: Must be comfortable working on a computer. Familiar with Outlook, spreadsheets, and Word.
  • Soft Skills: Strong analytical abilities, attention to detail, and ability to work independently in a remote environment.

Key Responsibilities:
  • Conduct utilization reviews up to and including the appeal level. This includes chart screen, completing electronic worksheets, entering the required information, and making level one denial decisions when necessary.
  • Conduct quality and clinical study data collection reviews. This includes a chart review, complete detailed electronic data worksheets.
  • Act as a resource for the administrative staff in training, problem-solving, and clarifying procedures. Will provide technical assistance and conduct/participate in staff huddles.
  • Participate in collaborative training specific to clinical study objectives.
  • Other activities as may be deemed necessary.
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About Greenlife Healthcare Staffing

Sourced by ZipRecruiter

Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

New York, NY, US

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