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Remote Optum Clinical Review Jobs (NOW HIRING)

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate ...

UnitedHealthcare At Home

IRR Clinical Claim Review RN

$29 - $52/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Optum Clinical Claim Review Nurse Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly ...

UMR

IBR Clinical Review RN

$29 - $52/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve ...

divvyDOSE

IBR Clinical Review RN

$29 - $52/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve ...

Reliant Medical Group

IBR Clinical Review RN | , |

$29 - $52/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve ...

UnitedHealth Group

IBR Clinical Review RN

Plymouth, MN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Optum is a global organization that delivers care, aided by technology, to help millions of people ... The Clinical Review Clinician serves as a subject matter expert for itemized bill reviews and ...

OI Infusion

Clinical Review Pharmacist

$100K - $130K/yr

Clinical Review Pharmacist About the Company Launched in 2018, OI Infusion aims to improve the ... Remote Essential Duties and Responsibilities * Conduct thorough medical necessity review of ...

OI Infusion

Clinical Review Pharmacist

$100K - $130K/yr

Remote Essential Duties and Responsibilities * Conduct thorough medical necessity review of ... Collaborate with clinical operations team on review and maintenance of order sets and drug ...

Actalent

Remote Clinical Review RN

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The position combines clinical quality review, utilization review, and discharge planning oversight in a fully remote environment with occasional on-site presence if needed. Responsibilities

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All JobsOptum Clinical Review JobsRemote Optum Clinical Review Jobs

Remote Optum Clinical Review information

See salary details

$14

$34

$90

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

As of Aug 13, 2026, the average hourly pay for remote optum clinical review in the United States is $34.62, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $32.93 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.
More about Remote Optum Clinical Review jobs

What cities are hiring for Remote Optum Clinical Review jobs?

Cities with the most Remote Optum Clinical Review job openings:

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

The most popular types of Optum Clinical Review jobs are:

What states have the most Remote Optum Clinical Review jobs?

States with the most job openings for Remote Optum Clinical Review jobs include:

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

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

Remote Optum Clinical Review jobs near you
Infographic showing various Remote Optum Clinical Review job openings in the United States as of August 2026, with employment types broken down into 57% Full Time, 32% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $72,002 per year, or $34.6 per hour.

Remote Clinical Review Pharmacist

Pharmacy Careers

Remote

$121K - $144K/yr

Other

Posted 5 days ago

Job description

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule
Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role. Evaluate prescriptions and treatment plans for safety, appropriateness, and cost-effectiveness while working from home.
Key Responsibilities

  • Review prescriptions, treatment plans, and clinical requests for appropriateness, safety, and value.
  • Apply clinical guidelines and evidence-based standards to support determinations.
  • Collaborate with physicians, nurses, and utilization-management teams on complex cases.
  • Document recommendations and decisions according to health-plan and regulatory requirements.
  • Participate in quality initiatives and peer-to-peer discussions as needed.
What You'll Bring
  • Education: PharmD or Bachelor of Pharmacy.
  • Licensure: Active, unrestricted U.S. pharmacist license.
  • Experience: Clinical review, utilization management, or managed care preferred. Hospital, ambulatory, and community pharmacists with strong clinical judgment are highly encouraged to apply.
  • Skills: Excellent clinical writing, critical thinking, and communication.
Why This Role?
  • 100% remote with flexible scheduling.
  • Help patients access safe, effective, and affordable medications.
  • Develop specialized expertise in managed care and utilization review.
  • Competitive compensation, full benefits, and advancement opportunities.

About Us
We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time.
Apply Today
Take the next step as a Remote Clinical Review Pharmacist - apply today and enjoy the flexibility of working from home

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