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Assistant Remote Nurse Reviewer Jobs (NOW HIRING)

Dane Street, LLC

Registered Nurse Reviewer

Following your training, you will have a Dane Street contact to assist you with any questions or ... A rationale that is clinically based and supports the nurse reviewer's conclusions. * Answers to ...

New

Cohere Health

Lead RN Reviewer

$35 - $37/hr

Coordinates and provides day-to-day oversight and direction to clinicians * Assist in addressing ... Fully remote opportunity with about 5% travel Medical, dental, vision, life, disability insurance ...

BreatheSuite

Remote Nurse Practitioner

Denver, CO · Remote

Remote Nurse Practitioner Classification: 1099 Independent Contractor Work Structure: Fully Remote ... review * Develop and manage individualized care plans for patients with chronic lung conditions

BreatheSuite Inc

Remote Nurse Practitioner

Denver, CO · On-site +1

Remote Nurse Practitioner Classification: 1099 Independent Contractor Work Structure: Fully Remote ... review * Develop and manage individualized care plans for patients with chronic lung conditions

Easy Recruiter

Online Administrative Assistant - Remote

$18.50 - $24.75/hr

Online Administrative Assistant - Remote Yonkers, NY, United States Or refer someone Job Openings ... Reviews leave requests, and modified work schedules to ensure proper coverage prior to the Director ...

BreatheSuite Inc

Remote Nurse Practitioner

Remote Nurse Practitioner Classification: 1099 Independent Contractor Work Structure: Fully Remote ... review * Develop and manage individualized care plans for patients with chronic lung conditions

BreatheSuite Inc

Remote Nurse Practitioner

Denver, CO · Remote

Job Title:Remote Nurse Practitioner Classification: 1099 Independent Contractor Work Structure ... review * Develop and manage individualized care plans for patients with chronic lung conditions

Comagine

Clinical Reviewer RN - Alabama

Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission ... We go beyond merely providing a remote work option; we support and embrace it. We offer ...

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

As of Aug 21, 2026, the average yearly pay for assistant remote 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.

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Assistant Remote Nurse Reviewer jobs near you
Infographic showing various Assistant Remote Nurse Reviewer job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. 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.

Nurse Reviewer (Registered Nurse) - Remote

Gainwell Technologies

Remote

$78K - $88K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 82 frontline employees who took The Breakroom Quiz

138th of 245 rated software companies

Job description

Nurse Reviewer (Registered Nurse) - Remote

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary: We are seeking a Nurse Reviewer (RN) who will be responsible for performing clinical reviews to determine whether medical record documentation supports the need for services based on clinical criteria, coverage policies, and utilization and practice guidelines. This role involves accessing proprietary systems to review medical records, accurately documenting findings, and providing policy and regulatory support for review determinations.

Your role in our mission: Reviews and interprets medical records to determine medical necessity and appropriateness of care while meeting quality and productivity standards. Documents review decisions and supporting rationale accurately and timely. Determines approvals or refers cases to physician consultants and processes consultant decisions. Performs prior authorization, precertification, and retrospective reviews; prepares decision letters as needed. Assists with training, mentoring, and supporting new Nurse Reviewers. Maintains RN licensure and knowledge of clinical criteria, policies, and regulations. Cross-trains on multiple claim types to support business needs. Recommends process improvements and technology solutions to enhance quality, productivity, and client satisfaction.

What we're looking for: Proficiency in computer and typing skills, including Microsoft Windows, Outlook, Excel, Word, PowerPoint, and internet browsers. Active, unrestricted RN license in the United States and primary state of residence, along with an active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC). Minimum of 5+ years of clinical experience in an inpatient hospital setting. Minimum of 2+ years of utilization review or claims auditing experience. Experience using Milliman or InterQual criteria. Ability to work standard business hours, collaborate effectively with cross-functional teams and departments, and maintain the flexibility to work extended hours as needed to support business demands.

What you should expect in this role: Full-time position. Day-one eligibility for medical, dental, vision, and paid time off benefits. Monday through Friday work schedule. Remote role available to employees residing within the United States. Travel requirement: 0-10%. The pay range for this position is $78,000.00 - $88,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

What Gainwell Technologies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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