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22 remote Clinical Review Specialist jobs

22 open remote Clinical Review Specialist roles from top companies and boards — updated daily.

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Clinical Quality Reviewer4d ago
Virtix Health LLC·United States
clinical-reviewhealthcare-quality-assuranceprior-authorizationsutilization-managementmedical-reviewclinical-quality-reviewer
Clinical Review Specialist4d ago
CorroHealth·United States
clinical-reviewutilization-reviewappeals-specialisthealthcare-administrationrn-reviewclinical-review-specialist
Clinical Review Specialist - Fully Remote | Upto $105/hr5d ago
mercor·United States
prior-authorisation-managerclinical-review-specialistutilization-managementhealthcare-administrationprior-authorization-directorremote-final-medical-review-specialist
Complex Claims Clinical Reviewer5d ago
Vaya Health·United States·USD 68,033.34 - 88,443.35 / annual
medical-claims-reviewhealthcare-auditingclinical-documentation-improvementdrg-codinghealthcare-compliancesenior-healthcare-claims-medical-reviewer
Clinical Care Reviewer II(Must Have - Unrestricted Massachusetts RN License)5d ago
CareSource·United States·USD 62,700 - 100,400 / annual
utilization-review-nurseutilization-managementcare-coordination-nurseclinical-review-nursehealthcare-utilization-specialistclinical-review-rn
Clinical Reviewer - Fully Remote | Upto $120/hr6d ago
mercor·India
clinical-evaluatorhealthcare-quality-assuranceai-content-reviewclinical-reviewhealthcare-evaluatorremote-healthcare-reviewer
Clinical Reviewer - Fully Remote | Upto $120/hr6d ago
mercor·United Kingdom
clinical-reviewerhealthcare-evaluatorai-quality-assuranceclinical-document-reviewerhealthcare-ai-specialistremote-healthcare-reviewer
Medical Claim Reviewer (CGS, DMEC)6d ago
Broadway Ventures·United States·USD 65,000 - 65,000 / annual
medical-claim-reviewerregistered-nurseutilization-review-nurseclinical-review-specialistmedical-servicessenior-healthcare-claims-medical-reviewer
Senior Hospitalist Clinical Reviewer8d ago
micro1·Worldwide
senior-medical-reviewerclinical-reviewermedical-reviewer-for-internal-medicineclinical-review-specialistinpatient-clinical-review-nurseclinical-review-clinician
Licensed Therapists (Part-Time, Remote)13d ago
Defined.ai·United States
licensed-therapistremote-therapybehavioral-health-specialistclinical-review-specialistmental-health-counselorremote-licensed-marriage-and-family-therapist-(lmft)
Clinical Reviewer - Fully Remote | Upto $120/hr14d ago
mercor·Canada
clinical-reviewerhealthcare-evaluatorai-evaluatorclinical-assessment-specialisthealthcare-quality-assuranceremote-healthcare-reviewer
Physical Medicine & Rehabilitation Physician Reviewer - Connecticut Lic18d ago
Dane Street·United States
physician-reviewerindependent-medical-examination-reviewermedical-review-physicianclinical-review-specialistworkers-compensation-medical-reviewermedical-reviewer-for-physical-medicine-and-rehabilitation
PRN Clinical Review Nurse (RN)20d ago
CorroHealth·United States
clinical-review-nurseutilization-review-rnappeals-nursemedical-necessity-reviewremote-clinical-nursingclinical-review-rn
Now Hiring Board Certified Physician Reviewers - Otolaryngology - NM License21d ago
Dane Street·United States
medical-peer-reviewphysician-reviewerboard-certified-physicianclinical-review-specialistinsurance-medical-reviewboard-certified-physician-reviewer
Medical Review Specialist V22d ago
Empower AI Inc.·United States
medical-review-specialisthealthcare-claims-reviewmedicare-fraud-investigationmedical-records-reviewrn-medical-reviewersenior-medical-review-specialist-medicare
Remote Clinical Validation Reviewer (RN)23d ago
Molina Healthcare·United States
clinical-documentation-improvementmedical-claims-reviewhealthcare-claims-reviewrn-case-managementpayment-integrityremote-drg-clinical-validation-lead
Clinical Review QC Auditor2026-07-23
CERIS·United States·USD 68,566 - 104,841 / annual
clinical-auditingmedical-codingquality-controldrg-validationclinical-documentation-improvementclinical-qa-auditor
Complex Clinical Claims Analyst2026-07-14
Machinify·United States·USD 100,000 - 110,000 / annual
clinical-claims-analysthealthcare-claims-reviewpayment-integrityclinical-review-specialistmedical-claims-analysthealthcare-claims-analyst
Medical Workflow Specialist - Fully Remote | Upto $150/hr2026-07-07
mercor·United States
prior-authorisation-managerhealthcare-administrationutilization-managementclinical-review-specialistmedical-workflow-coordinatorhealthcare-workflow-specialist
Clinical Reviewer - Fully Remote | Upto $120/hr2026-07-03
mercor·United States
healthcare-evaluatorai-content-reviewerclinical-quality-assurancehealthcare-assessment-specialistclinical-document-reviewerremote-healthcare-reviewer
Physician Advisor, Utilization Management (CA License Required)2026-07-02
Alignment Health·United States·USD 198,219 - 297,329 / annual
physician-advisorutilization-managementmedical-directorhealthcare-quality-managementclinical-review-specialistutilization-management-physician
Clinical Reviewer - Fully Remote | Upto $120/hr2026-06-27
mercor·Australia
healthcare-clinical-evaluatorai-evaluatorclinical-reviewerhealthcare-aiquality-assuranceremote-healthcare-reviewer