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Remote Nurse Fraud Jobs (NOW HIRING)

Medical Review Nurse

Clive, IA ยท Remote

$80K - $90K/yr

This is a remote position. Seeking Registered Nurse for fully remote role to perform complex ... of fraud, waste, and abuse. Provides professional assessment, planning, coordination ...

Nurse Analyst/Investigator

WV ยท Remote

$93K - $126K/yr

Skills: Analytical Thinking, Clinical Review, Fraud Prevention, Medicare, Microsoft Excel ... Remote Work Location: Any Location / Remote Additional Work Locations: Total Rewards at GDIT: Our ...

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

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Remote Nurse Fraud information

See salary details

$17

$38

$65

How much do remote nurse fraud jobs pay per hour?

As of Jun 22, 2026, the average hourly pay for remote nurse fraud in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What are some common challenges faced by Remote Nurse Fraud Specialists, and how can they be addressed?

Remote Nurse Fraud Specialists often encounter challenges such as identifying subtle patterns of fraudulent activity, maintaining effective communication with multidisciplinary teams, and staying updated on evolving healthcare fraud schemes. Working remotely may also make collaboration and information sharing more complex, requiring strong digital communication skills and familiarity with secure data platforms. To address these challenges, it's important to participate in ongoing training, leverage robust fraud detection software, and engage regularly in virtual meetings with colleagues in compliance, legal, and clinical departments.

What are the key skills and qualifications needed to thrive as a Remote Nurse focused on fraud detection, and why are they important?

To thrive as a Remote Nurse in fraud detection, you need a solid nursing background (RN license), strong analytical skills, and experience with healthcare compliance or claims review. Familiarity with healthcare management systems, claims processing software, and knowledge of HIPAA regulations are typically required. Attention to detail, integrity, and strong written communication are crucial soft skills for identifying discrepancies and collaborating with interdisciplinary teams. These skills ensure accurate detection of fraudulent activities, protect patient data, and help maintain the integrity of healthcare operations.

What is a Remote Nurse Fraud Investigator?

A Remote Nurse Fraud Investigator is a registered nurse who works remotely to identify, investigate, and prevent fraudulent activities related to healthcare claims and services. These professionals analyze medical records, billing information, and insurance claims to detect inconsistencies or patterns that may indicate fraud. They collaborate with insurance companies, law enforcement, and healthcare providers to gather evidence and ensure compliance with regulations. Remote Nurse Fraud Investigators play a crucial role in protecting the integrity of the healthcare system and minimizing financial losses due to fraud.

What is the difference between Remote Nurse Fraud vs Remote Medical Billing Fraud?

AspectRemote Nurse FraudRemote Medical Billing Fraud
Required CredentialsLicensed Registered Nurse (RN) or Licensed Practical Nurse (LPN)Certification in medical coding or billing, such as CPC or CCS
Work EnvironmentHealthcare facilities, telehealth platforms, or independent practiceMedical billing companies, healthcare providers, or insurance companies
Industry UsageHealthcare, telehealth, patient careHealthcare, insurance, billing services
Common Search/ComparisonRemote Nurse FraudRemote Medical Billing Fraud

Remote Nurse Fraud involves deception related to nursing credentials or patient care, while Remote Medical Billing Fraud pertains to false or inflated billing practices. Both are healthcare industry issues but differ in roles, credentials, and specific fraudulent activities.

Infographic showing various Remote Nurse Fraud job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.
Compact RN Care Coach - Remote | High Performance

Compact RN Care Coach - Remote | High Performance

CircleLink Health

New York, NY โ€ข Remote

$15/hr

Contractor

Posted 28 days ago


Job description

Contract | Remote | We're hiring 10 elite nurses

CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role.

This is a performance environment for nurses who thrive on ownership, efficiency, and measurable impact - and who want their income to reflect their output.

If you want predictable shifts and low expectations, this isn't the role for you.
If you want autonomy, scale, and the ability to grow your earnings, keep reading.

______________________________________________________________________________________________

The Opportunity

You'll manage a large panel of Medicare patients with chronic conditions, delivering monthly clinical calls that drive real outcomes and reduce hospitalizations.

This role is built for nurses who can operate independently, manage complexity, and execute consistently at a high level.

We expect our Care Coaches to treat this role as their primary professional focus, not a side gig.

______________________________________________________________________________________________

Requirements

Who We Want

We're looking for nurses who are:

  • Compact RN licensed
  • Extremely self-directed
  • Comfortable owning large caseloads ( >100 patients/month)
  • Highly organized and metrics-driven
  • Tech fluent and fast learners
  • Motivated by performance and results
  • Comfortable working with minimal supervision with multiple practices, workflows and EHRs
  • Accountable, disciplined, and reliable

You should be energized by productivity, not overwhelmed by it.

_______________________________________________________________________________________________

What You'll Do
  • Run monthly clinical calls with chronic care patients
  • Drive behavior change through coaching and education
  • Maintain precise, compliant documentation using our platform
  • Close preventive care gaps and coordinate services
  • Update care plans and track interventions
  • Support transitions of care to reduce readmissions
  • Manage your panel efficiently and consistently

______________________________________________________________________________________________

Compensation - Built for Performers

Your earnings scale with your output.

  • $15 per completed clinical encounter per patient
  • Large caseloads = higher income
  • High performers can exceed $3,000/month
  • $300 performance bonus after 3 months of consistent results
  • No cap on productivity

If you want control over your income, this is where you get it.

________________________________________________________________________________________________

Schedule & Structure
  • Flexible scheduling between 8am-5pm EST, Monday-Sunday
  • Fully remote
  • 1099 contractor role

You own your schedule, your workflow, and your results.

_____________________________________________________________________________Requirements
  • Current unrestricted Compact RN license
  • 3+ years clinical experience
  • Strong internet and dedicated workspace
  • Confident with multiple software platforms
  • Strong communication and critical thinking skills

Strongly preferred:

  • Case management or chronic disease management
  • EHR experience
  • Motivational interviewing
  • Diabetes education
_____________________________________________________________________________This Role Is for You If
  • You want autonomy instead of micromanagement
  • You're comfortable being measured on performance
  • You want your effort to directly impact your income
  • You thrive in structured, fast-paced environments
  • You take pride in efficiency and ownership
  • You want to build a serious remote nursing career

_________________________________________________________________________________________________

This Role Is NOT For You If
  • You prefer slow-paced environments
  • You need constant supervision
  • You're looking for occasional side income
  • You struggle with time management or organization

_________________________________________________________________________________________________

Benefits

The Bottom Line

We're building a team of high-ownership nurses who want flexibility without sacrificing ambition.

If you're driven, disciplined, and ready to perform at a high level, this role gives you the platform to scale your impact and earnings.

_______________________________________________________________________________________________

Apply now - we're hiring 10 nurses only.

Fraud Alert:

CircleLink Health has identified fraudulent emails sent from @joincirclelinkhealth.team, which is NOT affiliated with our company. Official CircleLink emails come only from @circlelinkhealth.com. Please report any suspicious messages to info@circlelinkhealth.com.

About CircleLink Health:

CircleLink Health is a company of passionate clinicians, technologists and businesspeople tackling the $600B problem of preventable chronic and post-acute complications. We're building a world-class Care Management platform to enable providers while accelerating the shift to preventative care instead of status quo reactive care. Learn more about us here.