2

Remote Optum Clinical Review Jobs in Decatur, GA

Showing results 41-60

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:

Compassionate Licensed Clinical Social Worker (LCSW) - Remote/Outpatient Care

Company Confidential

Marietta, GA โ€ข Remote

Full-time

Medical, Dental, Vision, Life

Posted 2 days ago

New


Job description

Position Overview

Gotham Enterprises Ltd is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our remote outpatient team in Marietta, Georgia. This full-time position offers the opportunity to make a meaningful impact on the mental health and well-being of a diverse population of clients while enjoying the flexibility of a remote work environment. The successful candidate will play a critical role in delivering therapeutic services using evidence-based practices and engaging with clients on their mental health journeys.

About the Organization

At Gotham Enterprises Ltd, our mission is to enhance the quality of life for individuals and families within our community by providing high-quality mental health services. Our Community Health Clinic is committed to fostering a supportive and empowering environment for both our clients and our employees. We emphasize a culture of collaboration, ongoing education, and professional development, ensuring our staff members have the tools and resources they need to thrive in their roles.

Work Environment

This position is fully remote, allowing you to maintain a healthy work-life balance while working from the comfort of your home or preferred location. Our virtual clinical environment is equipped with cutting-edge technology to facilitate seamless communication with clients and team members and to support the effective delivery of mental health services. You will be joining a motivated team of experienced professionals who are dedicated to providing exceptional care and support.

Key Responsibilities

As a Licensed Clinical Social Worker at Gotham Enterprises Ltd, your primary responsibilities will include:

  • Conducting comprehensive clinical assessments to identify client needs and developing tailored treatment plans that adhere to best practices in mental health care.
  • Implementing various therapeutic interventions, including cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and solution-focused techniques, ensuring that strategies are customized to meet individual client preferences.
  • Maintaining precise and timely clinical documentation, ensuring compliance with HIPAA regulations and organizational standards.
  • Collaborating with a multidisciplinary treatment team, encompassing psychiatrists and other mental health professionals, to ensure the delivery of coordinated and holistic care.
  • Participating in regular case consultations and peer reviews to enhance treatment quality and foster professional growth.
  • Educating clients and their families on mental health concerns, available treatment options, and community resources that can support their journey towards recovery.
  • Staying informed about the latest developments in mental health research and practice, integrating this knowledge into your work to provide the highest quality of care.
Patient Population / Client Focus

You will work with a diverse clientele, including individuals facing various mental health challenges such as anxiety disorders, depression, trauma, and family dynamics. Our clinic values a person-centered approach, ensuring that each client's unique experiences and perspectives guide their treatment journey. Your role will be crucial in empowering clients to achieve their personal treatment goals and improve their overall quality of life.

Qualifications

To be considered for this role, candidates must possess the following qualifications:

  • A Master's Degree in Social Work from an accredited institution.
  • A valid state license as a Licensed Clinical Social Worker (LCSW).
  • A minimum of three years of clinical experience focused on psychotherapy services.
  • Proficiency in various solution-based therapeutic interventions.
  • Exceptional communication and interpersonal skills to build rapport with clients.
  • Strong problem-solving abilities and critical thinking skills.
  • Capable of working effectively in a collaborative team environment.
Preferred Experience

While not required, experience in an outpatient mental health setting and familiarity with telehealth platforms is a plus. Candidates with training in trauma-informed care or specialized certifications in therapeutic modalities will be highly regarded.

Compensation and Benefits

Gotham Enterprises Ltd offers a competitive annual salary range of USD 80,000 to 100,000, commensurate with experience and qualifications. Our comprehensive benefits package includes:

  • Medical, dental, and vision insurance.
  • Life and disability insurance.
  • Malpractice insurance coverage.
  • An employee assistance program providing mental health support and counseling services.
  • Paid professional liability insurance.
  • Opportunities for unlimited referrals, enabling LCSWs to maintain a full caseload and focus on high-quality treatment.
  • Minimized administrative burden to allow more time for patient interaction.
Career Growth Opportunities

We are committed to the ongoing professional development of our staff and offer various opportunities for training, mentorship, and career advancement within the organization. LCSWs at Gotham Enterprises have the potential to take on supervisory roles, engage in specialized training, and lead community outreach initiatives.

Why Join Our Team

Joining Gotham Enterprises Ltd means becoming part of a mission-driven team dedicated to making a difference in the lives of others. Our supportive work culture encourages collaboration and innovation, empowering our employees to take initiative in their roles. We value the voices of our team members and actively create a space where ideas are shared and growth is prioritized. If you are looking for a dynamic and fulfilling role as a Licensed Clinical Social Worker, we invite you to apply and be a changemaker in your community.

Application Information

If you are passionate about helping others and meet the qualifications for this position, we encourage you to submit your application along with your resume and a cover letter detailing your relevant experience and career aspirations. We look forward to welcoming you to our dedicated team at Gotham Enterprises Ltd.