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Evening Remote Nurse Reviewer Jobs (NOW HIRING)

Broadway Ventures

Medical Claims Reviewer (RN)

Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team

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

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 · 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 ...

BreatheSuite

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

Ourhrconnect

RN Medical Reviewer II

Tennessee, IL · On-site +1

This a full-time remote position. You will work an 8-hour shift scheduled during our normal ... Performs medical claim reviews for one or more of the following: claims for medically complex ...

Ourhrconnect

RN Medical Reviewer II

Tennessee, IL · On-site +1

This a full-time remote position. You will work an 8-hour shift scheduled during our normal ... Performs medical claim reviews for one or more of the following: claims for medically complex ...

MAXIMUS

Clinical Reviewer, RN/LPN (Remote - TN)

General information Job Posting Title Clinical Reviewer, RN/LPN (Remote - TN) Date Monday, July 6, 2026 City Nashville State TN Country United States Working time Full-time Description & Requirements ...

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Evening Remote Nurse Reviewer information

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$28

$37

$42

How much do evening remote nurse reviewer jobs pay per hour?

As of Aug 1, 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 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.

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 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 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.
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 1% As Needed, 54% Full Time, 43% Part Time, 1% Temporary, and 1% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $77,034 per year, or $37 per hour.

Nurse Reviewer - Allentown, PA

Healthcare Quality Strategies, Inc.

Allentown, PA • Remote

$40/hr

Part-time

Medical, Dental, Vision, Life, Retirement

Re-posted 19 days ago

Job description

Nurse Reviewer
PT (20-30 hours week) – Remote Work Environment
Non-Exempt: $40.00 hour
Supports Medical Review Services. The Nurse Reviewer plays a critical role in supporting the Medical Review Services department by performing comprehensive medical necessity reviews and policy reviews for Medicaid claims. This involves meticulous examination of claims and medical records to ensure compliance with established guidelines and regulations. The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews must be completed timely.
Essential Duties and Responsibilities:
  • Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies
  • Manage end-to-end case screening processes, ensuring all activities are completed within established deadlines
  • Document evidence-based criteria applicable to specific contract requirements
  • Record and report screening results, including relevant referral questions, into a centralized database
  • Evaluate medical claims against industry standards, utilizing research of relevant ICD-10, CPT, and HCPCS codes to determine medical necessity
  • Maintain expert knowledge of evolving multi-state Medicaid policies and vendor expectations
  • Participate in ongoing training and consistently meet or exceed productivity and quality assurance standards
Knowledge, Experience, Skills and Education:
  • Medical terminology, ICD-10, CPT and HCPCS
  • Clinical criteria (InterQual and MCG)
  • Utilization/Medical record review and chart abstraction
  • Current standards of medical practice
  • Comply with HIPAA/HITECH laws and regulations
Experience in:
  • At least three- five years performing medical record review and/or abstraction (Utilization Review experience preferred)
  • Experience performing medical record review, audit for federal or state contracts
  • Knowledge and experience of Medicare and Medicaid policy
  • Proficiency with Microsoft Office (Word, Excel, and Outlook)
  • Proficiency with Adobe PDF files and features
  • Generating accurate, timely, and understandable correspondence
  • Current experience (within the last 3 years) in the application of clinical screening criteria (InterQual and MCG)
Skills Requirements include:
  • Professional interpersonal skills; ability to interact with providers, physicians and peers
  • Solid analytical, assessment and documentation skills
  • Effective written and verbal communication, both internally and externally
  • Strong attention to detail
  • Strong attention to deadlines
  • Organizational skills including effective time management, priority setting and process improvement
  • Ability to work independently and as a member of a team
  • Adapt to changing work situations and readily adjusts schedules, tasks and priorities when necessary to meet business fluctuations
Educational Background:
  • BSN with active RN licensure in good standing
Physical Demands:
Remote Work, Prolonged Sitting, Screen Exposure
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
Healthcare Quality Strategies, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This position qualifies for the following Company benefits: Medical/Dental/Vision, FSA and HSA, group life/AD amp;D, voluntary life/AD amp;D, 401k
For immediate consideration, please apply via the HQSI Careers Page at: www.hqsi.org gt; Careers gt; Current Employment Opportunities
EOE: Minorities/Females/Disabled/Veterans
Healthcare Quality Strategies, Inc. is Equal Opportunity, Affirmative Action Employer and an Alcohol/Drug Free Workplace
Healthcare Quality Strategies, Inc. is an E-Verify Employer

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