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Assistant Insurance Nurse Reviewer Jobs (NOW HIRING)

Verisk

MSA Nurse Reviewer

Woburn, MA · On-site

$80K - $88K/yr

... Nursing required • Experience in preparing medical review reports, medical bill reviews and ... Health Insurance, a Retirement Plan, Disability benefits, and a Paid Time Off program. We offer a ...

Verisk

MSA Nurse Reviewer

Woburn, MA

Health Insurance, a Retirement Plan, Disability benefits, and a Paid Time Off program. We offer a ... Nursing required Experience in preparing medical review reports, medical bill reviews and ...

Zimmerman Associates Inc.

$23.56/hr

Referral Management (Non-Nurse) Reviewers will facilitate centralized product line and specialty ... Processing/Insurance Referral * U.S. Citizenship required, with the ability to obtain a Public ...

Regal Medical Group

Reviewer, Clinical RN

Canoga Park, CA · On-site

$45 - $50/hr

... assist in meeting regulatory requirements and maintaining compliance with the organization ... Employer-paid comprehensive medical, pharmacy, and dental for employees Vision insurance Zero co ...

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Assistant Insurance Nurse Reviewer information

See salary details

$35.5K

$106.8K

$185K

How much do assistant insurance nurse reviewer jobs pay per year?

As of Jun 10, 2026, the average yearly pay for assistant insurance nurse reviewer in the United States is $106,806.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,000.00 and $129,500.00 per year, depending on experience, location, and employer.

What are some common challenges faced by an Assistant Insurance Nurse Reviewer, and how can they be addressed?

Assistant Insurance Nurse Reviewers often encounter challenges such as managing high caseloads, keeping up with changing insurance guidelines, and balancing detailed clinical assessments with administrative tasks. Staying organized, continuously updating knowledge on policy changes, and effective communication with both clinical staff and claims adjusters can help address these challenges. Additionally, leveraging electronic health record systems and workflow tools can streamline the review process and reduce errors, making the role more manageable and efficient.

What is the difference between Assistant Insurance Nurse Reviewer vs Insurance Nurse Reviewer?

AspectAssistant Insurance Nurse ReviewerInsurance Nurse Reviewer
CertificationsRegistered Nurse (RN) license, possibly with insurance or case management certificationsRegistered Nurse (RN) license, often with additional certifications in insurance or case review
Work EnvironmentSupport role within insurance companies, reviewing claims under supervisionIndependent or team-based review of insurance claims and policies
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, third-party review organizations

The Assistant Insurance Nurse Reviewer typically supports the Insurance Nurse Reviewer by handling preliminary reviews and administrative tasks. Both roles require RN licensure and familiarity with insurance processes, but the Insurance Nurse Reviewer usually has more experience and responsibility in claim evaluation and decision-making.

What are the key skills and qualifications needed to thrive as an Assistant Insurance Nurse Reviewer, and why are they important?

To thrive as an Assistant Insurance Nurse Reviewer, you need a nursing background (RN or LPN), strong clinical assessment skills, and a solid understanding of medical terminology and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and medical coding systems like ICD-10 and CPT is typically required. Exceptional attention to detail, analytical thinking, and clear written and verbal communication skills help you excel in evaluating claims and collaborating with other professionals. These abilities are vital for ensuring accurate claim assessments, compliance with regulations, and effective coordination between healthcare providers and insurers.

What are Assistant Insurance Nurse Reviewers?

Assistant Insurance Nurse Reviewers are healthcare professionals, typically registered nurses, who support the insurance review process. Their main role involves reviewing medical records and claims to ensure that services meet established guidelines for medical necessity and coverage. They assist senior nurse reviewers by gathering clinical information, preparing documentation, and sometimes communicating with providers or policyholders. Their work helps insurance companies make informed decisions about claims and prior authorizations. This position requires strong clinical knowledge, attention to detail, and familiarity with insurance protocols.
More about Assistant Insurance Nurse Reviewer jobs
What cities are hiring for Assistant Insurance Nurse Reviewer jobs? Cities with the most Assistant Insurance Nurse Reviewer job openings:
What are the most commonly searched types of Insurance Nurse Reviewer jobs? The most popular types of Insurance Nurse Reviewer jobs are:
What states have the most Assistant Insurance Nurse Reviewer jobs? States with the most job openings for Assistant Insurance Nurse Reviewer jobs include:
What job categories do people searching Assistant Insurance Nurse Reviewer jobs look for? The top searched job categories for Assistant Insurance Nurse Reviewer jobs are:
Assistant Insurance Nurse Reviewer jobs near you
Infographic showing various Assistant Insurance Nurse Reviewer job openings in the United States as of June 2026, with employment types broken down into 39% Full Time, 59% Part Time, 1% Contract, and 1% Nights. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $106,806 per year, or $51.3 per hour.
Clinical Nurse Reviewer

Clinical Nurse Reviewer

Saint Peter's Healthcare System

New Brunswick, NJ

Other

Medical, Dental, Vision, Life, Retirement

Posted 21 days ago

Saint Peter's University Hospital rating

8.0

Company rating: 8.0 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

125th of 997 rated hospitals

Job description

Clinical Nurse Reviewer Quality Management Saint Peter's is among the few hospitals in the world to have earned its 7th consecutive Magnet designation and its first Magnet with Distinction designation. The Magnet with Distinction designation is an elite level of this recognition, awarded to organizations that demonstrate exceptional performance in nursing practices and patient outcomes. Our team of award-winning nurses is growing, and we are looking for talented, compassionate RNs to join our team.

The Clinical Nurse Reviewer will: Collect clinical data on variables, including preoperative risk factors, intraoperative variables and 30 day postoperative mortality outcomes for patients undergoing major and minor surgical procedures in both inpatient and outpatient settings. Enter data into the program's database and meet the caseload accrual requirement protocol, validate and submit the data through a secure, Web-based system. Utilize software applications for data collection and analysis.

Conduct data audits, as instructed. Meet regularly with the Surgeon Champion and quality team to review results. Actively participate in Quality Improvement activities with staff in the Surgery, Medicine, Nursing, Medical Records, Infection Control, Quality/Patient Safety, and the Information Systems departments to improve patient outcomes.

Develop PI plan for department of surgery and anesthesia, collaborate with Chairs of Surgery, Anesthesia, and Director of Quality. Requirements: Licensed Professional Registered Nurse (NJ). Bachelor of Science degree in Nursing (BSN) is required.

Minimum of 1 year experience in one of the following settings: hospitals surgery department, surgery clinic, clinical research, or medical records. Experience in clinical chart review and good communication and relationship building skills are highly desirable. Thorough working knowledge of network database systems and multiple software programs.

Position located on-site with limited remote work hours as allowed based on Director's assessment of department need. We offer competitive base rates that are determined by many factors, including job-related work experience, internal equity, and industry-specific market data. In addition to base salary, some positions may be eligible for clinical certification pay and shift differentials.

The salary range listed for exempt positions reflects full-time compensation and will be prorated based on employment status. Saint Peter's offers a robust benefits program to eligible employees that will support you and your family in working toward achieving and maintaining secure, healthy lives now and into the future. Benefits include medical, dental, and vision insurance; savings accounts, voluntary benefits, wellness programs and discounts, paid life insurance, generous 401(k) match, adoption assistance, back-up daycare, free onsite parking, and recognition rewards.

You can take your career to the next level by participating in either a fully paid tuition program or our generous tuition assistance program. Learn more about our benefits by visiting our site at Saint Peter's. Apply.

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