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Remote Optum Clinical Review Jobs in Indiana (NOW HIRING)

National Vision

Remote Optometrist

Indianapolis, IN · Remote

Practice with clinical autonomy, supported by a collaborative team * Step into leadership roles, or ... Here's what you can expect: * You're not just reviewing results - you're conducting exams, engaging ...

Verawholehealth

$24.20 - $36.30/hr

Maintain thorough and timely clinical documentation for each visit, providing members with ... Actively engage in quality assurance reviews, call audits, and routine feedback to continuously ...

Harris

$10/hr

EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Attend regularly scheduled meetings (i.e., Monthly Clinical Update Meeting, monthly 1:1 with ...

Harris

$10/hr

EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Attend regularly scheduled meetings (i.e., Monthly Clinical Update Meeting, monthly 1:1 with ...

HealthLinc

Medical Assistant - Program (51875)

Valparaiso, IN · Remote

$15 - $19.50/hr

... review patient medical records Remote Patient Monitoring Program. The Program Medical Assistant ... Relieves and substitutes for other medical assistants in all clinical areas as needed. * All ...

HealthLinc

Medical Assistant - Program (51875)

Valparaiso, IN · Remote

$15 - $19.50/hr

... review patient medical records Remote Patient Monitoring Program. The Program Medical Assistant ... Relieves and substitutes for other medical assistants in all clinical areas as needed. * All ...

Powers Health

Coder II - Inpatient Coder - Remote

Munster, IN · Remote

$21.25 - $25.50/hr

Reviews and evaluates inpatient medical records via the EMR to determine appropriate diagnosis and ... Completes queries where necessary and works closely with the Clinical Documentation Improvement ...

IQVIA

Flex Nurse Educator

Indianapolis, IN · Remote

Candidates must possess a valid driver's license and will be subject to a review of their driving ... CES #LI-REMOTE IQVIA is a leading global provider of clinical research services, commercial ...

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Remote Optum Clinical Review information

What is a Remote Optum Clinical Review?

A Remote Optum Clinical Review is a job where healthcare professionals, such as nurses or physicians, evaluate medical records and treatment plans from a remote location. The goal is to ensure that healthcare services and procedures meet established clinical guidelines and are medically necessary. These reviews help determine coverage decisions for insurance claims and improve patient outcomes. Team members work from home, using secure systems to review documentation and collaborate with clinicians or insurance representatives. Optum is a part of UnitedHealth Group, and their clinical reviewers play a key role in maintaining quality and compliance in healthcare delivery.

How does a Remote Optum Clinical Review professional typically collaborate with interdisciplinary teams while working from home?

Remote Optum Clinical Review professionals frequently collaborate with physicians, nurses, case managers, and other healthcare staff through virtual meetings, secure messaging, and shared electronic health records. Effective communication skills are essential, as most interactions are conducted remotely. Team members regularly participate in cross-functional discussions to review patient cases, ensure compliance with clinical guidelines, and make evidence-based recommendations. Despite working from home, there is a strong emphasis on teamwork and maintaining alignment with organizational goals and regulatory standards.

What are the key skills and qualifications needed to thrive as a Remote Optum Clinical Review nurse, and why are they important?

To thrive as a Remote Optum Clinical Review Nurse, you need a valid RN license, strong clinical judgment, and experience in utilization management or case review. Familiarity with clinical review software, electronic health records (EHRs), and knowledge of medical necessity criteria like MCG or InterQual is typically required. Excellent attention to detail, critical thinking, and effective communication are key soft skills for evaluating cases and collaborating with healthcare teams. These skills ensure accurate clinical assessments, compliance with regulations, and improved patient care outcomes in a remote environment.

What is the difference between Remote Optum Clinical Review vs Remote Optum Utilization Review?

AspectRemote Optum Clinical ReviewRemote Optum Utilization Review
CertificationsRN, LPN, or other clinical licensesRN, LPN, or other clinical licenses
Work EnvironmentHome-based, healthcare settingHome-based, healthcare setting
Employer & IndustryOptum, healthcare insurance and managed careOptum, healthcare insurance and managed care
Primary FocusAssessing clinical necessity and appropriateness of careReviewing medical necessity for insurance coverage

Both roles involve remote work within the healthcare insurance industry, requiring clinical licenses. The main difference is that Clinical Review focuses on evaluating the appropriateness of care, while Utilization Review emphasizes determining medical necessity for insurance purposes.

What are the most commonly searched types of Optum Clinical Review jobs in Indiana?

The most popular types of Optum Clinical Review jobs in Indiana are:

What are popular job titles related to Remote Optum Clinical Review jobs in Indiana?

For Remote Optum Clinical Review jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Remote Optum Clinical Review jobs in Indiana look for?

The top searched job categories for Remote Optum Clinical Review jobs in Indiana are:

What cities in Indiana are hiring for Remote Optum Clinical Review jobs?

Cities in Indiana with the most Remote Optum Clinical Review job openings:

Remote Optum Clinical Review jobs near you

Remote Optometrist

National Vision

Indianapolis, IN • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

National Vision rating

6.7

Company rating: 6.7 out of 10

Based on 153 frontline employees who took The Breakroom Quiz

12th of 40 rated optical retailers

Job description

Company Description

100% Remote | Support In-Office Patients Virtually

Step confidently into the future of optometry. Our fully virtual model lets you provide high-quality, human-centered care to patients across the country - all from the comfort of your home. With advanced, real-time diagnostic technology and a dedicated on-site technician team, you'll deliver meaningful care that blends innovation and empathy in every interaction.

At our practice you're more than an optometrist - you're a trusted partner in eye care. We've built an environment where compassion, innovation, and your well-being come first.

What you'll find here:

  • Supportive, collaborative culture
  • Advanced technology for excellent patient care
  • Flexible schedules for better work-life balance
  • Leadership and growth opportunities
  • A genuine focus on you - your goals, your life, your success

Thrive personally and professionally with a team that values what matters most.

Rewarding compensation

  • Competitive salary with bonus potential (not tied to sales)
  • License reimbursement and malpractice insurance included
  • Continuing education hours provided annually through our all-expense-paid CE Symposium

A Smarter Way to Work

  • No on-call shifts. No late nights. Ever
  • Flexible schedules designed around your life and priorities
  • Generous paid time off, paid holidays, paid life insurance, and paid parental leave
  • Comprehensive medical, dental, vision, and retirement benefits with employer match

Freedom to Lead, Room to Grow

  • Practice with clinical autonomy, supported by a collaborative team
  • Step into leadership roles, or develop into them within our growing telehealth network
Job Description

You'll perform complete eye exams via high-definition video and real-time diagnostic feeds from our trained support team that allows you to focus on what you do best: providing excellent, personalized patient care.

Here's what you can expect:

  • You're not just reviewing results - you're conducting exams, engaging directly with patients, and leading with professionalism and warmth.
  • Deliver warm, high-quality care through expert exams and treatment
  • Educate and empower patients on eye health and prevention
  • Lead with compassion and build a positive, patient-first culture
Qualifications

Licensed (or eligible) to practice Optometry in the state where you'll practice

Minimum 1 year clinical experience

Additional Information

For more information, please visit our website.

What National Vision employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

National Vision logo

About National Vision

Sourced by ZipRecruiter

At National Vision we believe everyone deserves to see their best to live their best. We help people by making quality eye care and eyewear more affordable and accessible. National Vision is one of the largest optical retail companies in the United States with over 1,300 stores in 44 states plus the District of Columbia and Puerto Rico. We operate five retail brands: America's Best Contacts & Eyeglasses, Eyeglass World, Vision Centers inside select Walmart stores and Vista Optical inside Fred Meyer stores and on select military bases. We employ over 14,000 people including a network of over 2,000 optometrists. We offer an innovative culture where training is a priority, hard work is praised, and career growth is a reality.

Industry

Retail

Company size

10,000+ Employees

Headquarters location

Duluth, GA, US

Year founded

1990

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