ZipRecruiter

Log In

3

Part Time Remote Nurse Reviewer Jobs (NOW HIRING)

Defined.ai

Psychiatrists (Part-Time, Remote)

We are looking for experienced Psychiatrists to join an exciting, remote, part-time pilot project ... Review de-identified clinical transcripts provided through a secure platform * Review AI-generated ...

Centerbrite

BCBA (Part-time) (Remote)

Fairfax, VA · Remote

$80 - $110/hr

BCBA (Board Certified Behavior Analyst) - Part-time $80110/hr Flexible Schedule Hybrid (Remote + In ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

Centerbrite

BCBA (Part-time) (Remote)

Newark, NJ · Remote

$90 - $110/hr

BCBA (Board Certified Behavior Analyst) - Part-time $100110/hr Flexible Schedule Hybrid (Remote ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

Defined.ai

Licensed Therapists (Part-Time, Remote)

We are looking for experienced Licensed Therapists to join an exciting, remote, part-time pilot ... Review de-identified clinical transcripts provided through a secure platform * Review AI-generated ...

next page

Showing results 1-20

All Jobsremote Jobspart time JobsHealthcare JobsNursing JobsNurse Case Manager JobsPart Time Remote Nurse Reviewer Jobs

Part Time Remote Nurse Reviewer information

See salary details

$28

$37

$42

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

As of Aug 21, 2026, the average hourly pay for part time 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 the difference between Part Time Remote Nurse Reviewer vs Part Time Remote Nurse Auditor?

AspectPart Time Remote Nurse ReviewerPart Time Remote Nurse Auditor
CredentialsRegistered Nurse (RN) license, clinical experienceRegistered Nurse (RN) license, clinical experience
Work EnvironmentRemote, reviewing medical records and claimsRemote, auditing healthcare claims and documentation
Employer & IndustryHealthcare companies, insurance providersInsurance companies, healthcare payers
Search & Comparison IntentUnderstanding roles involving medical record reviewUnderstanding roles focused on claims auditing

Both roles require RN licensure and clinical experience, working remotely within healthcare or insurance industries. The Nurse Reviewer primarily evaluates medical records for appropriateness, while the Nurse Auditor focuses on auditing claims and billing accuracy. Although similar, their core responsibilities differ, making each role distinct in healthcare compliance and reimbursement processes.

More about Part Time Remote Nurse Reviewer jobs

What cities are hiring for Part Time Remote Nurse Reviewer jobs?

Cities with the most Part Time 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 Part Time Remote Nurse Reviewer jobs?

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

What job categories do people searching Part Time Remote Nurse Reviewer jobs look for?

The top searched job categories for Part Time Remote Nurse Reviewer jobs are:

Part Time Remote Nurse Reviewer jobs near you
Infographic showing various Part Time Remote Nurse Reviewer job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 53% Full Time, 16% Part Time, and 27% 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 - Reading, PA

Healthcare Quality Strategies, Inc.

Reading, PA • Remote

$40/hr

Part-time

Medical, Dental, Vision, Life, Retirement

Re-posted 9 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

Apply