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Remote Clinical Reviewer Jobs (NOW HIRING)

Wake Research

REMOTE - Clinical Operations Lead

This is a remote position with up to 50% domestic-travel. The Clinical Operations Lead is ... reviews, and ongoing operational calls * Ensure timely and effective communication across all ...

Venza Care

Clinical Case Manager REMOTE

Center Point, LA · On-site +1

$60/hr

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 ...

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How much do remote clinical reviewer jobs pay per hour?

As of Jun 8, 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:
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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.
Licensed Clinical Social Worker (LCSW)

Licensed Clinical Social Worker (LCSW)

Gotham Enterprises Ltd

Ocala, FL • Remote

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted 6 days ago

Job description

Remote Licensed Clinical Social Worker (LCSW) - Florida Telehealth Role

Position Details

Location: Florida
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

Job Summary

We are seeking a Licensed Clinical Social Worker (LCSW) in Florida to provide remote therapy services to clients through a secure telehealth platform. In this role, you will meet with clients virtually, complete clinical assessments, create treatment plans, provide ongoing therapy, and document care accurately. This position is a strong fit for an LCSW who wants consistent hours, a structured clinical setting, and the ability to help clients work through mental health concerns from the privacy of their own space.

Responsibilities

  • Provide individual therapy sessions through a HIPAA-compliant telehealth platform
  • Complete biopsychosocial assessments and identify client needs, risks, and goals
  • Develop treatment plans that are practical, measurable, and client-centered
  • Support clients managing anxiety, depression, stress, trauma, life transitions, grief, and relationship concerns
  • Maintain timely clinical notes, progress updates, and treatment documentation
  • Monitor client progress and adjust care plans when clinically appropriate
  • Follow ethical, legal, and professional standards for virtual behavioral health care
  • Coordinate referrals or higher levels of care when clients need additional services
  • Participate in case reviews, clinical updates, or team communication as needed

Requirements

  • Master's degree in Social Work from an accredited program
  • Active Florida LCSW license in good standing
  • Experience providing therapy, counseling, or clinical social work services
  • Comfortable using telehealth platforms, EHR systems, and digital documentation tools
  • Strong understanding of confidentiality, HIPAA, mandated reporting, and clinical ethics
  • Ability to work independently while staying connected with a remote clinical team
  • Reliable internet connection and a private workspace for client sessions

Benefits

  • 2 weeks PTO
  • Health Insurance
  • 401K Plan with 3% Company Match
  • Full-time remote role
  • Competitive salary of $115,000-$120,000 per year

If you are a Florida-licensed LCSW looking for a remote clinical role with structure, steady support, and meaningful client work, we welcome your application today.

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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

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