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Nurse Reviewer Jobs (NOW HIRING)

Nurse Reviewer Contract Duration: Initial 6-months Pay: $27.50/hr on W2 Start Date: 9/8/2026 Location: FullyRemote (US Only) LPN State License must be active and in good standing for the entirety of ...

Nurse Reviewer Contract Duration: Initial 6-months Pay: $27.50/hr on W2 Start Date: 9/8/2026 Location: FullyRemote (US Only) LPN State License must be active and in good standing for the entirety of ...

Nurse Reviewer Contract Duration: Initial 6-months Pay: $27.50/hr on W2 Start Date: 9/8/2026 Location: FullyRemote (US Only) LPN State License must be active and in good standing for the entirety of ...

Nurse Reviewer Contract Duration: Initial 6-months Pay: $27.50/hr on W2 Start Date: 9/8/2026 Location: FullyRemote (US Only) LPN State License must be active and in good standing for the entirety of ...

The Nurse Reviewer plays a crucial role in the healthcare industry by evaluating medical records, treatment plans, and healthcare procedures to ensure compliance with industry standards and ...

New

Nurse Reviewer Contract Duration: Initial 6-months Pay: $27.50/hr on W2 Start Date: 9/8/2026 Location: FullyRemote (US Only) LPN State License must be active and in good standing for the entirety of ...

Nurse Reviewer I Nurse Reviewer I Virtual : This role enables associates to workvirtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This ...

Nurse Reviewer I

Chicago, IL

$33.92 - $44.42/hr

Nurse Reviewer I Nurse Reviewer I Virtual : This role enables associates to workvirtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This ...

Nurse Reviewer 1 Nurse Reviewer 1 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and ...

Nurse Reviewer 1 Nurse Reviewer 1 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and ...

Nurse Reviewer I

Chicago, IL · On-site

$33.92 - $44.42/hr

Nurse Reviewer I Virtual : This role enables associates to workvirtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes ...

Nurse Reviewer 1 Nurse Reviewer 1 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and ...

Nurse Reviewer 1 Nurse Reviewer 1 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and ...

Nurse Reviewer 1 Nurse Reviewer 1 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and ...

Nurse Reviewer 1 Nurse Reviewer 1 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and ...

Nurse Reviewer I Virtual : This role enables associates to workvirtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes ...

Nurse Reviewer 1 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This ...

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Nurse Reviewer information

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$28

$37

$42

How much do nurse reviewer jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for 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 a Nurse Reviewer?

A Nurse Reviewer is a registered nurse who evaluates medical records, claims, and treatment plans to ensure that healthcare services are medically necessary, appropriate, and compliant with policies or regulations. They often work for insurance companies, government agencies, or healthcare organizations, reviewing clinical documentation and making recommendations about coverage or care. Nurse Reviewers play a vital role in utilization management, quality assurance, and preventing healthcare fraud. Their assessments help manage costs while ensuring patients receive proper care.

What are some typical challenges Nurse Reviewers face when coordinating with healthcare providers and insurance companies?

Nurse Reviewers often encounter challenges such as balancing the need to advocate for patient care with adhering to insurance guidelines and policies. They must communicate complex medical information clearly to both healthcare providers and insurance representatives, sometimes dealing with time-sensitive cases or incomplete documentation. Effectively managing these interactions requires strong organizational skills, attention to detail, and the ability to navigate differing priorities while maintaining professionalism and empathy.

What is the difference between Nurse Reviewer vs Nurse Auditor?

AspectNurse ReviewerNurse Auditor
CredentialsRegistered Nurse (RN) license, often with clinical experienceRegistered Nurse (RN) license, with additional auditing or compliance training
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsInsurance companies, healthcare organizations, or consulting firms
Primary ResponsibilitiesReview patient records for medical necessity and quality of careAudit claims and documentation for billing accuracy and compliance

While both Nurse Reviewers and Nurse Auditors have clinical backgrounds and work in healthcare settings, Nurse Reviewers primarily evaluate patient records for quality and necessity, whereas Nurse Auditors focus on financial and billing compliance. The roles often overlap but serve different aspects of healthcare quality and financial integrity.

What does a nurse reviewer do?

A nurse reviewer evaluates medical records, documentation, and clinical data to ensure accuracy, compliance, and quality standards. They often work in healthcare quality assurance, insurance, or legal settings, requiring nursing licensure and attention to detail.

How to make an extra $1000 a month as a nurse?

Nurse reviewers can increase their income by taking on freelance or per diem review assignments, often through healthcare consulting firms or insurance companies. Developing specialized skills or certifications, such as in medical coding or legal nurse consulting, can also open additional earning opportunities outside regular shifts.

What are the key skills and qualifications needed to thrive as a Nurse Reviewer, and why are they important?

To thrive as a Nurse Reviewer, you need a strong clinical background, analytical skills, and an active RN license, often complemented by experience in utilization review or case management. Familiarity with medical coding systems (such as ICD-10 and CPT), electronic health records (EHRs), and utilization management software is typically required. Excellent written communication, critical thinking, and attention to detail are vital soft skills that contribute to effective documentation and fair assessment of cases. These abilities ensure accurate and efficient review of medical records, compliance with policies, and optimal patient outcomes.

What is the best side hustle for nurses?

Nurses can pursue side hustles such as telehealth consulting, medical writing, or health coaching, which leverage their clinical knowledge and healthcare skills. These options often offer flexible schedules and can be done remotely, making them suitable for nurses seeking additional income outside their primary job.

How to become a nurse reviewer?

To become a nurse reviewer, you typically need a valid nursing license and several years of clinical experience. Strong analytical skills, attention to detail, and familiarity with medical documentation are essential, and some positions may require knowledge of medical coding or review software.
More about Nurse Reviewer jobs
What cities are hiring for Nurse Reviewer jobs? Cities with the most Nurse Reviewer job openings:
What are the most commonly searched types of Nurse Reviewer jobs? The most popular types of Nurse Reviewer jobs are:
Who are the top companies hiring for Nurse Reviewer jobs? The top employers for Nurse Reviewer jobs are:
What states have the most Nurse Reviewer jobs? States with the most job openings for Nurse Reviewer jobs include:
Infographic showing various Nurse Reviewer job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 57% Full Time, 15% Part Time, and 25% 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

$27.50/hr

Full-time

Posted 2 days ago


Job description

Nurse Reviewer
Contract Duration: Initial 6-months
Pay: $27.50/hr on W2
Start Date: 9/8/2026
Location: FullyRemote (US Only)

LPN State License must be active and in good standing for the entirety of the assignment.

Be prepared to share license at the time of offer acceptance

Training:

  • Training is fully virtual with cameras expected to be on. Start time is 8 AM Eastern Time. Training period consists of 3 weeks in virtual classroom and at least 3 additional weeks of training audits with reduced scheduling. The duration of this training audit period is contingent upon meeting quality standards.
  • Once training is fully completed, some flexibility exists but standard business hours (8AM Eastern start time) is expected.
  • Role is fully virtual; this requires access to high-speed Wi-Fi/cable/DSL internet (must be private/secured connection), a dedicated area to work with minimal interruption, and a smart phone ( for authentication purposes)
  • Expected to be on camera for training and team meetings.

Job Overview

Review applications and medical documentation received from applicants/medical facilities to determine if Group Life or Disability insurance should be approved.

Responsibilities include:

  • Examines and processes Statement of Health Applications; determines whether to return, put on pending, deny, approve or request additional medical information.
  • Perform tasks in a customer focused manner to enhance and strengthen the relationship between the customer and Client.
  • Processing customer applications in a concise, efficient and accurate manner with attention to detail.

Skills Required Include:

  • Basic business acumen expected (i.e., written and verbal skills)
  • Computer skills; proficient in use of multiple systems and technology resources.
  • Able to maintain consistency of quality standards by utilizing job aids, work instructions and verbal direction.
  • Ability to work independently to investigate medical details (i.e., research medical conditions and medications).
  • Able to take feedback, shows a willingness to learn and adapt.
  • Requires a high school diploma or equivalent.
  • Licensed Practical Nurse (LPN) with current state license.
  • Relies on instructions and pre-established guidelines to perform the functions of the job.
  • Requires working in a large team environment with direction from various supervisory roles.
  • Expected to maintain a set level of quality, production and attendance standards, as well as maintain communication with team leads.
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About Tailored Management

Sourced by ZipRecruiter

Tailored Management is a premier staffing firm headquartered in Columbus, Ohio, United States. The company, functioning from its official website tailoredmanagement.com, operates within the Staffing and Recruiting industry. With a business model predicated on connecting the world's most prestigious companies with top talent for each specific hiring need, Tailored Management is a recognized titan within the industry. Since its establishment, the company has consistently focused on custom-fit, business-centric solutions which make it a trusted partner for clients ranging from Fortune 500 to small, tech start-ups. The core mission of Tailored Management is to 'transform staffing into a proactive, strategic partnership that fuels growth and success.'

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Columbus, OH, US

Year founded

1968