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Part Time Insurance Nurse Reviewer information

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$37

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How much do part time insurance nurse reviewer jobs pay per hour?

As of Jul 25, 2026, the average hourly pay for part time 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 part time insurance nurse reviewers?

Part-time insurance nurse reviewers are registered nurses who work with insurance companies to review medical records, claims, and treatment plans, often on a flexible or reduced-hour schedule. Their primary role is to ensure that the care provided meets established guidelines and is medically necessary according to the insurer's policies. These nurses use their clinical expertise to assess documentation and help determine the appropriateness of claims, frequently working remotely or in office settings. By working part time, they often balance this role with other professional or personal commitments.

What is the difference between Part Time Insurance Nurse Reviewer vs Part Time Insurance Claims Processor?

AspectPart Time Insurance Nurse ReviewerPart Time Insurance Claims Processor
Required CredentialsRN license, insurance knowledgeBasic insurance knowledge, data entry skills
Work EnvironmentRemote or office-based, healthcare settingRemote or office-based, administrative setting
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, third-party administrators
Common Search & ComparisonYesNo

The Part Time Insurance Nurse Reviewer primarily evaluates insurance claims from a healthcare perspective, requiring nursing credentials and clinical knowledge. In contrast, the Part Time Insurance Claims Processor handles administrative tasks like data entry and claim processing, often with less clinical background. Both roles are common in insurance companies and may be performed remotely, but they differ significantly in responsibilities and required qualifications.

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

To thrive as a Part Time Insurance Nurse Reviewer, you need a nursing degree, active RN licensure, and strong knowledge of medical terminology and healthcare guidelines. Familiarity with utilization review software, electronic medical records, and insurance coding systems like ICD-10 and CPT is typically required. Attention to detail, analytical thinking, and effective written communication help set top performers apart in this role. These skills and qualities ensure accurate case assessments, compliance with regulations, and clear justification for insurance coverage decisions.

What are some common challenges faced by Part Time Insurance Nurse Reviewers, and how can they be managed?

Part Time Insurance Nurse Reviewers often face challenges such as managing a high volume of case reviews within tight deadlines and staying updated on changing insurance policies and medical guidelines. Balancing accuracy with efficiency is crucial, as the role requires careful attention to detail when evaluating medical records and making coverage determinations. Effective time management, ongoing professional development, and strong communication skills are key to overcoming these challenges and maintaining high-quality work while collaborating with claims adjusters, physicians, and other team members.
What cities are hiring for Part Time Insurance Nurse Reviewer jobs? Cities with the most Part Time 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 Part Time Insurance Nurse Reviewer jobs? States with the most job openings for Part Time Insurance Nurse Reviewer jobs include:
Part Time Insurance Nurse Reviewer jobs near you
Delegating Registered Nurse DDA

Delegating Registered Nurse DDA

Positive Pathways Inc

Owings Mills, MD • On-site

$500 - $700/wk

Part-time

Posted 6 days ago

Job description

Part Time – DDA Nurse – Delegating Nurse
Day Program | Supported Living | Personal Support
Location: Maryland
Employment Type: Independent Contractor 1099
Compensation: $1000.00 bi-weekly - non-negotiable
About Us
Positive Pathways, Inc. provides Day Program, Supported Living, and Personal Support services to individuals with developmental disabilities throughout Maryland. We are committed to person centered care, regulatory compliance, and supporting independence and community integration.
Important Requirement
Applicants must have prior experience working within the Maryland Developmental Disabilities Administration DDA system and be knowledgeable in COMAR 10.27.11 and nursing delegation requirements. Applications without DDA experience will not be considered.
Position Overview
We are seeking an experienced Registered Nurse to provide delegation services across our Day Program, Supported Living, and Personal Support programs. This part time role may integrate with our existing DON position depending on availability and agency needs.
Responsibilities

  • Conduct initial and ongoing nursing assessments in accordance with COMAR 10.27.11
  • Delegate nursing tasks and train DSPs, CMTs, and CNAs
  • Complete annual nursing reviews and required documentation updates
  • Perform monthly MAR and medication cycle reviews
  • Conduct medication observations and post hospitalization assessments
  • Provide clinical oversight and issue nursing orders as needed
  • Maintain on call availability as required
  • Ensure compliance with DDA, MBON, and COMAR regulations
Qualifications

  • Active, unrestricted Maryland RN license
  • Minimum 2 years' experience in the DDA field
  • DDA Nursing certification required
  • Experience providing delegation in community-based settings
  • Strong communication and organizational skills
  • Current CPR and First Aid certification