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$37

$42

How much do insurance nurse reviewer jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for insurance 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 in the Insurance Nurse Reviewer position, and why are they important?

To thrive as an Insurance Nurse Reviewer, you need a current nursing license, clinical experience, and a strong understanding of medical terminology and claims review processes. Familiarity with utilization review software, health insurance claims systems, and URAC or CM certification is often required. Attention to detail, critical thinking, and effective written and verbal communication skills help you excel in this position. These qualifications and abilities are vital for accurately evaluating medical records, ensuring compliance, and making informed decisions regarding healthcare coverage.

What does a typical day look like for an Insurance Nurse Reviewer?

On a typical day, an Insurance Nurse Reviewer spends much of their time reviewing patient medical records, evaluating insurance claims for medical necessity, and documenting their findings in detail. The role often involves collaborating with physicians, case managers, and adjusters to clarify information or seek additional insights when necessary. You may also participate in team meetings to discuss complex cases, ensure adherence to regulatory standards, and stay current with evolving policies. The work is largely independent but requires strong communication skills and a systematic approach to managing multiple cases effectively.

What is an Insurance Nurse Reviewer job?

An Insurance Nurse Reviewer is a licensed nurse who evaluates medical claims to ensure they meet policy guidelines and medical necessity. They review patient records, treatment plans, and healthcare provider documentation to determine coverage eligibility. Their role helps insurance companies manage costs while ensuring patients receive appropriate care. Strong clinical knowledge and attention to detail are essential for assessing claims accurately.

More about Insurance Nurse Reviewer jobs
What cities are hiring for Insurance Nurse Reviewer jobs? Cities with the most Insurance Nurse Reviewer job openings:
What are the most commonly searched types of Insurance Nurse Reviewer jobs? The most popular types of Insurance Nurse Reviewer jobs are:
What states have the most Insurance Nurse Reviewer jobs? States with the most job openings for Insurance Nurse Reviewer jobs include:
What job categories do people searching Insurance Nurse Reviewer jobs look for? The top searched job categories for Insurance Nurse Reviewer jobs are:
Insurance Nurse Reviewer jobs near you
Infographic showing various Insurance Nurse Reviewer job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $77,034 per year, or $37 per hour.
RN Clinical Reviewer

RN Clinical Reviewer

Greenlife Healthcare Staffing

Jericho, NY • On-site

$60/hr

Full-time

Medical

Posted 21 days ago

Job description

RN Clinical Reviewer - Jericho or Albany, NY (#25332)

  • Location: Jericho orAlbany, NY
  • Employment Type: Full-time, Temp-to-hire (5 days a week)
  • Hourly Rate: $60/hr

About Greenlife Healthcare Staffing:

Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.

Position Overview:

Greenlife Healthcare Staffing is seeking a meticulous Clinical Reviewer Registered Nurse. This individual will work under the direction of the supervisor of the team performing clinical reviews and abstractions of assigned cases related to a maternal death or to an adverse event that occurred during an outpatient surgical procedure. This temp-to-hire role is ideal for an experienced RN with a strong OB/maternal health background and a passion for quality improvement and patient safety.

Why Join Us?

  • Competitive Compensation: Earn a competitive rate of $60 per hour.
  • Comprehensive Benefits:
    • 5 Sick Days (40 hours) subject to the provisions of the NYS Paid Sick Leave Act
    • Health Insurance subject to plan eligibility requirements
  • Work Schedule: Full-time position, 5 days per week, with a temp-to-hire structure.
  • Professional Growth: Gain valuable experience conducting high-stakes clinical reviews for the NYS Department of Health, enhancing your expertise in quality improvement and maternal health.
  • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes by identifying and analyzing critical events in maternal care and outpatient surgical procedures.

Key Responsibilities:

  • Conduct clinical reviews of medical records from a variety of sources as well as other documents crucial to the review as appropriate.
  • Develop and draft narrative summaries of clinical reviews performed in the form(s) required by NYS Department of Health (the Department).
  • Track case status in Excel and other databases as required by the Department.
  • Other activities as may be deemed necessary in response to the changing needs of the department.

Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Requirements

Qualifications:

  • Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program.
  • Licensure: Current licensure as a registered professional nurse in New York State.
  • Experience:
    • A minimum of four years of clinical practice experience in a facility or community-based setting, including medical, surgical, and/or obstetrical experience.
    • Minimum of two years of acute care hospital experience.
    • Experience in an acute or ambulatory care healthcare facility reviewing charts for the purpose of quality improvement or utilization review, preferred.
    • Knowledgeable of current disease/care management/coordination trends, preferred.
    • Must have OB/maternal health background.
  • Skills:
    • Strong analytical and communication (both written and verbal) skills.
    • The ability to work independently, as well as in a team environment.
    • The ability to prioritize reviews and projects to be completed.
    • Proficient in the use of standard office technology and basic Microsoft applications including Word and Excel.
    • Ability to gather and analyze information from records, reports, and other sources.
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About Greenlife Healthcare Staffing

Sourced by ZipRecruiter

Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

New York, NY, US

Social media

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