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Remote Clinical Reviewer Jobs (NOW HIRING)

The ideal candidate is someone who can effectively review clinical documentation, collaborate with ... Remote - Clinical Case Manager Location: * Remote Opportunity! Check out our locations at VenzaCare ...

Urgent Hiring for "Remote Clinical Review Nurses" * Review approximately 20 cases a day for medical necessity. * Advocate for and protect members from unnecessary hospital admissions. * Follow ...

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Remote Clinical Reviewer information

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$24

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$46

How much do remote clinical reviewer jobs pay per hour?

As of Jun 30, 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.

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:
Infographic showing various Remote Clinical Reviewer job openings in the United States as of June 2026, with employment types broken down into 68% Full Time, 21% Part Time, and 11% Contract. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $74,707 per year, or $35.9 per hour.
Licensed Independent Clinical Social Worker (LICSW)

Licensed Independent Clinical Social Worker (LICSW)

Gotham Enterprises Ltd

Medford, MA • Remote

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted 26 days ago


Key responsibilities

  • Deliver remote mental health therapy to clients located in Massachusetts.

  • Complete thorough psychosocial and clinical assessments and develop practical treatment goals based on client needs and clinical findings.

  • Keep session notes, treatment plans, and required records current and accurate.


Job description

Full-Time Telehealth LICSW | Remote Clinical Social Worker Opportunity in Massachusetts

Job Summary

We are seeking a Licensed Independent Clinical Social Worker (LICSW) for a full-time remote therapy position serving clients in Massachusetts. This role centers on direct clinical care: meeting with clients online, understanding their concerns, building care plans, and helping them work through mental health challenges with steady, professional support.

You will provide therapy in a private telehealth setting while completing the clinical documentation and care coordination needed to keep treatment organized and effective.

Location: Massachusetts
Work Setting: Remote / Telehealth
Position Type: Full-Time
Salary: $115,000-$120,000 per year with full benefits
Schedule: Monday-Friday, 9:00 AM-5:00 PM

Responsibilities

  • Deliver remote mental health therapy to clients located in Massachusetts
  • Complete thorough psychosocial and clinical assessments
  • Develop practical treatment goals based on client needs and clinical findings
  • Support clients in building coping tools, emotional regulation skills, and healthier decision-making patterns
  • Provide ongoing care for concerns such as depression, anxiety, trauma-related symptoms, stress, and family or relationship difficulties
  • Review client progress and modify interventions as treatment continues
  • Keep session notes, treatment plans, and required records current and accurate
  • Use secure technology for virtual sessions and client-related documentation
  • Follow all applicable state, federal, and professional requirements for remote clinical care

Requirements

  • Master's Degree in Social Work from an accredited program
  • Active and unrestricted Massachusetts LICSW license
  • Previous experience providing therapy, counseling, or clinical social work services
  • Comfortable delivering care through telehealth platforms
  • Strong assessment, documentation, and treatment planning skills
  • Ability to work independently while maintaining professional clinical standards
  • Reliable internet connection and a private workspace for remote sessions

Benefits

  • $115,000-$120,000 per year
  • Full benefits package
  • 2 weeks PTO
  • Health Insurance
  • 401K Plan with 3% Company Match
  • Remote work setting
  • Consistent full-time schedule
  • Supportive administrative structure

Bring your LICSW experience into a remote setting where you can focus on quality clinical care. Submit your resume to be considered for this Massachusetts telehealth opportunity.


Gotham Enterprises logo

About Gotham Enterprises

Sourced by ZipRecruiter

Gotham Enterprises, Ltd., headquartered in Queens/Fresh Meadows, NY, is a healthcare and mental‑health staffing and job placement platform that connects licensed professionals (psychiatrists, nurse practitioners, therapists, medical assistants, allied health) with in‑person, contract, per‑diem, and permanent assignments across New York State. Working through its job portal and regional offices, Gotham serves outpatient clinics, home‑care agencies, schools, and community health centers, offering roles including Licensed Mental Health Counselors (LMHC), Psychiatric–Mental Health Nurse Practitioners (PMHNP), PAs, and clinic support staff. The company is actively recruiting and retains a distributed workforce with both in‑office and remote recruiters; salaries for PMHNP roles average ~$160,000/year.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Montclair, NJ, US

Year founded

2016