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Entry Level Remote Nurse Reviewer Jobs (NOW HIRING)

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

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 ...

Nexera

Entry Level Remote Sales Role

Miami, FL · Remote

$1.5K - $5.3K/wk

About this role We are hiring entry-level Financial Sales Consultants to join our remote team. In ... Answer the screener questions below honestly -- we review every application and respond within 2 ...

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How much do entry level remote nurse reviewer jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for entry level remote nurse reviewer in the United States is $37.04, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $41.35 per hour, depending on experience, location, and employer.
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Entry Level Remote Nurse Reviewer jobs near you
Infographic showing various Entry Level Remote Nurse Reviewer job openings in the United States as of September 2026, with employment types broken down into 4% As Needed, 58% Full Time, 14% Part Time, and 24% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $77,034 per year, or $37 per hour.

Nurse Reviewer (Registered Nurse) - Remote

Remote

Gainwell Technologies
Health Care and Social Assistance • 10K+ employees
Learn more about Gainwell Technologiesexternal

$78K - $88K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago

Gainwell Technologies rating

7.9

Company rating: 7.9 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

Job description

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%.

This position is being posted for pipeline purposes, and we welcome applications on an ongoing basis
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.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

Pay

Benefits

Hours and flexibility

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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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