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Evening Remote Nurse Reviewer Jobs (NOW HIRING)

Cohere Health

Lead RN Reviewer

$35 - $37/hr

Lead RN Reviewer Cohere's Service Operations team is responsible for ensuring that our healthcare ... 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

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 evening remote nurse reviewer jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for evening 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.

What is an evening remote nurse reviewer?

An Evening Remote Nurse Reviewer is a registered nurse who works remotely, often during evening hours, to review medical records, insurance claims, and treatment plans. They assess the medical necessity, appropriateness, and quality of patient care provided, ensuring compliance with healthcare regulations and payer guidelines. This role often involves collaborating with healthcare providers and insurance companies to make clinical determinations. Working remotely allows for flexibility, and evening shifts may better accommodate patients in different time zones or offer after-hours support.

How does working as an evening remote nurse reviewer differ from traditional in-person nursing roles in terms of daily responsibilities and team collaboration?

As an Evening Remote Nurse Reviewer, your daily responsibilities typically focus on reviewing medical records, performing utilization reviews, and ensuring compliance with healthcare policies, rather than providing direct patient care. While you may work independently from home, collaboration with physicians, case managers, and other clinical staff is still essential, often taking place via secure messaging systems, emails, or virtual meetings. This role offers more flexibility in work hours, but it also requires strong self-motivation, attention to detail, and effective remote communication skills. The remote structure can present challenges, such as staying connected with the broader healthcare team and managing work-life balance during evening shifts.

What are the key skills and qualifications needed to thrive as an evening remote nurse reviewer, and why are they important?

To thrive as an Evening Remote Nurse Reviewer, you need strong clinical judgment, a valid nursing license (often RN), and experience in utilization review or case management. Familiarity with medical review software, electronic health records (EHRs), and knowledge of insurance or regulatory guidelines are typically required. Excellent written communication, time management, and critical thinking skills help you efficiently assess cases and interact with remote teams. These abilities ensure accurate, timely reviews that support patient care decisions and compliance, even outside standard business hours.

What is the difference between Evening Remote Nurse Reviewer vs Night Remote Nurse Reviewer?

AspectEvening Remote Nurse ReviewerNight Remote Nurse Reviewer
CertificationsRegistered Nurse (RN), applicable state licensesRegistered Nurse (RN), applicable state licenses
Work EnvironmentRemote, evening hours, flexible scheduleRemote, overnight hours, flexible schedule
Employer & IndustryHealthcare companies, insurance providersHealthcare companies, insurance providers
Common Search IntentComparing evening vs night nurse reviewer rolesComparing night vs evening nurse reviewer roles

Both roles involve reviewing medical records and ensuring compliance, with the main difference being the shift timing. Evening Remote Nurse Reviewers work during evening hours, while Night Remote Nurse Reviewers operate overnight. The required credentials and work environment are similar, making them comparable roles within the remote healthcare review industry.

What cities are hiring for Evening Remote Nurse Reviewer jobs?

Cities with the most Evening Remote Nurse Reviewer job openings:

What are the most commonly searched types of Remote Nurse Reviewer jobs?

The most popular types of Remote Nurse Reviewer jobs are:

What states have the most Evening Remote Nurse Reviewer jobs?

States with the most job openings for Evening Remote Nurse Reviewer jobs include:

Evening Remote Nurse Reviewer jobs near you
Infographic showing various Evening Remote Nurse Reviewer job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 63% Full Time, 17% Part Time, and 17% 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

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

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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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