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Remote Respiratory Clinical Reviewer Jobs (NOW HIRING)

Tapestry

Full-time Nurse Practitioner Clinical Reviewer

$115K - $125K/yr

The Nurse Practitioner Clinical Reviewer will be responsible for reviewing Remote Patient Monitoring (RPM), Behavioral Health (BHI), and Chronic Care Management (CCM) reports, assuring the integrity ...

MedReview

DRG Reviewer

Manhattan, NY · Remote

... clinical review to support coded diagnoses. This is a fully remote position. Candidates must be available to work Eastern Standard Time (EST) business hours. Salary: $85,000-$90,000 annually ...

MedReview

DRG Reviewer

Manhattan, NY · On-site +1

$85K - $90K/yr

... clinical review to support coded diagnoses. This is a fully remote position. Candidates must be available to work Eastern Standard Time (EST) business hours. Salary: $85,000-$90,000 annually ...

Pacer Group

Clinical Quality Reviewer RN 3

Clinical Quality Reviewer RN (Quality of Care Review) Duration: 9+ Months (Potential Extension and ... Remote - CA Work Schedule: Monday - Friday | 8:00 AM - 4:30 PM / 5:00 PM (depending on 30-minute or ...

Med Review Inc

Physician Reviewer

We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in ...

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Remote Respiratory Clinical Reviewer information

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How much do remote respiratory clinical reviewer jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote respiratory clinical reviewer in the United States is $43.23, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $53.61 per hour, depending on experience, location, and employer.

What are some common challenges faced by remote respiratory clinical reviewers, and how can they be managed?

Remote Respiratory Clinical Reviewers often face challenges such as maintaining effective communication with healthcare teams, staying updated with evolving clinical guidelines, and managing a high volume of case reviews efficiently. To manage these challenges, it's important to leverage secure digital communication tools, participate in ongoing professional development, and establish a well-organized workflow. Collaborating regularly with peers and utilizing decision-support resources can also help ensure accurate and timely clinical assessments.

What is the difference between Remote Respiratory Clinical Reviewer vs Remote Pulmonology Case Manager?

AspectRemote Respiratory Clinical ReviewerRemote Pulmonology Case Manager
CredentialsRN or licensed healthcare professional, certifications in respiratory careRN or licensed healthcare professional, case management certification often preferred
Work EnvironmentRemote, reviewing respiratory cases, medical record analysisRemote, managing patient cases, coordinating care in pulmonology
Employer & IndustryInsurance companies, healthcare providers, telehealth servicesInsurance companies, healthcare organizations, telehealth providers
Search & ComparisonOften compared for clinical review roles in respiratory careCompared for case management roles in pulmonology

The Remote Respiratory Clinical Reviewer primarily focuses on reviewing respiratory cases and medical records, requiring respiratory-specific certifications. In contrast, the Remote Pulmonology Case Manager manages patient cases and coordinates care within pulmonology. Both roles are remote, often employed by insurance or healthcare organizations, but differ in daily responsibilities and specialized credentials.

What are the key skills and qualifications needed to thrive as a remote respiratory clinical reviewer?

To thrive as a Remote Respiratory Clinical Reviewer, you need a solid background in respiratory therapy or nursing, active licensure, and experience in clinical review or utilization management. Familiarity with electronic medical records (EMR), health insurance systems, and clinical guidelines such as CMS or InterQual is typically required. Strong analytical thinking, attention to detail, and effective written communication are crucial soft skills for evaluating medical information and collaborating remotely. These skills and qualifications ensure accurate, timely, and compliant clinical reviews that support patient care and organizational standards.

What is a remote respiratory clinical reviewer?

A Remote Respiratory Clinical Reviewer is a healthcare professional, often a registered respiratory therapist or nurse, who evaluates clinical documentation and medical records related to respiratory care from a remote location. Their main responsibilities include reviewing patient cases for medical necessity, compliance with guidelines, and adherence to insurance policies. By working remotely, they help ensure that respiratory treatments and services are properly authorized and meet the required standards. This role is essential for healthcare organizations, insurance companies, and utilization management firms to maintain quality and cost-effective care.
More about Remote Respiratory Clinical Reviewer jobs
What cities are hiring for Remote Respiratory Clinical Reviewer jobs? Cities with the most Remote Respiratory Clinical Reviewer job openings:
What are the most commonly searched types of Respiratory Clinical Reviewer jobs? The most popular types of Respiratory Clinical Reviewer jobs are:
What states have the most Remote Respiratory Clinical Reviewer jobs? States with the most job openings for Remote Respiratory Clinical Reviewer jobs include:
What job categories do people searching Remote Respiratory Clinical Reviewer jobs look for? The top searched job categories for Remote Respiratory Clinical Reviewer jobs are:
Remote Respiratory Clinical Reviewer jobs near you
Infographic showing various Remote Respiratory Clinical Reviewer job openings in the United States as of August 2026, with employment types broken down into 61% Full Time, 22% Part Time, 4% Temporary, and 13% Contract. Highlights an 100% Remote job distribution, with an average salary of $89,915 per year, or $43.2 per hour.

Full-time Nurse Practitioner Clinical Reviewer

TapestryHealth

Remote

$115K - $125K/yr

Full-time

Re-posted 5 days ago

Job description

POSITION SUMMARY:
The Nurse Practitioner Clinical Reviewer will be responsible for reviewing Remote Patient Monitoring (RPM), Behavioral Health (BHI), and Chronic Care Management (CCM) reports, assuring the integrity and appropriateness of reporting elements. It is the hope that these reports will assist the facilities in the care of their residents/patients and caregivers. The Nurse Practitioner will also be responsible for any escalation of alerts that come through the Passive Device Alert Center (PDAC) that is identified as needing immediate review and notification of facility. The alerts are of high risk to the resident. Each Nurse Practitioner will be rotated to cover the PDAC center.
*Must hold at least 5 active NP licenses*
PRIMARY RESPONSIBILITIES:
Complies with documentation requirements of the care management services as defined by Tapestry Care Management department
Responsible for contacting facilities clinical leadership team or designee and/or facility Tapestry clinician for the purpose of obtaining feedback on reports supplied and review the patient specific clinical reports.
Contact with the facilities may be by phone, video conference, in person or through sharing written reports. One on one meetings with designated facility representative will also be set up if the facility clinical representative request using video conferences platform to educate and review utilization of reports and benefits of these reports. Questions will be answered to the facility via email, phone, or the video conference meeting arranged
A phone log of the facilities receiving RPM and CCM reports will be maintained on name of facility, person who spoke with at facility, date, time whether by email or phone. Protocol for follow up with facilities will be followed as outlined in workflow process.
When notified of an escalated alert from the clinicians in the PDAC reviews the alert and analyze and notifies facility contact of it.
Adheres to the established policy/protocol established for the Alerts for the (PDAC)
Ensures the notification of the appropriate facility provider of the high red alert and discuss findings
Ensures uses Zoom/and or designated platform for purpose of documenting time spent and any actions taken with alert process.
Work with care management team members to collaborate and improve workflow process
Communicate with Clinical Director of care management on issues regarding quality, system capacity, and resource requirements, facility and/ or provider feedback.
Strive to meet established standards for productivity.
Develops relationships across facilities organization and within Tapestry Health to facilitate communication and improvement of program.
Updates all Care Management team members if any contacts have changed within a facility
Meets with the Director of Care Management on regular basis monthly
Performs all duties and responsibilities and adheres to the Nurse Practice Act.
Works with consultants in resolving mismatch patient information, any discrepancies within the reports (i.e., Date of service, Dates of birth, completeness of report etc), and obtaining reports through Smartsheet
Ensures timelines are met
Protects patient information and adheres to standard of confidentiality with all patient information
Contributes and participates in any performance improvement and continuous quality improvement activities within the Care Management Work realm.
All other duties as assigned.
MINIMUM REQUIREMENTS
Advanced Practice Nurse practitioner education and certification.
Licensed NP in at least 5 states.
Knowledge and Skill in chronic disease and remote patient monitoring management
Proficient with Adobe, Microsoft Word, Excel, and video conferencing platforms and Dashboard type platforms.
Monday-Friday, standard business hours.
PREFERRED SKILLS
Strong verbal/written communication and presentation skills
Experience in working with team members to promote ideas, issues, and initiatives within a constructive group framework
Must always represent the organization in a positive and professional manner
Ability to organize and prioritize tasks
Ability to work independently, be attentive to detail and maintain a positive attitude.
The anticipated annualized salary for this role is $115K-125K. This remote position follows a location-based compensation structure. The posted salary range represents the potential pay range across various U.S. geographic markets. Actual compensation will be determined based on the candidate’s primary work location, experience, qualifications, and internal equity considerations, in accordance with applicable pay transparency laws.

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