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Remote Optum Clinical Review Jobs in Decatur, GA

... remote based (can also be onsite in Chaska, MN). At Danaher Diagnostics, our vision is to be the ... Author and review clinical and regulatory documentation-including study reports, technical files ...

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Remote Optum Clinical Review information

See Decatur, GA salary details

$14

$33

$88

How much do remote optum clinical review jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote optum clinical review in Decatur, GA is $33.80, according to ZipRecruiter salary data. Most workers in this role earn between $16.20 and $32.16 per hour, depending on experience, location, and employer.

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 popular job titles related to Remote Optum Clinical Review jobs in Decatur, GA?

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

What cities near Decatur, GA are hiring for Remote Optum Clinical Review jobs?

Cities near Decatur, GA with the most Remote Optum Clinical Review job openings:

Medical Writer / Clinical Document - Remote

YO AI Labs

Atlanta, GA โ€ข Remote

$50 - $80/hr

Full-time

Posted 25 days ago


Job description

Job Title: Medical Writer / Clinical Document Author

Location: Remote
Job Type: Contractor
Pay: $50–$80/hour

Job Overview

We are seeking an experienced Medical Writer / Clinical Document Author to develop, review, and evaluate clinical and regulatory documents while ensuring scientific accuracy, regulatory compliance, and high-quality medical writing.

Key Responsibilities
  • Author and review Clinical Study Reports (CSRs) and other regulatory documents.

  • Interpret clinical protocols and ensure compliance with ICH guidelines.

  • Verify scientific accuracy using source data, TFLs (Tables, Figures, and Listings), and study documentation.

  • Review safety documentation, including DSURs and PSURs/PBRERs.

  • Provide structured feedback and collaborate with cross-functional teams.

  • Support AI-assisted documentation evaluation and quality improvement initiatives.

Required Skills
  • Regulatory Medical Writing

  • Clinical Study Report (CSR) Authoring

  • ICH E3 Guidelines

  • Scientific Accuracy Assessment

  • Source Data Verification

  • Clinical Protocol Interpretation

  • TFL Analysis

  • eCTD Knowledge

  • Strong Written Communication & Collaboration

Qualifications
  • 5+ years of regulatory medical writing experience in a Sponsor, CRO, or consulting environment.

  • Experience authoring Clinical Study Reports and regulatory documentation.

  • Strong knowledge of ICH E3, ICH E2F, ICH E2C, and eCTD requirements.

  • Advanced degree in Life Sciences, Pharmacy, Medicine, or a related field (MD, PharmD, PhD, or MSc).

  • Experience in oncology and haematology is preferred.