Registered Nurse Clinical Reviewer – Remote (New York)
Location: Remote (New York-based)
Employment Type: Full-time
Pay: $50/hour
Schedule: Sunday–Thursday, full-time, fully remote
Position Overview:
We are seeking an experienced Registered Nurse Clinical Reviewer to join our team supporting a respected non-profit healthcare organization in New York. In this fully remote role, you'll conduct utilization reviews and quality study data collection, ensuring compliance and accuracy across healthcare documentation.
Why You'll Love Working Here:
- Competitive pay at $50/hour.
- 1 week paid vacation after 3 months (2 weeks starting your second year).
- 6 major paid holidays per year.
- 5 sick days (40 hours), per the NYS Paid Sick Leave Act.
- License reimbursement after 1 year.
- Health insurance (subject to plan eligibility).
- 401(k) match eligibility after 1 year.
- Additional benefits including Payactiv (earned wage access).
- Strong culture and retention — 93% of our team stays 2+ years.
- Fully remote with a consistent Sunday–Thursday schedule.
Qualifications:
- Graduate of an accredited nursing program.
- Active New York State RN license.
- 1–3 years of experience in acute care utilization review / appeals.
- Comfortable working on a computer; familiar with Outlook, spreadsheets, and Word.
- Strong analytical skills, attention to detail, and ability to work independently in a remote setting.
Key Responsibilities:
- Conduct utilization reviews up to and including the appeal level — chart screening, completing electronic worksheets, entering required information, and making level-one denial decisions when necessary.
- Conduct quality and clinical study data collection reviews, including chart review and detailed electronic data worksheets.
- Serve as a resource to administrative staff for training, problem-solving, and clarifying procedures; provide technical assistance and participate in staff huddles.
- Participate in collaborative training specific to clinical study objectives.
- Other duties as needed.