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Remote Medical Reviewer Jobs in Rialto, CA (NOW HIRING)

Benefits vary by location and may include: o Remote working o Flexible time off o Paid holidays o ... Automated Decision Making: All applicants are reviewed by a member of the Veristat Talent ...

Medical Writing Manager

Anaheim, CA ยท Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

Medical Writing Manager

Riverside, CA ยท Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

Medical Writing Manager

Orange, CA ยท Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

Medical Writing Manager

Pomona, CA ยท Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

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Remote Medical Reviewer information

See Rialto, CA salary details

$11

$42

$100

How much do remote medical reviewer jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote medical reviewer in Rialto, CA is $42.17, according to ZipRecruiter salary data. Most workers in this role earn between $22.88 and $54.23 per hour, depending on experience, location, and employer.

What is a remote medical reviewer?

A Remote Medical Reviewer evaluates medical records, claims, or cases to ensure accuracy, compliance, and appropriate medical decision-making. They typically work for insurance companies, healthcare organizations, or third-party review agencies. This role involves analyzing documentation, applying clinical guidelines, and providing recommendations based on medical expertise. It requires a background in healthcare, such as nursing or medicine, along with strong analytical and communication skills. The job is performed remotely, allowing flexibility while maintaining high standards of medical review.

What are the key skills and qualifications needed to thrive as a remote medical reviewer?

A Remote Medical Reviewer requires a strong background in healthcare, such as a nursing or pharmaceutical degree, along with in-depth knowledge of clinical guidelines and regulatory standards. Familiarity with electronic medical record (EMR) systems, coding software, and industry certifications like RHIA or CCS is often necessary. Exceptional attention to detail, analytical thinking, and clear written communication are vital soft skills for this role. These competencies ensure accurate and timely medical review decisions that impact patient care and regulatory compliance.

What are some common challenges faced by remote medical reviewers and how can they be addressed?

Remote Medical Reviewers often encounter challenges such as reviewing complex cases with limited background information and keeping up with frequent updates to medical regulations and insurance policies. Staying organized, participating in continuing education, and leveraging robust digital communication tools can help you overcome these obstacles. You'll also need to be self-motivated and comfortable working independently, as remote teams often collaborate primarily through virtual meetings and secure documentation platforms. Embracing strong time management practices and regularly connecting with colleagues for case discussions can greatly enhance your job performance and satisfaction.

How to become a remote medical reviewer?

To become a remote medical reviewer, candidates typically need a medical degree such as MD or DO, along with clinical experience in a relevant specialty. Strong analytical skills, attention to detail, and familiarity with medical records and documentation are essential, and some positions may require certification or licensure in the relevant state or country. Proficiency with electronic health records (EHR) systems and the ability to work independently are also important for remote roles.

What are popular job titles related to Remote Medical Reviewer jobs in Rialto, CA?

For Remote Medical Reviewer jobs in Rialto, CA, the most frequently searched job titles are:

What job categories do people searching Remote Medical Reviewer jobs in Rialto, CA look for?

The top searched job categories for Remote Medical Reviewer jobs in Rialto, CA are:

What cities near Rialto, CA are hiring for Remote Medical Reviewer jobs?

Cities near Rialto, CA with the most Remote Medical Reviewer job openings:

Infographic showing various Remote Medical Reviewer job openings in Rialto, CA as of June 2026, with employment types broken down into 56% Full Time, and 44% Contract. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution, with an average salary of $87,719 per year, or $42.2 per hour.

Medical Director job in Pomona CA

Inspire Healthcare

Pomona, CA โ€ข Remote

$250K - $350K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago


Job description

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea and be available for occasional on-site meetings and trainings.

Responsibilities
  • Review prior authorization requests and determine medical necessity using evidence-based clinical guidelines.
  • Approve, deny, modify, or redirect services as appropriate.
  • Collaborate with nurses, physicians, and care management teams to support high-quality, cost-effective care.
  • Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement initiatives.
  • Serve as a clinical resource to providers on utilization management and patient care issues.
Qualifications
  • MD or DO degree required.
  • Board Certification in Internal Medicine strongly preferred.
  • Minimum 5 years of clinical experience required.
  • 2+ years of managed care, health plan, or utilization management experience preferred.
  • Strong knowledge of prior authorization processes and medical necessity criteria.
  • Excellent communication, organizational, and decision-making skills.
  • Proficiency with Microsoft Office and remote work technology.
Compensation & Benefits
  • Salary: $250,000"$350,000 annually DOE.
  • Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, life insurance, FSA, tuition reimbursement, CME/license reimbursement, and employee assistance programs.

This is an excellent opportunity to join one of Southern California's fastest-growing physician organizations in a leadership role that supports quality patient care while maintaining work-life balance.


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About Inspire Healthcare

Sourced by ZipRecruiter

Inspire Healthcare, based in Boynton Beach, FL, US, is a dynamic firm in the healthcare staffing industry. Established with the dedication to provide a quality recruitment service to the healthcare sector, it is dedicated to assisting healthcare providers with their staffing needs. Its official website, ihcrecruiting.com, presents a comprehensive portfolio of services that cater to diverse healthcare facilities and positions. Its mission is firmly rooted in delivering professional healthcare staffing services that fulfill clients' needs efficiently and effectively, while also creating prosperous opportunities for healthcare professionals. A notable achievement of the company is its breadth of service, extending its recruiting coverage all across the country.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Boynton Beach, FL, US

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