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Assistant Insurance Nurse Reviewer Jobs (NOW HIRING)

Synergy Shared Services

Oasis Reviewer

Nashville, TN · On-site

Participate in Quality Improvement and Corporate Compliance activities as assigned. * Assist with ... Current Driver's License, vehicle insurance, and access to a dependable vehicle or public ...

Integrated Home

Clinical Reviewer Nurse

Miramar, FL · On-site

Employer paid life insurance * 401K with employer contribution * Wellness program with reward ... By continuously reviewing and auditing patient treatment files, the utilization nurse will ensure ...

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Assistant Insurance Nurse Reviewer information

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$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 Reviewer (RN)

ISLAND PEER REVIEW ORGANIZATION INC

Jericho, NY • On-site

$38.46 - $43.27/hr

Full-time

Posted 26 days ago

Job description

As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. You will conduct clinical level review, determine physician level assignment, manage case staging between external physician experts and manage appeal processes within strict deadlines. Duties include but are not limited to:

  • Conducting reviews up to and including the appeal level. This includes chart screening, writing case summaries, determining documentation adequacy, researching insurer requirements, complete decision templates and preparing final determinations.
  • Act as a resource for the administrative and clinical staff in training, problem solving, and clarifying determinations.
  • Training and mentoring new RNs as the project expands.
  • Understanding multi-state requirements.
  • Participate in collaborative training.

This position is based in IPRO's Headquarter office located in Jericho, NY.

QUALIFICATIONS:

  • Knowledge and experience with electronic medical records.
  • Ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff.
  • Excellent written and verbal skills.
  • Ability to work independently with little supervision.
  • Ability and desire to be flexible, innovative, and creative.
  • Ability to meet deadlines in a time sensitive environment.

EDUCATION & EXPERINCE:

  • New York Licensed Registered Nurse, required.
  • A bachelor’s degree in nursing OR graduate of an approved Registered Professional Nurses training program, required.
  • Minimum of two (2) years’ experience in a clinical setting, required.

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The hourly range for this position is $38.461 – $43.269. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget.


The salary range and/or hourly rate listed does not include other forms of compensation or benefits.

IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.