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Remote Optum Clinical Review Jobs in Decatur, GA

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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 Jul 13, 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.

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 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 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.

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 job categories do people searching Remote Optum Clinical Review jobs in Decatur, GA look for? The top searched job categories for Remote Optum Clinical Review jobs in Decatur, GA 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:
Remote Optum Clinical Review jobs near you
Clinical Learning Specialist (RN)

Clinical Learning Specialist (RN)

Sprinter Health

Atlanta, GA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

Job description

About Sprinter Health
Sprinter Health is transforming healthcare by bringing high-quality care directly into the home. Through innovative technology, clinical excellence, and operational expertise, we partner with health plans and providers to improve access, close care gaps, and deliver exceptional member experiences.
We are seeking a Clinical Learning Specialist (RN) to support the development, implementation, and administration of clinical training programs across our organization. This role will play a critical part in ensuring new clinicians are prepared to deliver safe, high-quality care from day one.
Position Overview
The Clinical Learning Specialist is responsible for supporting onboarding, competency management, and clinical education activities for Sprinters (Phlebotomists) and Nurse Practitioners. Working closely with Clinical Training Managers, Instructional Design, Clinical Operations, Quality, and Credentialing teams, this role helps coordinate onboarding activities, maintain training content, administer learning programs, and support clinician readiness.
This position is ideal for a clinically experienced Registered Nurse who enjoys education, organization, and supporting scalable training programs in a fast-paced healthcare environment. This position is primarily remote and requires frequent travel to our Atlanta-based training facility to support onboarding, training programs, and other learning initiatives. This position is primarily remote and requires frequent travel to our Atlanta-based training facility to support onboarding, training programs, and other learning initiatives..
Key Responsibilities
Clinical Education Support
  • Assist with the development, maintenance, and organization of clinical training materials, job aids, competency checklists, workflows, and reference guides.
  • Partner with Clinical Training Managers and subject matter experts to ensure training content remains current and aligned with clinical and operational standards.
  • Support updates to training materials based on quality findings, workflow changes, regulatory updates, and organizational priorities.
  • Assist in creating presentations, skills validation tools, competency assessments, and learning resources.

Onboarding Coordination
  • Coordinate onboarding activities for new Sprinters and Advanced Practice Providers.
  • Manage onboarding schedules, training assignments, and learner communications.
  • Track completion of required training, competencies, certifications, and compliance requirements.
  • Support virtual and in-person onboarding events, skills labs, and training sessions.
  • Serve as a resource for onboarding-related questions and training logistics.

Learning Management
  • Administer learning assignments and training records within the Learning Management System (LMS).
  • Maintain accurate competency, training, and completion documentation.
  • Monitor onboarding progress and communicate completion status to leaders and stakeholders.
  • Generate routine reports on training participation, onboarding completion, and competency compliance.
  • Support annual competencies and ongoing education initiatives.

Training Operations Support
  • Coordinate training calendars, materials, communications, and logistics.
  • Support field trainers, preceptors, and training facilitators with administrative and educational resources.
  • Assist with audits and documentation reviews related to training and competency programs.
  • Identify opportunities to improve training processes and learner experience.

Cross-Functional Collaboration
  • Partner with Clinical Operations, Quality, Credentialing, Compliance and People teams to support clinician readiness.
  • Participate in process improvement initiatives related to onboarding and training operations.
  • Support organizational efforts to standardize training and competency management across markets.

Qualifications
Required
  • Active, unrestricted Registered Nurse (RN) license.
  • Bachelor's degree in Nursing.
  • 2+ years of clinical nursing experience.
  • Experience as a preceptor, trainer, onboarding support resource, charge nurse, or educator.
  • Experience creating educational materials, competency assessments, or job aids.
  • Strong organizational, communication, and time management skills.
  • Ability to travel frequently to support onboarding, training programs, and organizational initiatives at our Atlanta-based training facility.
  • Ability to manage multiple priorities and deadlines in a fast-paced environment.
  • Proficiency with Google Workspace and virtual collaboration tools.

Preferred
  • Experience in home health, primary care, population health, ambulatory care, or care management.
  • Experience with Learning Management Systems (Docebo preferred).
  • Familiarity with adult learning principles and competency-based education.
  • Experience supporting onboarding or training programs in a healthcare setting.
  • Residence in the Atlanta metropolitan area

What You'll Bring
  • Passion for developing healthcare professionals and improving patient care.
  • Strong attention to detail and operational excellence.
  • A collaborative mindset and willingness to support cross-functional teams.
  • Curiosity and a continuous improvement mindset.
  • Commitment to delivering an exceptional onboarding and learning experience for clinicians.

Why Join Us
  • Opportunity to help shape the future of clinical education at a rapidly growing healthcare organization.
  • Work alongside innovative clinical, operational, and technology leaders.
  • Make a meaningful impact on clinician readiness, quality, and patient outcomes.
  • Competitive compensation, benefits, and opportunities for professional growth.

What We Offer
  • Medical, dental, and vision plans
  • Flexible PTO and paid holidays
  • 401(k) with company match
  • Parental leave
  • Life insurance and disability coverage
  • Competitive salary

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